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Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study

Received: 19 December 2025     Accepted: 31 December 2025     Published: 11 February 2026
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Abstract

The global increase in life expectancy has increased among the elderly population, creating challenges for healthcare systems in developing countries like Nigeria. In Edo State, accessing healthcare services among elderly population remains limited. Understanding healthcare access patterns and challenges among the elderly is crucial for developing targeted interventions that promote healthy ageing in line with the United Nations Decade of Healthy Ageing (2021–2030). To determine elderly access to healthcare services, a cross-sectional, mixed-methods study sampled elderly individuals of the ages of 60 years and above across primary, secondary, and tertiary healthcare facilities in Edo State using multistage cluster sampling. Quantitative data were extracted from outpatient registers, capturing demographics, complaints, diagnoses, and outcomes. Qualitative interviews with healthcare workers provided additional insights. Data analysis included descriptive statistics, correlation tests, and thematic analysis. The data showed that elderly patients constituted 9.82% of outpatient visits, mostly female (52%) with an average age of 70 years. Tertiary (42%) and secondary facilities (40%) were preferred over primary healthcare centres-PHC (19%). Common complaints included body pain, weakness, and malaria-related symptoms, with a moderate positive correlation between number of complaints and diagnoses (r = 0.353, p < 0.01). Barriers identified qualitatively included limited geriatric services, poor data disaggregation, rural access challenges and lack of infrastructure at the PHC. Further findings revealed gender and age disparities in elderly healthcare utilization, preference for higher-tier facilities, and systemic barriers limiting care at primary levels. Strengthening age-sensitive healthcare systems, improving data practices, establish geriatric units, training more healthcare workers on elderly care, age-disaggregated data systems, strengthening rural primary healthcare, expanding subsidized health insurance for the elderly, and implementing mobile clinics and transportation support for the elderly. These are needed to address elderly healthcare needs in Edo State, Nigeria.

Published in International Journal of Gerontology and Geriatrics (Volume 1, Issue 1)
DOI 10.11648/j.ijgege.20260101.11
Page(s) 1-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Edo State, Elderly Care Access, Healthy Ageing, Geriatrics Services, Primary Healthcare Barrier

References
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[2] Sudharsanan, N., Bloom, D. E., & Sudharsanan, N. (2018). The demography of aging in low-and middle-income countries: chronological versus functional perspectives. In Future directions for the demography of aging: Proceedings of a workshop (pp. 309-338). Washington, DC: National Academies Press.
[3] Okoye, U. O., & Asa, S. (2014). Care of the aged in Nigeria: A review. International Journal of Sociology and Anthropology, 6(7), 123–131.
[4] Wandera, S. O., Kwagala, B., & Ntozi, J. (2015). Determinants of access to healthcare by older persons in Uganda: a cross-sectional study. International journal for equity in health, 14(1), 26.
[5] Nwakasi, C., Brown, J. S., Subedi, S., & Darlingtina, E. (2021). Depression, functional disability, and accessing health care among older Ghanaians and South Africans: A comparative study based on WHO study on global ageing and adult health (SAGE). Aging & Mental Health, 25(6), 1077-1085.
[6] Saka, S. A., et al. (2019). Patterns of health-seeking behavior among older adults in Nigeria. Journal of Aging Research, 2019, Article ID 5381404.
[7] Agbeyegbe, E. B., Francis, E. O., & Ibeodo, J. C. (2025). Gender Distribution of Chronic Diseases and Healthcare Seeking Behaviour: Evidence from a Cohort of 39, 876 Patients Across Nigeria. Asian Basic and Applied Research Journal, 7(1), 320-326.
[8] Ajayi, A. I., & Akpan, W. (2021). Masculinity and men’s health-seeking behavior in Nigeria. Social Science & Medicine, 275, 113812. Ani, C. O. (2014). Challenges of ageing in Nigeria: Implications for policy directions. African Population Studies, 28(2), 1262–1270.
[9] Adebowale, S. A., et al. (2017). Elderly care in Nigeria: A neglected issue in the health.
[10] Gureje, O., et al. (2019). Mental and physical health in elderly Nigerians: A cross-sectional study. BMJ Global Health, 4(2), e001223.
[11] Sokhna, C., et al. (2014). Malaria in older adults: The forgotten vulnerable group? Lancet Infectious Diseases, 14(6), 520–521.
[12] Ogunniyi, A., et al. (2022). Clinical profiles and healthcare needs of elderly Nigerians. Annals of African Medicine, 21(1), 45–53.
[13] Adewole, D. A., et al. (2020). Factors influencing utilization of PHC by older Nigerians. International Journal of Health Policy and Management, 9(7), 302–309.
[14] Osiya, D. A., Ogaji, D. S., & Onotai, L. (2017). Patients’ satisfaction with healthcare: comparing general practice services in a tertiary and primary healthcare settings. The Nigerian Health Journal, 17(1).
[15] Jiang, S., Gu, Y., Yang, F., Wu, T., Wang, H., Cutler, H., & Zhang, L. (2020). Tertiary hospitals or community clinics? An enquiry into the factors affecting patients' choice for healthcare facilities in urban China. China Economic Review, 63, 101538.
[16] Zhang, W., Ung, C. O. L., Lin, G., Liu, J., Li, W., Hu, H., & Xi, X. (2020). Factors contributing to patients' preferences for primary health care institutions in China: a qualitative study. Frontiers in public health, 8, 414.
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Cite This Article
  • APA Style

