Journal articles: 'Health services accessibility – Nigeria'

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Ayandiji, A. "Accessibility of youths to health care in Nigeria." Journal of Agriculture, Forestry and the Social Sciences 11, no. 2 (February 17, 2015): 92–97. http://dx.doi.org/10.4314/joafss.v11i2.9.

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The youths of Nigeria cover up to 60% of the entire Nigeria population. Youths are a symbol of a town or village with potentials to perform strenuous work and constitute essential human resources for development. Youths are not excluded from health issues facing the generality of the human population. This study examines the accessibility of youths to the various health facilities available, the cost of services provided and also the relationship between the health facilities available and the cost of services provided. The National baseline survey report of 2012 was used. Three States were randomly selected from each of the six geopolitical zones of the country. Majority of the respondents patronized public hospitals than other health institutions. Most youths claimed that the cost of services provided were moderate. There is a significant relationship between health care alternatives available and cost of services. There should be more sensitization for the youth to take their health seriously and patronize health facilities where adequate examination can be carried out.Key words: Youth, Accessibility, Nigeria.

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Bell, Suzanne O., Mridula Shankar, Saifuddin Ahmed, Funmilola OlaOlorun, Elizabeth Omoluabi, Georges Guiella, and Caroline Moreau. "Postabortion care availability, facility readiness and accessibility in Nigeria and Côte d’Ivoire." Health Policy and Planning 36, no. 7 (May 29, 2021): 1077–89. http://dx.doi.org/10.1093/heapol/czab068.

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Abstract Postabortion care (PAC) is an essential component of emergency obstetric care (EmOC) and is necessary to prevent unsafe abortion-related maternal mortality, but we know little regarding the preparedness of facilities to provide PAC services, the distribution of these services and disparities in their accessibility in low-resource settings. To address this knowledge gap, this study aims to describe PAC service availability, evaluate PAC readiness and measure inequities in access to PAC services in seven states of Nigeria and nationally in Côte d’Ivoire. We used survey data from reproductive-age women and the health facilities that serve the areas where they live. We linked facility readiness information, including PAC-specific signal functions, to female data using geospatial information. Findings revealed less than half of facilities provide basic PAC services in Nigeria (48.4%) but greater PAC availability in Côte d’Ivoire (70.5%). Only 33.5% and 36.9% of facilities with the capacity to provide basic PAC and only 23.9% and 37.5% of facilities with the capacity to provide comprehensive PAC had all the corresponding signal functions in Nigeria and Côte d’Ivoire, respectively. With regard to access, while ∼8 out of 10 women of reproductive age in Nigeria (81.3%) and Côte d’Ivoire (79.9%) lived within 10 km of a facility providing any PAC services, significantly lower levels of the population lived <10 km from a facility with all basic or comprehensive PAC signal functions, and we observed significant inequities in access for poor, rural and less educated women. Addressing facilities’ service readiness will improve the quality of PAC provided and ensure postabortion complications can be treated in a timely and effective manner, while expanding the availability of services to additional primary-level facilities would increase access—both of which could help to reduce avoidable abortion-related maternal morbidity and mortality and associated inequities.

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Adetunji, Musilimu Adeyinka. "Accessibility of Elderly Citizens to Basic Facilities In Akure Metropolis in Nigeria." Journal of Architectural Design and Urbanism 2, no. 2 (May 4, 2020): 38–52. http://dx.doi.org/10.14710/jadu.v2i2.7641.

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This study examined the accessibility of elderly citizens to some basic services in Akure metropolis. This was carried out with a view to determine the patterns of distribution and accessibility of these services in the city. Primary and secondary data were employed for this study. Geographical Positioning System was used to capture the coordinates of important locations and of some basic facilities such as Public Tertiary Hospital, Primary Health care centre and banks in the city. Nearest Neighbour Analysis was used to calculate the mean distance travel to some basic services from 13 major localities in Akure metropolis. Descriptive and inferential statistics were employed to analyse the data. Finding reveals that some basic facilities are not evenly distributed across different localities in Akure. The mean distance travel to Public Tertiary Hospital is 3.36kms. The pattern of distribution of Public Tertiary Hospital is dispersed rather than random. More than 60% of the elderly rely on public transport services for their trip to access some basic facilities in the city. Traffic delay was ranked highest (66%) among the problems militating against the effective utilisation of urban facilities in Akure metropolis. The study recommends that more basic facilities should be provided in localities where such services are lacking. This would reduce long distance trip to these facilities in the city. The study concludes that better transport services should be made available at reasonable transport fares in order to promote accessibility of the elderly and other segments of the population to urban facilities in Akure and similar other cities in Nigeria.

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Airhihenbuwa, Collins O. "An Assessment of Health Needs in Selected Nigeria Villages." International Quarterly of Community Health Education 6, no. 2 (July 1985): 161–69. http://dx.doi.org/10.2190/lfuv-pvu7-hqmk-y1cx.

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Two hundred and fifty five heads of households in Iyekuselu District, Bendel State Nigeria, were interviewed. Fifteen villages were randomly selected from the 107 villages that make up the district. There is high morbidity of infectious diseases identified in the study. Limited number of medical professionals and medical institutions present problems of availability of services. This is compounded by high cost of medical services and poor access to health care facilities. The self-perceived health care needs of the heads of households are disease prevention, availability of health services, improved accessibility to health care facilities and reduced cost of care. There is a strong need for health education programs in these villages. This should be attempted with the cooperation of community members, so as to attain the goal of promoting health and preventing diseases.

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Tey, Nai-Peng, and Siow-li Lai. "Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa." Scientific World Journal 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/423403.

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The high maternal and neonatal mortality rates in South Asia and Sub-Saharan Africa can be attributed to the lack of access and utilization of health services for delivery. Data from the Demographic and Health Surveys conducted in Bangladesh, India, Pakistan, Kenya, Nigeria, and Tanzania show that more than half of the births in these countries were delivered outside a health facility. Institutional delivery was closely associated with educational level, family wealth, place of residence, and women’s media exposure status, but it was not influenced by women’s work status and their roles in decision-making (with the exception of Nigeria). Controlling for other variables, higher parity and younger women were less likely to use a health facility for delivery. Within each country, the poorer, less educated and rural women had higher unmet need for maternal care services. Service related factors (accessibility in terms of cost and distance) and sociocultural factors (e.g., did not perceive the need for the services and objections from husband and family) also posed as barriers to institutional delivery. The paper concludes with some suggestions to increase institutional delivery.

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Envuladu, Esther Awazzi, Karlijn Massar, and John de Wit. "Adolescent Sexual and Reproductive Health Care Service Availability and Delivery in Public Health Facilities of Plateau State Nigeria." International Journal of Environmental Research and Public Health 18, no. 4 (February 3, 2021): 1369. http://dx.doi.org/10.3390/ijerph18041369.

