THE ANALYSIS OF THE DISTRIBUTION OF HEALTHCARE FACILITIES IN IFE

CENTRAL LOCAL GOVERNMENT AREA

QUESTIONNAIRE

INSTRUCTION: Please tick or complete appropriate spaces.

SECTION A: IDENTIFICATION

1. Address: ______________________________________

2. Street name/Nearest Bus-stop: _______________________

3.

SECTION B: SOCIO-ECONOMIC BACKGROUND OF RESPONDENT

4. Age: less than 18[ ] 18-25[ ] 25-40[ ] 40-60 [ ] 60 above[ ]

5. Sex: Male [ ] Female [ ]

6. Marital status: Married[ ] Singe[ ] Widowed[ ] Divorced[ ]

7. Household: _______________________________

8. Educational attainment (tick as appropriate)

(i) No formal education [ ] (ii) Attempted primary school [ ]

(iii) Completed primary school [ ] (iv) Attempted secondary school [ ]

(v) Completed secondary school [ ] (vi) Attempted higher institution [ ]

(vii) Completed higher institution [ ]

SECTION C:
9. What is the name of the public health care facility located in your community?

__________________

10. How many public healthcare facilities are located in your community?

_________________________

11. How far is the nearest public healthcare facility to your residence?

 Very far

 Moderately far

 Undecided

 Near

 Very near

12. Have you ever visited the public healthcare facility located in your community? If yes, please

rate your experience:

 Very good

 Good

 Average

 Poor

 Very Poor

13. Are there any barriers that prevent you from accessing the public healthcare facility located

in your community? Yes Or No

If yes, please specify: ____________________________________________________

14. In your opinion, does the current distribution of public healthcare facilities in your

community meet the needs of the population? Yes or No

15. Have you or anyone you know ever had to travel outside of your community to access

healthcare services? Yes or No

If yes, please specify the reason and distance traveled.

______________________________________________________________________________

16. Do you believe that the current distribution of public healthcare facilities in your community

affects the health outcomes of the population? Yes or No

If yes, please explain.

_____________________________________________________________________________

17. How accessible is the public healthcare facility in your community for individuals with

disabilities?

 Very accessible

 Accessible

 Undecided

 Inaccessible

 Very Inaccessible

18. Are there any cultural or language barriers that prevent individuals in your community from

accessing healthcare services? Yes or No

If yes, please specify. _______________________________________

19. What is the average wait time for an appointment at the public healthcare facility in your

community? ____________________________

20. Are there any alternative healthcare options available in your community, such as traditional

medicine or telemedicine? Yes or No

If yes, specify:_______________________________________________

21. How do you rate the overall accessibility of the public healthcare facility in your community?

 Very good

 Good

 Average

 Poor

 Very poor

22. Are there any issues with availability or affordability of medications at the public

healthcare facility in your community? Yes or No

23. Are there any issues with availability or affordability of diagnostic services at the public

healthcare facility in your community? Yes or No

24. Are there any issues with availability or affordability of preventive care services at the public

healthcare facility in your community? Yes or No

25. Are there any issues with availability or affordability of specialist care services at the public

healthcare facility in your community? Yes or No

26. How satisfied are you with the distribution of care provided at the public healthcare facility

in your community?
 Very Satisfied

 Satisfied

 Undecided

 Unsatisfied

 Very Unsatisfied