    Omijie, G., Oshiomhole, C. A., Iruobe, L., Aigbogun, E. I., Ugiesomhe, M. T., et al. (2026). Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study. International Journal of Gerontology and Geriatrics, 1(1), 1-11. https://doi.org/10.11648/j.ijgege.20260101.11

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    ACS Style

    Omijie, G.; Oshiomhole, C. A.; Iruobe, L.; Aigbogun, E. I.; Ugiesomhe, M. T., et al. Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study. Int. J. Gerontol. Geriatr. 2026, 1(1), 1-11. doi: 10.11648/j.ijgege.20260101.11

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    AMA Style

    Omijie G, Oshiomhole CA, Iruobe L, Aigbogun EI, Ugiesomhe MT, et al. Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study. Int J Gerontol Geriatr. 2026;1(1):1-11. doi: 10.11648/j.ijgege.20260101.11

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  • @article{10.11648/j.ijgege.20260101.11,
      author = {Godswill Omijie and Cyril Adams Oshiomhole and Lauretta Iruobe and Edwin Ighodaro Aigbogun and Maryjane Timothy Ugiesomhe and Emmanuel Aiyegbeni and Ehigiator Clement Idiagbonya and Odion Paulina Ototobor and Osemwegie Vincent Omorodion and Erhahon Isimamwen and Esther Omigie and Racheal Etuwe Ugbodaga and Oritsemisan Blessing Jiringho and Mary Osuare Oboigbe and Angela Levi Kangla},
      title = {Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study},
      journal = {International Journal of Gerontology and Geriatrics},
      volume = {1},
      number = {1},
      pages = {1-11},
      doi = {10.11648/j.ijgege.20260101.11},
      url = {https://doi.org/10.11648/j.ijgege.20260101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijgege.20260101.11},
      abstract = {The global increase in life expectancy has increased among the elderly population, creating challenges for healthcare systems in developing countries like Nigeria. In Edo State, accessing healthcare services among elderly population remains limited. Understanding healthcare access patterns and challenges among the elderly is crucial for developing targeted interventions that promote healthy ageing in line with the United Nations Decade of Healthy Ageing (2021–2030). To determine elderly access to healthcare services, a cross-sectional, mixed-methods study sampled elderly individuals of the ages of 60 years and above across primary, secondary, and tertiary healthcare facilities in Edo State using multistage cluster sampling. Quantitative data were extracted from outpatient registers, capturing demographics, complaints, diagnoses, and outcomes. Qualitative interviews with healthcare workers provided additional insights. Data analysis included descriptive statistics, correlation tests, and thematic analysis. The data showed that elderly patients constituted 9.82% of outpatient visits, mostly female (52%) with an average age of 70 years. Tertiary (42%) and secondary facilities (40%) were preferred over primary healthcare centres-PHC (19%). Common complaints included body pain, weakness, and malaria-related symptoms, with a moderate positive correlation between number of complaints and diagnoses (r = 0.353, p < 0.01). Barriers identified qualitatively included limited geriatric services, poor data disaggregation, rural access challenges and lack of infrastructure at the PHC. Further findings revealed gender and age disparities in elderly healthcare utilization, preference for higher-tier facilities, and systemic barriers limiting care at primary levels. Strengthening age-sensitive healthcare systems, improving data practices, establish geriatric units, training more healthcare workers on elderly care, age-disaggregated data systems, strengthening rural primary healthcare, expanding subsidized health insurance for the elderly, and implementing mobile clinics and transportation support for the elderly. These are needed to address elderly healthcare needs in Edo State, Nigeria.},
     year = {2026}
    }
    