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To assess the availability, accessibility, appropriateness and quality of adolescent sexual and reproductive health (ASRH) services in primary health care (PHC) facilities in Plateau State, Nigeria, a cross-sectional study was conducted in 230 PHC facilities across the three senatorial zones of Plateau state. Primary data were obtained through face-to-face interviews with heads of facilities from December 2018 to May 2019. An adapted questionnaire from the World Health Organization (WHO) was used, covering five domains, to ascertain the extent that ASRH services were available and provided. Very few PHC facilities in the state had space (1.3%) and equipment (12.2%) for ASRH services. The proportion of PHC facilities offering counselling on sexuality was 11.3%, counselling on safe sex was 17%, counselling on contraception was 11.3% and management of gender-based violence was 3%. Most facilities were not operating at convenient times for adolescents. Only 2.6% PHC facilities had posters targeted at ASRH and just 7% of the PHCs had staff trained on ASRH. These findings underscore that the majority of PHC facilities surveyed in Plateau State, Nigeria, lacked dedicated space, basic equipment, and essential sexual and reproductive health care services for ASRH, which in turn negatively affect general public health and specifically, maternal health indices in Nigeria. Structural changes, including implementation of policy and adequate additional training of healthcare workers, are necessary to effectively promote ASRH.

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Ichoku, H. E., and A. I. Ifelunini. "The Changing Political Undercurrents in Health Services Delivery in Sub-Saharan Africa." International Journal of Health Services 47, no. 3 (August 3, 2016): 489–503. http://dx.doi.org/10.1177/0020731416660964.

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This article reviews the changing political undercurrent in health service delivery in Sub-Saharan Africa, chronicling the ideological shift in orientation toward neoliberalism in the health sector, an ideology crafted and introduced into Sub-Saharan Africa by the International Monetary Fund and the World Bank. The article examines the implication of this neoliberal reform on the efficiency in health care provision and on the quality and accessibility of health services by the poor and vulnerable. Drawing inference from countries like Nigeria, the authors argue that the ascendency of neoliberalism in the health systems of Sub-Saharan Africa has engendered unethical practices and introduced elements of moral hazard in the health sector, reducing the incentive for governments to develop effective service delivery over the long term. The authors therefore advocate for a rejection of neoliberal ideology in favor of a universal coverage principle if an inclusive health system is to be developed.

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Okeke, Emeka Benjamin, Franz Hessel, Babalola Adeniyi Ibisola, and Modupe Odunola. "Accessibility and Acceptability of Digital Healthcare Services among People Living in Southwestern Nigeria." Annals of Public Health Issues 1, no. 1 (January 1, 2021): 12–24. http://dx.doi.org/10.2478/aphi-2021-0003.

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Abstract Background: The advent of digital healthcare services has become paramount in the world we live in today. Digital healthcare involves the use of information and communication technologies in addressing the medical problems and health-related challenges faced by people seeking medical treatment. This study assesses the impact of digital healthcare among technologically literate people in Southwestern Nigeria (SWN) and seeks to understand its accessibility and acceptability among them. Methods: The study was a cross-sectional study. Our study data was obtained through an online questionnaire survey of 427 individuals (aged ≥15 years) living in SWN. The data were analyzed using the SPSS version 25 software. Results: The study found that roughly half of the respondents (52.0%) have heard about digital healthcare while only 44.0% have accessed it. Over seven-tenth (76.3%) of the respondents considered digital healthcare to be an acceptable form of receiving healthcare while 64.4% were willing to pay for it. Age (X2=7.702, p-value = 0.021), occupation (X2=20.685, p-value = 0.004) and awareness about digital healthcare (X2=55.507, p-value = 0.001) were significantly associated with accessibility of digital healthcare. Conclusion: The findings obtained from this study showed that awareness of digital healthcare was high among people in SWN; however, its accessibility was low. Also, digital healthcare was highly acceptable amongst them and they were willing to pay for such service.

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Muhibbu-Din, Mahmudat Olawunmi. "Human security in developing regions: Critical perspectives of health security in Nigeria." Journal of Human Sciences 17, no. 4 (November 5, 2020): 1054–68. http://dx.doi.org/10.14687/jhs.v17i4.5719.

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Rising epidemic of communicable and non-communicable diseases, exacerbate the Nigeria health indicators. Low budgetary allocation and lack of policy prioritisation further weakened the health sector adding to spate of preventable and avoidable morbidity and mortality rate in the country. This study explores health insecurity as vital core of human security in Nigeria; securitization of health for policy priority; and the range of health challenges that pose threats to human wellbeing. Explorative method and comparative analysis are adopted to investigate the ‘existential threat’ that health insecurity pose to human lives and livelihood. The paper suggests prioritizing health issues and improving access and quality of services; assuring its availability and accessibility to all Nigerians.

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Okosun, Oboh Satur. "HEALTH FACILITIES LOCATIONAL ANALYSIS IN MAKURDI LOCAL GOVERNMENT AREA OF BENUE STATE-NIGERIA USING GIS APPLICATION." Geosfera Indonesia 3, no. 3 (December 31, 2018): 26. http://dx.doi.org/10.19184/geosi.v3i3.8830.

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The most important indices of defining general welfare and quality of life of people in the world are the physical and mental health of individuals. This study attempts to examine GIS solution in the spatial analysis of health facilities in Makurdi local government area of Benue State, through mapping of the existing health facilities located in the study area, their spatial distribution pattern, identify areas with marginal services and propose a model for the future development as well examine the availability and accessibility of the existing health facilities, e.g (road network, travel time, distance covered and queuing time). The” Nearest neighbour analysis” Geospatial statistical method was employed to determine the spatial distribution pattern of the existing health facilities in other to determine the area of limited service and accessibility to healthcare facilities. The findings indicated that the healthcare facilities are randomly distributed; Fiidi ward was discovered to have limited service as regards the healthcare facilities in the study area. In line with the findings, recommendations were made on the use of GIS to build a concept that can be followed and replicated in divergent social-economic and political contexts. Conclusively, the study had shown that GIS is a vital tool in healthcare facility analysis and also in live application issues and thus should be encouraged in Nigeria for national economic transformation and sustainable development. keywords: Health, GIS, Mapping, Location

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Okpala, Pat U., Chinwendu L. Okoye, Florence O. Adeyemo, Peace N. Iheanacho, Anthonia C. Emesonwu, Eunice O. Osuala, and Ikenna G. Okpala. "Utilization of maternal and child health services in Enugu, South East, Nigeria." International Journal Of Community Medicine And Public Health 6, no. 8 (July 26, 2019): 3228. http://dx.doi.org/10.18203/2394-6040.ijcmph20193124.

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Background: Nigeria continues to have one of the highest rates of maternal mortality in the world at 814 deaths per 100,000 live births despite several efforts. Various factors can influence appropriate utilization of services during pregnancy, childbirth and postpartum. This study examined the perceived factors that influence the utilization of maternal and child-health services among mothers in Enugu, South-East Nigeria.Methods: A descriptive survey design was adopted for the study. The study population of 323 pregnant women was determined using the Power Analysis formula. The instrument used for data collection was a self-developed questionnaire. Demographic information of the women was also obtained for the study. The analysis was done with the software statistical package for Social Sciences (SPSS) Version 16.0. Study period was from April 2016 to August 2016.Results: There was high antenatal clinic attendance (93.1%) and utilization of postnatal care services (93.1%). Also, the major factors that influenced the utilization of maternal and child health services were professionally defined needs, accessibility of health care services and economic status.Conclusions: There was high utilization of maternal and child health care services which was influenced by some factors. There is a need for nurses and other health workers to be actively engaged in educating mothers during antenatal visits. Sustainable financial subsidies and community-based initiatives should be developed to encourage early antenatal clinic visits and to provide the necessary information on the importance of facility-based antenatal and postnatal care.

