The aim of this paper is to identify background characteristics of hea
lth centre users in Trinidad and Tobago and their perceptions of the s
ervices provided. Multi-staged sampling was used to select 1,500 healt
h centre users throughout the country. Data were obtained using struct
ured interviews conducted on regular clinic days. Results show that th
ere is an overwhelmingly large percentage of unemployed persons (80.4%
) and women (75.9%) among the users of health centres. The elderly is
well represented, with 25.4 percent of the sample being over 60 years
of age. Also, occupational status of family wage earners and education
al attainment levels of respondents reflect a disproportionately highe
r number from lower socio-economic groupings among health centre users
. On the other hand, proportions of different ethnic and religious gro
ups among the respondents bear a striking similarity to the general po
pulation of Trinidad and Tobago. Respondents appear to be generally sa
tisfied with the services of the health centres. When the categories f
or 'satisfied' and 'very satisfied' were combined, results show that 7
3.0% of respondents were satisfied with the comfort of the health cent
re, 81.7% with the ease and convenience of getting to the health centr
e and 67.4% with the medical care received at the health centre. Accor
ding to respondents' opinions, the services in greatest need of improv
ement are the pharmacy and doctor services, especially through reducin
g the long waiting period. When the doctors, nurses and pharmacists we
re compared with respect to 'courtesy and consideration', 'Skills and
Competence' and 'advice provided', results show that the generally hig
h levels of satisfaction are remarkably similar in all three cases.