Regional Disparities in Health-Seeking Behaviour in Nigeria: Evidence from the World Bank General Household Survey

Abstract

Regional disparities in socioeconomic factors shape health-seeking behaviour (HSB). This study examined HSB across Northern and Southern Nigeria and the role of socioeconomic factors on HSB. Data was drawn from Wave 4 of the 2018/2019 post-harvest General Household Survey of approximately 5,000 households. Logistic regression and Chi-square (χ2) tests were applied. Findings show that health care is predominantly sought from private providers, especially in the South. No significant regional difference was found between formal and informal care use. Older adults rely on informal care providers such as traditional healers and faith-based centres. Household income significantly influences provider choice, while gender matters mainly in the North, where women utilise public more than private facilities. Longer distances and waiting times increase the likelihood of public facility use, and severe illness drives reliance on public providers. Policy should improve formal health care access for older
adults, strengthen public facilities to manage severe illnesses and women’s health, especially in the North, and tighten oversight of private providers, particularly in the South, to ensure quality health care.