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Ajiboye, Olarinkoye, Olu Afolayan, and Hauwa Wokili. "A77 Analysis of transportation and accessibility of rural dwellers in utilizing primary health services in Nigeria." Journal of Transport & Health 2, no. 2 (June 2015): S45. http://dx.doi.org/10.1016/j.jth.2015.04.565.

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Olabamiji, Afolabi, and Olayinka Ajala. "Spatial Variability of Poverty and Primary Health Facilities in Rural Areas of Ayedaade Local Government, Osun State, Nigeria." Interdisciplinary Journal of Rural and Community Studies 3, no. 1 (June 3, 2021): 21–30. http://dx.doi.org/10.51986/ijrcs-2021.vol3.01.03.

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This paper examined the distribution pattern of health centres to determine the poverty level due to spatial variability of accessibility to health care facilities in rural areas of Ayedaade Local Government, Osun State, Nigeria. Three hundred sixty-eight household heads from 4,539 households in 25 selected villages were sampled based on Slovin’s principle. Buffer and average nearest neighbourhood analyses were performed in ArcGIS 10.4 software to determine the distance covered to the nearest health centre and the spatial location pattern of health centres. $1.90 per day international poverty line, 5 Likert Scale, ANOVA, and correlation were used. The inverse relationship at r = - 0.447 revealed that the more the poverty, the less the poor's capability to cater to their health service. It calls for some forms of intervention by the government to reduce health services cost for rural dwellers.

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Ononokpono, Dorothy N., Moses I. Peters, and Nsidibe Akpan Usoro. "Determinants of Health Care Utilization among Retirees in Rural Akwa Ibom State, Nigeria." Nigerian Journal of Sociology and Anthropology 18, no. 1 (June 1, 2020): 72–86. http://dx.doi.org/10.36108/njsa/0202/81(0150).

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The rising population of the elderlyis one of the most important demographic phenomena in recent times globally. In Nigeria, the estimated population of older persons is about 6 million, and this group of people are confronted with various health challenges and a reduction in earnings, which exacerbates their poor health and healthcare utilization. Studies have shown that healthcare is a fundamental requirement for living a socially and economically productive life; however, in many developing countries including Nigeria, healthcare services utilization among older persons and particularly retirees has received less attention. The main objective of this study was to examine the determinants of healthcare services use among retired primary school teachers in Etinan Local Government in Akwa Ibom State. We utilized Andersen’s healthcare model to explain the factors associated with retirees’ healthcare utilization.Data were collected throughnon-participant observation and semi-structured interviews, conducted with 217 respondents.Data on socio-demographic characteristics of respondents were analyzed using descriptive statistics, while qualitative narratives were analyzed thematically and presented verbatim. Findings from the study revealed that the majority of respondents attributed difficulties in the utilization of health care services to inadequate health facilities, lack of trained healthcare personnel, high cost of health services, distance to health facilities, and late payment of pension, among other factors. Study findings suggest the need for the provision of quality healthcare infrastructure for the retired adults and timely payment of pensions as a panacea for poor healthcare accessibility and utilization.

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Olutegbe, Nathaniel Siji, and Harry Aryeh Bartimeus. "Determinants of Use of Traditional Birth Services in Communities Inclined to Use Them in Nigeria and Ghana." Afrika Focus 34, no. 1 (June 9, 2021): 7–27. http://dx.doi.org/10.1163/2031356x-34010006.

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Abstract Several programmes by government and non-governmental organisations aimed at improving maternal health in many sub-Saharan African nations have not achieved significant results. Use of traditional maternal care services has been identified as still prevalent and thus a possible factor. This study investigated determinants of use of traditional birth services (tbs s) among patrons in tbs-inclined communities of Nigeria and Ghana. A total of 180 and 160 patrons of tbs s were selected from the respective countries, using a multi-stage procedure. The most utilised tbs s include home delivery, concoctions/herbs and family planning. Educational level, constraints to using conventional services, income, and perceived social and economic advantages significantly influenced utilisation. Patrons in Nigeria had better perceived relative advantages of tbs than Ghana, while the accessibility of conventional maternal services, performance rating and overall utilisation of tbs s did not differ significantly between the two countries. Social bonds and economic status were the main reasons for continued patronage of tbs s.

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J.E., Ibebuike,, Onyeneke, U.J., and Chinedu-Eleonu, P. "Reproductive Health Services in Owerri West Local Government Area, Imo State, Nigeria: Youths and Providers’ Perspective." International Journal of Science and Healthcare Research 6, no. 3 (August 11, 2021): 208–15. http://dx.doi.org/10.52403/ijshr.20210736.

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Reproductive health is central to human identity and imperative for health and well-being. This study was carried out in Owerri West Local Government Area of Imo State, Nigeria to investigate the perspective of youths and providers of reproductive health services toward its utilization and challenges. The study was a descriptive cross sectional study of which the multistage sampling technique was adopted to select samples for the study. A well-structured questionnaire was used to interview the subjects all of gave an informed consent to be part of the study. Results showed that the youth’s view on impending factors of RHS include attitude of RHS workers, cost of provision of RHS, poor keeping of secret about one’s health, lack of confidentiality among workers, parental influence, poor environment and poor road accessibility and lack of confidentiality. The providers generally identified the role RHS play in terms of family planning, antenatal care services, treatment of unsafe abortion, referral services, treatment and prevention of sexually transmitted infections, etc. They were of the view that some of the impediments affecting quality RHS in their communities were poor environment, lack of privacy, poor maintenance of the buildings for health care, fear of the elderly, poor attitude of some of the health workers, lack of accessible roads leading to health centers, poor availability of equipment and product supplies, treatment cost, etc. It was recommended that health awareness campaigns concerning RHS and its associating risk factors should be made more pronounced in the society especially among youths. Keywords: Reproductive Health Services, Sexual and Reproductive Health, Youths, Providers, Sexually Transmitted Infections.

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Jibril, Umar N., Garba N. Saleh, Olusegun Badaki, Emmanuel E. Anyebe, Aliyu Umar, and Abdukadir Kamal. "Health Education Intervention on Knowledge and Accessibility of Pregnant Women to Antenatal Care Services in Edu, Kwara State, Nigeria." International Journal of Women's Health and Reproduction Sciences 6, no. 2 (February 10, 2017): 154–60. http://dx.doi.org/10.15296/ijwhr.2018.26.

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Ahonsi, Babatunde A. "Age Variations in the Proximate Determinants of Child Mortality in South-West Nigeria." Journal of Biosocial Science 27, no. 1 (January 1995): 19–30. http://dx.doi.org/10.1017/s0021932000006970.

