Caregiver Support, Telehealth Utilization, and Peace/Conflict-Sensitive Healthcare Delivery in the Management of Elderly Patients in Bayelsa State, Nigeria

Abstract

Caregivers play a pivotal role in facilitating healthcare access to healthcare and technology adoption among elderly individuals. This study examined the influence of caregiver support on telehealth utilization in the management of elderly patients in Ogbia Local Government Area of Bayelsa State, Nigeria, with attention to the role of peace and conflict dynamics in healthcare access. A mixed-methods descriptive cross-sectional research design was adopted. Data were collected from elderly patients and their caregivers using structured questionnaires and interview guides. Descriptive and inferential statistics were employed for quantitative data analysis, while thematic analysis was used for qualitative data. Findings revealed that caregiver assistance significantly enhanced telehealth adoption, improved medication adherence, facilitated remote consultations, and promoted effective disease management. Telehealth also reduced the need for physical travel across difficult and sometimes unstable environments, thereby improving safety and continuity of care. However, challenges such as caregiver burden, inadequate training, financial constraints, poor digital infrastructure, and socio-environmental stressors were identified. Chi-square analysis indicated a statistically significant relationship between caregiver support and telehealth utilization (p < 0.05). The study emphasizes caregiver empowerment, digital literacy training, conflict-sensitive health planning, and supportive policies as critical strategies for strengthening telehealth delivery. These interventions are essential for improving geriatric healthcare outcomes and promoting health equity and resilience in rural settings.