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    T1  - Healthcare Access Patterns and Challenges Among the Elderly in Edo State, Nigeria: A Cross-sectional Mixed-methods Study
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    AU  - Cyril Adams Oshiomhole
    AU  - Lauretta Iruobe
    AU  - Edwin Ighodaro Aigbogun
    AU  - Maryjane Timothy Ugiesomhe
    AU  - Emmanuel Aiyegbeni
    AU  - Ehigiator Clement Idiagbonya
    AU  - Odion Paulina Ototobor
    AU  - Osemwegie Vincent Omorodion
    AU  - Erhahon Isimamwen
    AU  - Esther Omigie
    AU  - Racheal Etuwe Ugbodaga
    AU  - Oritsemisan Blessing Jiringho
    AU  - Mary Osuare Oboigbe
    AU  - Angela Levi Kangla
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    JO  - International Journal of Gerontology and Geriatrics
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    AB  - The global increase in life expectancy has increased among the elderly population, creating challenges for healthcare systems in developing countries like Nigeria. In Edo State, accessing healthcare services among elderly population remains limited. Understanding healthcare access patterns and challenges among the elderly is crucial for developing targeted interventions that promote healthy ageing in line with the United Nations Decade of Healthy Ageing (2021–2030). To determine elderly access to healthcare services, a cross-sectional, mixed-methods study sampled elderly individuals of the ages of 60 years and above across primary, secondary, and tertiary healthcare facilities in Edo State using multistage cluster sampling. Quantitative data were extracted from outpatient registers, capturing demographics, complaints, diagnoses, and outcomes. Qualitative interviews with healthcare workers provided additional insights. Data analysis included descriptive statistics, correlation tests, and thematic analysis. The data showed that elderly patients constituted 9.82% of outpatient visits, mostly female (52%) with an average age of 70 years. Tertiary (42%) and secondary facilities (40%) were preferred over primary healthcare centres-PHC (19%). Common complaints included body pain, weakness, and malaria-related symptoms, with a moderate positive correlation between number of complaints and diagnoses (r = 0.353, p < 0.01). Barriers identified qualitatively included limited geriatric services, poor data disaggregation, rural access challenges and lack of infrastructure at the PHC. Further findings revealed gender and age disparities in elderly healthcare utilization, preference for higher-tier facilities, and systemic barriers limiting care at primary levels. Strengthening age-sensitive healthcare systems, improving data practices, establish geriatric units, training more healthcare workers on elderly care, age-disaggregated data systems, strengthening rural primary healthcare, expanding subsidized health insurance for the elderly, and implementing mobile clinics and transportation support for the elderly. These are needed to address elderly healthcare needs in Edo State, Nigeria.
    VL  - 1
    IS  - 1
    ER  - 

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