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SummaryAge variations in the influences of three sets of proximate factors on child survival in Ondo State, Nigeria, during 1981–86 are described. Biodemographic factors covary very strongly with mortality risks during the first month of life, weakly during months 1–11, and imperceptibly beyond infancy. Microenvironmental factors progressively strongly covary with mortality after the neonatal period, while health services accessibility and care factors broadly covary strongly with mortality throughout early childhood. Patterns in the size of the hypothetical population-level impacts of these factors suggest that promoting assisted use of toilet facilities within households by under-5s and wider provision of dispensaries and hospitals would yield cost-effective and notable reductions in overall childhood mortality levels in the study setting.

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Suleiman, Yahaya Shamsuddeen. "Accessibility and Utilization of Tuberculosis Directly Observed Therapy in Primary Health Care Facilities in Katsina State, North West Nigeria." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 9, no. 1 (March 31, 2021): 29–36. http://dx.doi.org/10.21522/tijph.2013.09.01.art003.

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Tuberculosis is a public health problem in Katsina state. Previous effort to decrease the burden of TB was substantially targeted at the secondary and tertiary level of care. The new strategy calls for the decentralization of DOTS at the PHC level. This study assessed the resources for diagnosis and treatment of TB, utilization of services in PHC facilities in Katsina state. The study design was a cross-sectional descriptive study and it enrolled 225 TB patients in 32 health facilities through a multi-stage sampling technique. A structured interviewer-administered questionnaire was used to obtain data from respondents. Qualitative data were also collected using KII. The data was analyzed using SPSS version 20-software package. For the qualitative aspect, content analysis was done for KII. Of the Health facilities studied 7 (28%) were diagnostic centres while 25 (72%) were treatment (intake) centres. The mean age of TB patients was 39+13 years also the mean duration since the commencement of treatment was 3 months. The mean duration time before reaching the hospital was 39 + 27 minutes. The majority (98.5%) of TB patients had easy access to a health facility. About one third (34.4%) of the health facilities had and were using a microscope. In conclusion, the study revealed that resources for TB diagnosis were not adequate in most of the health facilities. However, resources for TB treatment were sufficient. The state government should provide more support in making TB resources adequate in all facilities.

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Shittu, Afeez Kolawole, Kikelomo Aboyowa Mbada, and Temitayo Isaac Odeyemi. "Evaluating the Impact and Effectiveness of Community-Based Health Insurance Policy Among Informal Sector in Lagos State Using Donabedian Model." International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 5, no. 2 (July 2021): 65–80. http://dx.doi.org/10.4018/ijppphce.2021070105.

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The study used the Donabedian model (process, structure, and outcome) to evaluate the impact and effectiveness of the Community Based Health Insurance Scheme (CBHIS) among informal sector population in rural and semi-urban areas of Lagos State, and the respondents were drawn among the market men and women, motorist, among others. Three hundred and eighty-four (384) respondents were sampled based on the research advisor's sampling size. Lagos State is stratified along with its three senatorial districts and a local government each is purposively selected based on the full implementation of CBHIS. Data were analysed using descriptive and interferential statistics and the result revealed that 55% of respondents attested to the effectiveness of CBHIS in drastically reducing the cost of medical services and enhancing equal accessibility for healthcare needs. On the other hand, the implementation of CBHIS has no significant impact on healthcare service delivery due to the unfriendly attitude of healthcare providers towards the beneficiaries. The study concluded by providing information on the outcomes of CBHIS implementation at the sub-national level of government in Nigeria and suggest ways of improvement.

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Amodu, Oluwakemi C., Bukola O. Salami, and Magdalena S. Richter. "Reproductive Health for Conflict-Affected Displaced Women in Nigeria: An Intersectionality-Based Critical Ethnography Study." Refugee Survey Quarterly 40, no. 2 (June 1, 2021): 224–38. http://dx.doi.org/10.1093/rsq/hdab009.

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Abstract Nigeria is a significant contributor to the global forcibly displaced population. The majority of this displacement is related to Boko Haram and herdsmen attacks in Northern Nigeria. A growing body of research has started to investigate issues surrounding protection concerns for the internally displaced who have been uprooted by these uprisings and attacks. Importantly, research is also starting to engage with issues of sexual violence and unwanted pregnancies associated with the conflict and displacement. This article aims to develop this work further by examining intersecting factors shaping the reproductive health experiences of women internally displaced by the Boko Haram and Herdsmen crisis in Northern Nigeria. To this end, a critical ethnography study involving in-depth interviews with 29 internally displaced women and five service providers in Northern Nigeria was completed between May 2019 to September 2019. Three major intersected subjects pertaining to women’s reproductive health access were observed. These were: (1) normative perceptions and the prevalence of urogenital infections; (2) decisions made on birthplaces and number of births; (3) income and accessibility to care. The findings illustrate the interrelated economic and sociocultural factors that constrain access to reproductive health for internally displaced women.

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Adebowale, Oluwawemimo Oluseun, Folashade Adefunke Adeyemo, Noah Bankole, Mary Olasoju, Hezekiah Kehinde Adesokan, Olubunmi Fasanmi, Olanike Adeyemo, Olajoju Awoyomi, Olugbenga Kehinde, and Folorunso Oludayo Fasina. "Farmers’ Perceptions and Drivers of Antimicrobial Use and Abuse in Commercial Pig Production, Ogun State, Nigeria." International Journal of Environmental Research and Public Health 17, no. 10 (May 20, 2020): 3579. http://dx.doi.org/10.3390/ijerph17103579.

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Antimicrobial resistance (AMR) in humans has been linked to non-judicious antimicrobial use (AMU) in food animals. To develop antimicrobial stewardship plans (AMSPs) for pig farmers, there is the need to understand the current status of AMU and the driving factors in the industry. Data on AMU, farmers’ perceptions of associated drivers, and biosecurity were collected through a mixed-method study design with focus group discussions (FGDs) and questionnaire-based interviews. Antimicrobials (AMs) were mainly used for therapeutic and prophylactic purposes. Common AMs used were tetracycline (78.8%), gentamycin (53.8%), and tylosin (52.5%). Perceived drivers of AMU were linked to economic benefits, farmers’ previous experiences, sick animals, expensive veterinary services, easy accessibility to over-the-counter drugs, poor farm practices, and poor disease prevention strategies. AMU was poor (average 40.2%), while knowledge on AMs and implications for animal and human health was considered averagely satisfactory (56.4%). The biosecurity level was also satisfactory (53.0%) and significantly associated with having a written farm health plan (p = 0.035). Good AMU was found to be strongly associated with farmers’ use of veterinary services (p = 0.001). Diverse factors drive antimicrobial use among pig farmers in Ogun State, and these could be addressed by providing continuing education on antimicrobial stewardship and best farm practices.

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Effiong, E., O. F. Iyiola, Isaac Adelakun Gbiri, M. O. Oludiji, S. T. Oyebanji, and M. T. Ayodele. "Mapping and Assessment of Healthcare Facilities Using GIS in a Part of Ikorodu Metropolis, Lagos State." European Journal of Engineering Research and Science 4, no. 8 (August 18, 2019): 55–62. http://dx.doi.org/10.24018/ejers.2019.4.8.1444.

