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AVAILABILITY, ADEQUACY AND UTILISATION OF CHILD HEALTH SERVICES IN PRIMARY HEALTH CARE CENTRES IN NSUKKA HEALTH DISTRICT, ENUGU STATE

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Table of Contents
Title Page i
Approval Page ii
Dedication iii
Certification iv
Acknowledgements v
Table of contents vi
List of Tables ix
List of Acronyms x
Abstract xi
CHAPTER ONE Introduction
Background to the Study 1
Statement of the Problem 9
Purpose of the Study 10
Research Questions 11
Hypotheses 11
Significance of the Study 11
Scope of the Study 14
CHAPTER TWO Review of Related Literature
Conceptual framework 15
· Child health services (CHs), objectives and components 15
· Availability and adequacy of CHs 22
· Utilization of CHs 23
· Primary health centre 24
· Factors associated with utilization of CHs 25
A diagrammatic schema showing conceptual frame work of availability,
adequacy and utilization of child health services 28
Theoretical Framework 29
· The three delays model (TDM) 29
· Health belief model (HBM) 30
· Health- Seeking behaviour model 31
vii
Diagrammatic schema showing theoretical frame work of availability,
adequacy and utilization of child health services 32
Empirical Studies on Availability, Adequacy and Utilization of CHs 33
Summary of Literature Review 42
CHAPTER THREE Methods
Research Design 44
Area of the Study 44
Population for the Study 45
Sample and Sampling Techniques 45
Instrument for Data collection 46
Validity of the instrument 47
Reliability of the instrument 47
Method of data collection 47
Method of Data Analysis 48
CHAPTER FOUR Results and Discussion
Results 49
Summary of Major Findings 69
Discussion of Major Findings 71
Availability of child health services 71
Adequacy of child health services 71
Utilization of child health services 72
Differences in the availability, adequacy and level of utilization of CHs 73
Summary, Conclusions and Recommendations 75
CHAPTER FIVE: Summary, Conclusions and Recommendation
Summary 75
Conclusions 78
Recommendations 79
Limitation of the Study 80
Suggestions for Further Studies 80
References 81
Appendices 89

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