Assessment of the Quality of Health and Rehabilitation Services for Children and Adolescents with Disabilities in Kano Metropolis
Published 03/26/2025
Keywords
- Quality of Health,
- Rehabilitation Services;,
- Children and Adolescents with Disabilities
How to Cite
Abstract
This study assessed the quality of rehabilitation services for children with disabilities in Kano Metropolis, Nigeria, with emphasis on structural, process, and outcome dimensions. A cross-sectional design was employed involving 120 respondents selected from five rehabilitation centers, including tertiary, public, and community-based facilities. Descriptive statistics and chi-square analysis were used to evaluate service quality and associated factors. Results showed that most respondents were aged 31–40 years (41.7%), with females constituting 66.7%, indicating a gendered caregiving pattern. Structural assessment revealed inadequate availability of equipment (62.5%), poor facility conditions (66.7%), and limited accessibility (70.8%). Process indicators were also suboptimal, with 54.2% reporting delays in service delivery and 56.7% expressing dissatisfaction with care. Outcome measures indicated that 60.0% of respondents observed no significant improvement in children's conditions. Chi-square analysis demonstrated significant associations between service quality and income level (χ² = 6.45, p = 0.011), education level (χ² = 5.32, p = 0.021), and distance to facility (χ² = 7.89, p = 0.005). The findings highlight systemic challenges affecting rehabilitation services and underscore the need for improved infrastructure, workforce development, and equitable service distribution to enhance healthcare outcomes.
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