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The uneven distribution of health care services in Nigeria had been validated the inequalities in the accessibility and the best of fitness care services rendered to citizens. Basic fitness care offerings continue to be a cardinal responsibility of the authorities for the survival of her citizenry. Mostly in the developing country, the accessibility to these health care centres is poorly understood and underserved by the timing populations. there is a need to apprehend the elements that affect or inhibit health care used and what contributed to the use elements in term of distance from residences to the health care amenities and the thickly populace developed round the facilities. This paper focuses on the acceptable evaluation of spatial distribution of health care facilities and proposed for new health centres in some of catchments location that deserves it primarily based on distance and population figures in Ikorodu Local Community Development Area. It was subdivided into Ibese, Ojubode , Local Govt, Police Post, Ebute , Ogoloto , Tos Benson, Ita Elewa, Sambo , Alagbala and Eyita Area with their two land mass for every the catchment area inside the learn about which covered two Ibese Area, Ojubode Area, Local Govt. Area, Police Post Area, Ebute Area, Ogoloto Area, Tos Benson Area, Ita Elewa, Sambo Area, Alagbala Area and Eyita Area covered 128.585 ha, 59.658 ha, 106.793ha, 99.631ha, 140.803ha, 109.485ha, 131.518 ha, 111.625ha, 155.051 ha, 89.698 ha and 112.907 ha. Based on buffer coverage and population used and it was revealed and proposed new healthcare centres for Ojubode, Local Govt, Ibese, part of Eyita, Sambo,Alagbala and Ogoloto areas maps were produced. The useful geodatabase was created for digital healthcare facility mapping for less difficult replace every time it’s necessary.

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Chinweuba, Anthonia Ukamaka, Noreen Ebelechukwu Agbapuonwu, JaneLovena Enuma Onyiapat, Chidimma Egbichi Israel, Clementine Ifeyinwa Ilo, and Joyce Chinenye Arinze. "Determinants of Malaria Prevention and Treatment Seeking Behaviours of Pregnant Undergraduates Resident in University Hostels, South-East Nigeria." Journal of Pregnancy 2017 (2017): 1–9. http://dx.doi.org/10.1155/2017/3653874.

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This cross-sectional descriptive survey investigated determinants of malaria prevention and treatment seeking behaviours of pregnant undergraduates resident in university hostels, South-East Nigeria. Purposive sampling was used to enrol 121 accessible and consenting undergraduates with self-revealed and noticeable pregnancy residing in twenty-three female hostels of four university campuses in Enugu State, Nigeria. Structured interview guide developed based on reviewed literature and WHO-recommended malaria prevention and treatment measures was used to collect students’ self-report data on malaria preventive health behaviours, sick role behaviours, and clinic use using mixed methods. The WHO-recommended malaria prevention measures were sparingly used. Some believed that pregnancy does not play any role in a woman’s reaction to malaria infection. Only 41 (50.6%) visited a hospital for screening and treatment. Thirty-four (28.1%) used antimalaria medicine bought from chemist shop or over-the-counter medicines, while 33 (27.3%) used untreated net. The students were more likely to complete their antimalaria medicine when they were sick with malaria infection than for prevention (p=0.0186). Knowledge, academic schedule, cultural influence on perception and decision-making, and accessibility of health facility were key determinants of the women’s preventive and treatment seeking behaviours. Health education on malaria prevention and dangers of drug abuse should form part of orientation lectures for all freshmen. University health centres should be upgraded to provide basic antenatal care services.

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Awoleye, Olatunji Joshua, and Chris Thron. "Improving Access to Malaria Rapid Diagnostic Test in Niger State, Nigeria: An Assessment of Implementation up to 2013." Malaria Research and Treatment 2016 (March 6, 2016): 1–13. http://dx.doi.org/10.1155/2016/7436265.

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Nigeria’s 2009–2013 malaria strategic plan adopted WHO diagnosis and treatment guidelines, which include the use of rapid diagnostic tests (RDTs) prior to prescribing treatment with artemisinin combination therapies (ACTs). The current study explores accessibility barriers to the use of RDTs in Niger State and makes recommendations for improving the uptake of RDTs. The study employs literature review, review of data from the Niger State Health Management Information System for January–October 2013, and application of Peters’ conceptual framework for assessing access to health services. Data showed that 27 percent of public health facilities (HFs) implemented RDTs, with the aid of donor funds. In these facilities, 77 percent of fever cases presented during the study period were tested with RDTs; 53 percent of fever cases were confirmed cases of malaria, while 60 percent of fever cases were treated. Stockouts of RDTs were a major constraint, and severe fever tended to trigger presumptive treatment. We conclude that although implementation of RDTs led to a reduction in the use of ACTs at HFs, more substantial reduction could be achieved if the state government directed more resources towards the acquisition of RDTs as well as raising the level of awareness of potential users.

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Osinowo, Kehinde. "Self-injected Depot–Medroxyprogesterone Acetate Subcutaneous (DMPA-SC) Uptake in Nigeria: A Paradigm Shift." TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH 8, no. 3 (July 30, 2021): 80–101. http://dx.doi.org/10.21522/tijar.2014.08.03.art007.

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Self-injection of DMPA-SC method is one of the Government of Nigeria’s (GON) national family planning goals to address the unmet need for contraception. Some studies on DMPA-SC/SI have demonstrated its feasibility to improve modern contraceptive uptake. However, there is a gap in the predictors of method uptake and continuation across self-injecting and provider-administered in Nigeria. This study explored the uptake of self-injection DMPA-SC contraceptives among women in two geopolitical zones of Nigeria. The study employed 20 focused group discussions (FGDs) and 40 In-depth interviews (IDIs). Self-structured pretested questionnaire to elicit information from 844 women registered for Family Planning in selected health facilities. Descriptive statistics were calculated and multivariate logistic regression was used to model determinants of DMPA-SC/SI family planning uptake. Six months of Secondary Data from the Health Management Information system (HMIS) was used to triangulate the trends in uptake. About 97.6% reported ever heard DMPA-SC/SI family planning method; 78.4% reported its uptake; while 88.5% reported ever heard of self-injection as an option of family planning method. Data for each State showed a remarkable increase in uptake of DMPA-SC/SI. The motivations to use DMPA-SC/Self Injection were ease of accessibility, convenience, and self-administer/care. Factors that encourage the uptake of DMPA-SC/SI were; health benefits, the prevailing economic situation and its effectiveness. Findings from the study showed that interventions that deploy health education, awareness, social mobilization, advocacy, policy implementation, and public sensitization, making contraceptive services available for free, will increase the uptake of Keywords: Determinants, DMPA-SC/SI, Practice, Self-injection, Uptake. DMPA-SC/SI in the study areas.

