Influence of Socio-Economic and Demographic Variables on the Choice of Integrative Healthcare System among Rural Communities of Nasarawa State, Nigeria

Abstract

The controversy for and against the right or appropriate healthcare system among rural communities of Nasarawa State, Nigeria was examined using the socio-economic and demographic variable. The main objective was to determine the extent to which educational, religion, social status, and economic variables influence the choice of healthcare system in treatment of ailments. Taro Yamane sample size determination was used to select 440 respondents including ten per cent additional respondents for probable missing questionnaire. 105 respondents were also selected for in-depth interview using purposive sampling method, based on social statuses; giving a total sample of 545 respondents. From a total of 148 INEC electoral wards in Nasarawa State, 15 electoral wards were selected across the three senatorial zones, using Black and Champion sample size determination formula. 440 structured questionnaires were administered; while in-depth interview was conducted on 105 respondents using seven social statuses within the selected INEC Electoral wards. Data collected was analysed using SPSS version 25, and content analysis. The mathematical tools used were mean standard deviation regression and stepwise regression. The fundamental question in the study was; the extent by which economic and social demographic variables influenced the choice of appropriate healthcare system for complete healthcare in the rural communities of Nasarawa state. The result revealed high influence of education in decision-making process in favour of inclusive healthcare system that integrates traditional and orthodox medicine as the appropriate healthcare system. It was also revealed that knowledge about a matter influences choice than culture or religion. The study recommends education, through adult classes and awareness creation for sustainable healthcare in the rural communities of the State (269 words).