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Sabo, Aliyu Sokoto, Lawali Yakubu, Aliyu Alkammawa Luba, Samira L. Ya`u, A. T. Bakare, Muhammad Fatima, Isah M. Zayyanu, and Musa A. Zulkiflu. "Influence of socio-demographic variables on the choice of contraceptives among women attending ANC unit at specialist hospital Sokoto, Sokoto State, Nigeria." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (June 27, 2018): 2565. http://dx.doi.org/10.18203/2320-1770.ijrcog20182862.

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Background: A contraceptive choice that couples make is a key component of the Sustainable Development Goal agenda and a major contributor to national health. In spite of the importance of increased contraceptive uptake among couples of reproductive ages, meeting the reproductive health rights of women remains an issue due to multi-faceted obstacles within complex environments. The issues which impact women’s reproductive health rights in relation to contraception relate to availability, accessibility, affordability, literacy, tradition, and culture. This study explores the influence of socio-demographic data on the choice of contraceptives among women who are accessing family planning services at a Specialist hospital, Sokoto-Nigeria.Methods: A cross sectional study was used in this quantitative research to generate data on contraceptive choices of women within the reproductive age (18-49 years) who are accessing family planning services at Specialist hospital, Sokoto. A structured questionnaire was used to elicit information from 352 respondents who were randomly sampled at a Specialist hospital, Sokoto-Nigeria. Data was analyzed using SPSS version 20.0. Descriptive statistics, correlation and regression analyses were used in the data analyses.Results: The findings of this study established age, occupation and level of education to be related with the usage and choice of contraceptives among women attending family planning unit at a Specialist hospital in Sokoto.Conclusions: The result of the study indicated that the socio–demographic data of the respondent, has a significant role in the choice of contraceptives among the women attending family planning unit of Specialist Hospital Sokoto.

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Pashkova, E. V., E. V. Morozenskaya, Talla Herve Tambo, and L. N. Kalinichenko. "Possibilities of solving social problems of African countries by means of public-private partnership." RUDN Journal of Sociology 19, no. 2 (December 15, 2019): 244–60. http://dx.doi.org/10.22363/2313-2272-2019-19-2-244-260.

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The article considers the possibilities of the public-private partnership (PPP) in solving social-economic problems of African countries. The authors analyze the features and perspectives of the PPP mechanism in Africa for solving urgent social problems primarily in the sphere of public services. PPP means state-business cooperation in the spheres that are important for the population’s living standards and has large potential for the social development. Some African counties has already recognized the high efficiency of PPP and use this method for solving such problems as lack of social infrastructure and social development, low quality of the public utilities and poverty. The authors argue that the main sphere of implementing the PPP projects in Africa is the sector of information and telecommunication (IT). The majority of PPP infrastructure projects are implemented in the power economy (especially in Morocco and Egypt). Today, the African governments expand the PPP projects to the power networks development and construction, and to the renewable energy sources exploitation. The article provides some recent examples of the PPP projects in different spheres such as the development of social infrastructure in Africa, including education, public health and maintenance of public order. Due to the global trend of the infrastructure services digitalization and extension of information accessibility, African states take steps for the creation of electronic information portals for the PPP-projects (for example, in Nigeria and Ghana - with the World Bank assistance). Moreover, there are all-regional programs introduced to support initiative projects with the electronic platforms.

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Olubunmi Afolabi, M., and T. Oyedepo Oyebisi. "Pharmacists' Attitude to the Introduction of Automated Techniques in the Delivery of Pharmaceutical Services in Selected Nigerian Teaching Hospitals." Journal of Pharmacy Practice 20, no. 1 (February 2007): 72–81. http://dx.doi.org/10.1177/0897190007302895.

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This study has investigated the attitude of hospital pharmacists toward the introduction of automated techniques in the delivery of pharmaceutical services in three Nigerian Teaching Hospitals. The results obtained from this survey showed that pharmacists have a good understanding of the various forms of automated techniques in pharmacy operations. The general perception showed that these techniques will impact positively on different aspects of the pharmacists' functions including routine dispensing, drug inventory management, and administrative tasks. Computerization of the appropriate database and ease of accessibility including an online communication network within the health system would ease the pharmacists' administrative functions. The respondents felt that their pharmaceutical care functions would be enhanced greatly as the routine manual tasks are taken care of with the automation. In particular, the pharmacists' time would be released for a close monitoring of patient drug therapy and provision of drug information services. The general consensus was that appropriate training workshops and continuing pharmacy education programs would provide practicing pharmacists with the required skill to manage automated pharmacy systems.

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A.S. (Ph.D), Okhakhume, and Okhakhume V.A. "The Knowledge and Practices of Women of Child Bearing Age towards Safe Motherhood in Ekiti State." Journal of Current Medical Research and Opinion 1, no. 09 (December 31, 2018): 47–65. http://dx.doi.org/10.15520/jcmro.v1i09.113.

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Knowledge about safe motherhood practices could help reduce pregnancy related health risks. This study examined knowledge of safe motherhood among women of childbearing age in Ekiti state of Nigeria. The study employed, a cross sectional descriptive research to investigate the knowledge, and practice of women of child bearing age towards safe mother-hood in Ekiti State. The target populations were women of child bearing age in the Public Health Institutions in Ekiti state. The results revealed that the knowledge of safe motherhood practices among Child Bearing Mothers (CBMs) were considered adequate (77.9%). Also, the result further indicated that immunization practices of CBMs was excellently adequate (97.6%) since it met the above acceptable standard by WHO. Additionally, the nutritional practices among CBMs were considered adequate (77.2%). Further, the competency of the health personnel according to CBMs was very adequate (80.8%) since it met the above acceptable standard by WHO. Moreover, availability and accessibility of facilities for safe motherhood according to CBMs was a little above average (55.4%). The result further showed that maternal educational level had significant effect on all the safe motherhood practices, Knowledge of SM [F(5,157)=6.026, p<.001]; Nutritional practices of SM [F(5,157)=8.848, p<.001]; Immunization practices of SM [F(5,157)=12.366, p<.001]; Personal hygiene practice [F(5,157)=2.934, p<.05]; Competency of the health personnel [F(5,157)=6.913, p<.001]; Factors that determine underutilization of SM [F(5,157)=2.436, p<.05]; Availability and accessibility for SM [F(5,157)=4.331, p<.001] & Family planning practice of SM [F(5,157)=11.039, p<.001]. Based on the findings of the study, it was concluded that there were adequate knowledge of safe motherhood practices among CBMs in Ekiti State. Secondly, there were adequate nutritional practices among CBMs in Ekiti State. Thirdly, the immunization practices among CBMs in Ekiti State were excellently adequate. Finally, the personal hygiene practices among CBMs in Ekiti State were more than adequate. It was therefore recommended that health educators, institutions and other health professional should design better educational strategies to improve health education practices among CBMs in the area of study. Secondly, seminars and workshop should be organized for CBMs to improve their utilization of MCH services.

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Chieloka, Okoli Solomon. "Serosurveillance for Avian Influenza in Local Chickens in Households and Live Bird Markets in Enugu State, Nigeria." East African Journal of Agriculture and Biotechnology 1, no. 1 (November 13, 2020): 24–34. http://dx.doi.org/10.37284/eajab.1.1.52.

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Enugu State, Nigeria has previously reported an outbreak of avian influenza in three local governments namely Igoetiti, Nkanu west and Udi following the resurgence of avian influenza in 2015. Traceback investigation on affected farms showed a direct link of confirmed outbreaks to the presence of apparently healthy asymptomatic local chicken roaming freely as resident local chicken within intensive farms. However, there was a paucity of data to support this hypothesis. Two hundred (200) serum samples were obtained from apparently healthy local chicken at the live bird market (Ibagwa Nkwo Nsukka) and purposively selected households within Enugu state. Serology for Avian influenza-specific antibodies was conducted using the Agar Gel immunodiffusion test. Semi-structured questionnaires were used to access the level of awareness of respondents to avian influenza (AI), management practices that may be associated with suspected cases of avian influenza and accessibility to veterinary care within the study area. The level of awareness for avian influenza was low, 31(48.4%), there was no association between gender, education of respondents and level of awareness about avian influenza within the study area, (P = 0.348, χ² = 1.035; df = 2), (P = 0.329, χ² = 2.225; df = 2). 53(82.8%) of the respondents reported to be aware of the availability of veterinary care; however, 21(39.6%) reported that limited fund was militating factor in accessing the services. Risk factors to avian influenza zoonosis included consumption of dead poultry “Morta,” (22, 34.4%); open disposal of carcasses (23, 35.9%) and mixing of local chickens with known reservoirs of avian influenza where ducks (76, 17.2%) and pigeons (119, 26.9%) were very common. Serological findings showed that all 200 samples (serum) were negative for avian influenza antibodies, premised on this finding, it was concluded that local chickens may not serve as reservoirs of avian influenza in the study area within the time frame.

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Fernández-Mayoralas, Gloria, Vicente Rodrı́guez, and Fermina Rojo. "Health services accessibility among Spanish elderly." Social Science & Medicine 50, no. 1 (January 2000): 17–26. http://dx.doi.org/10.1016/s0277-9536(99)00247-6.

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Ozkiran, Umit. "Examination of health services for citizens." LAPLAGE EM REVISTA 7, no. 2 (January 7, 2021): 139–44. http://dx.doi.org/10.24115/s2446-6220202172696p.139-144.

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The aim of the study is to reveal the health services for disabled citizens upon accessibility and automation. The study relies on qualitative research which documentary analysis and self-report reflection of authorities form upon themes were employed. Automation and accessibility models and practice of social and health services from literature and workshop results revealed and compared with the results. System and welfare for the developing country needs automation and accessible services for disabled citizens. Physical and web accessibility create a big dilemma to reach services that needs to be considered urgently by governmental and institutional authorities.

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KANOWNIK, GRETA. "Patient Safety And Accessibility To Health Services." Zeszyty Naukowe Uniwersytetu Szczecińskiego Finanse Rynki Finansowe Ubezpieczenia 85 (2017): 609–20. http://dx.doi.org/10.18276/frfu.2017.1.85-49.

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Plomp, HN. "Accessibility and utilization of occupational health services." Scandinavian Journal of Work, Environment & Health 22, no. 3 (June 1996): 216–22. http://dx.doi.org/10.5271/sjweh.134.

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Ityavyar, Dennis A. "Health services inequalities in Nigeria." Social Science & Medicine 27, no. 11 (January 1988): 1223–35. http://dx.doi.org/10.1016/0277-9536(88)90352-8.

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Forjanič, Miran, Valerij Dermol, and Valentina Prevolnik Rupel. "Factors affecting dental services accessibility." Obzornik zdravstvene nege 53, no. 4 (December 16, 2019): 269–79. http://dx.doi.org/10.14528/snr.2019.53.4.2984.

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Introduction: Access to dental services is a basic right included in the compulsory health insurance for patients and thus an important part of the healthcare system in Slovenia. The purpose of this research was to identify and explore the factors that have the greatest impact on the accessibility of dental services from the perspective of the system stakeholders in Slovenia.Methods: A qualitative study was conducted based on the focus group method. The focus group consisted of relevant system stakeholders, namely two representatives of the regulator, provider and payer, a total of six participants. A thematic analysis was carried out in order to identify the patterns and themes within thequalitative data obtained.Results: The results of the focus group revealed the views of system stakeholder on the accessibility of dental services in Slovenia. According to the system stakeholders' perspective, accessibility of dental services in Slovenia is not optimal and significant changes in terms of financing and organisation are required.Discussion and conclusion: We found that the lack of adequate human resources, insufficient health insurance and payment for services are the crucial factors in providing adequate access to dental health in Slovenia. In order to increase its accessibility, the dental programme needs to be expanded and the number of teams for its implementation increased.

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Arca, Muhammed, and Günay Saka. "Health Services Accessibility And Expectations of Disabled People." Eurasian Journal of Family Medicine 8, no. 2 (June 26, 2019): 69–77. http://dx.doi.org/10.33880/ejfm.2019080203.

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Aim: In this study, it was aimed to investigate the distribution of disability types, treatment and rehabilitation needs, utilization of the basic services provided, and determination of expectations of disabled persons. Methods: This descriptive study was carried out in Hazro district of Diyarbakır. Of the 1069 individuals screened by a cross-sectional study, 148 disabled individuals were identified. A face-to-face meeting was provided with the families of these disabled individuals. The demographic characteristics of the disabled person, information on the types of disability, the use of health services and the questionnaire form which asks the expectation status were used. Results: The prevalence of disability was 13.8%. 51.3% of the disabled were male, 48.2% were not literate and 16.7% did not have any social security. It was determined that 37.8% of people with disabilities did not receive treatment for their disability and 98.0% did not benefit from rehabilitation services. It was found that 70.9% of the disabled did not receive education, 60.1% of them did not know about vocational and skill courses and 51.4% of them could not benefit from public transportation services. Families stated that, the disabled people do not go to any institution or rehabilitation center with 44.8% because of absence in the close environment; 26.9% stated that they do not know if there is any. It was found that the most important expectation of 50% of disabled people and their families from institutions and organizations is to provide health services easily. Conclusion: Disabled persons have difficulty in accessing health services and cannot benefit from rehabilitation services. Basic services such as education, vocational courses and public transport are also insufficient. In this sense, health and social service institutions have important duties.

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Martin, Emma, and Gay Rabie. "Looking at the accessibility of sexual health services." British Journal of School Nursing 5, no. 10 (December 10, 2010): 508–11. http://dx.doi.org/10.12968/bjsn.2010.5.10.508.

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Eaton, Julian, and Ahamefula O. Agomoh. "Developing mental health services in Nigeria." Social Psychiatry and Psychiatric Epidemiology 43, no. 7 (February 20, 2008): 552–58. http://dx.doi.org/10.1007/s00127-008-0321-5.

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Chen, Yuehong, Yuyu Li, Guohao Wu, Fengyan Zhang, Kaixin Zhu, Zelong Xia, and Yu Chen. "Exploring Spatiotemporal Accessibility of Urban Fire Services Using Real-Time Travel Time." International Journal of Environmental Research and Public Health 18, no. 8 (April 15, 2021): 4200. http://dx.doi.org/10.3390/ijerph18084200.

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The accessibility of urban fire services is a critical indicator in evaluating fire services and optimizing fire resource allocation. However, previous studies have mainly concentrated on measuring the spatial accessibility of fire services, and little, if any, consideration has been paid to exploring the spatiotemporal dynamics of the accessibility of urban fire services. Therefore, we used real-time travel time to extend an existing spatial accessibility method to measure the spatiotemporal accessibility of fire services in a case study of Nanjing, China. The results show that (1) the overall accessibility of fire incidents and fire stations in Nanjing, China, is uneven, with relatively high accessibility in the southwest and northeast of the city center; (2) the number of fire incidents with low-level accessibility apparently increases in rush hours (i.e., 07:00–09:00 and 17:00–19:00 h) in the southeast and north of the city center, and the fire incidents with medium-level and high-level accessibility easily change to lower levels under the influence of traffic congestion, with fire incidents with medium-level accessibility being affected the most; (3) the accessibility of fire stations changes over time with an obvious W pattern, with lower accessibility during rush hours than at other times, and several fire stations in the city center present an asymmetric W pattern; (4) the accessibility decline ratio for fire stations in rush hours is greater in the city center than in urban suburbs, and the decline ratios are strongly related to the travel time increase and the percent increase in uncovered fire incidents during rush hours. The results and findings demonstrate that our method can be used to explore the spatiotemporal dynamics of the accessibility of fire services, and so can guide policymakers in improving fire services.

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Edelman, Debra. "University Health Services Sponsoring Lesbian Health Workshops: Implications and Accessibility." Journal of American College Health 35, no. 1 (July 1986): 44–45. http://dx.doi.org/10.1080/07448481.1986.9938964.

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Ferreira, Rita, Nuno Marques da Costa, and Eduarda Marques da Costa. "Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal." Ciência & Saúde Coletiva 26, suppl 1 (June 2021): 2483–96. http://dx.doi.org/10.1590/1413-81232021266.1.40882020.

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Abstract Access to health care is a sensitive issue in low population density territories, as these areas tend to have a lower level of service provision. One dimension of access is accessibility. This paper focuses on measuring the accessibility to urgent and emergency care services in the Portuguese region of Baixo Alentejo, a territory characterized by low population density. Data for the calculation of accessibility is the road network, and the methodology considers the application of a two-level network analyst method: time-distance by own mean (car or taxi) to the urgent care services and the time distance to emergency services as a way to get assistance and to go to urgent care services. While urgent care accessibility meets the requirements stipulated in the Integrated Medical Emergency System’s current legislative framework, the simulation of different scenarios of potential accessibility shows intra-regional disparities. Some territories have a low level of accessibility. Older adults, the poorly educated, and low-income population, also have the lowest levels of accessibility, which translates into dually disadvantageous situation since the potential users of emergency services are most likely to belong to this group of citizens.

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Sandre, Anthony Robert, and K. Bruce Newbold. "Telemedicine: Bridging the Gap between Refugee Health and Health Services Accessibility in Hamilton, Ontario." Refuge: Canada's Journal on Refugees 32, no. 3 (November 23, 2016): 108–18. http://dx.doi.org/10.25071/1920-7336.40396.

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Refugees face considerable challenges upon seeking asylum in Canada, and accessing health care services remains a prominent issue. Recurrent themes in the literature outlining barriers to health-services accessibility include geographic, economic, and cultural barriers. Drawing on the experiences of service providers in Hamilton, Ontario, we explored the efficacy of telemedicine services in bridging the gap between refugee health and health services accessibility. Research methodology included structured interviews with clinicians who provide health-care services to refugees, complemented by a scoping literature review. The results of this exploratory study demonstrate the efficacy of telemedicine in encouraging dialogue and policy change in the greater health-care setting, and its potential to increase access to specialist health-care services.

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Islam, Md Ziaul, Farhana Zaman, Sharmin Farjana, and Sharmin Khanam. "Accessibility to Health Care Services of Upazila Health Complex: Experience of Rural People." Journal of Preventive and Social Medicine 38, no. 2 (June 28, 2020): 30–37. http://dx.doi.org/10.3329/jopsom.v38i2.47862.

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Background: Upazila health complex (UHC) is the first referral health facility at primary level of health care delivery system in the country. Rural people attend the UHCs to meet their health care needs and demands. But accessibility of the rural people to the UHCs is still not up to the mark. Objective: This study was conducted to assess accessibility of rural people to health care services of UHC. Methods: The study was a cross-sectional study, which was conducted at the Kaliakair UHC of Gazipur district in Bangladesh during the period from January to December 2016. The study included 300 rural adults, who were selected systemically. Data were collected by face-to-face interview with the help of a semi-structured questionnaire. Prior to data collection, informed written consent was taken from each participant. Results: The study revealed that males (51.3%) and females (48.7%) were very close in proportion with mean age of 35.73(±11.74) years. More than three fourth (77.3%) were married and 31.3% had primary education while 28.7% were illiterate. One third was housewives; average family size was 5.43 (±2.54) and average monthly family income was Tk.13920 (±10290.75). Around half of the participants choose the UHC for effective treatment and due to close distance from their residence while one third for low cost treatment and free of cost treatment. Around half of them didn‟t find any display board at the UHC. More than three fourth (82.0%) regarded doctor‟s behavior as „Good‟ while behavior of supporting staff was regarded „Good‟ by 66.0% participants. About half of the participants went to the UHC by rickshaw and 32.0% on foot. Average waiting time was 23.99 (±15.07) minutes to get access to treatment. Off all, 62.0% got full course of prescribed drugs but majority (71.3%) didn‟t get access to advised laboratory facility. Most (82.7%) could not be admitted in the hospital due to insufficient bed (24.2%) and inadequate treatment facility (22.6%), manpower (62.8%) and drug supply. Overall accessibility to UHC was „good‟ (21.3%) followed by „average‟ (31.3%) and „poor‟ (47.3%). It was found that females (53.3%) had significantly (p<0.05) poor accessibility to the UHC services than their counterpart males (41.1%). On the contrary, young adults, elderly, illiterate and primary education groups had significantly (p<0.05) „poor‟ accessibility to UHC services. Higher education (42.9% Masters and 36.4% Graduates) group had significantly „good‟ accessibility. More than half (53.1%) of the service holders and majority (60.0%) of higher income (Tk.30001-50000) group had had „average‟ and „good‟ accessibility respectively, which is statistically significant (p<0.05). Barriers to accessibility included long waiting time (67.0%), inadequate drug supply (62.0%), limited laboratory facility (40.0%), inadequate manpower (37.9%) and poor cooperation of the staff (32.0%) and communication (18.4%). Conclusion: To improve accessibility of the rural people to the health care services of the UHC, associated problems must be overcome by effective measures and program interventions. JOPSOM 2019; 38(2): 30-37

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Jankowski, Piotr, and Blake Brown. "Health Care Accessibility Modeling: Effects of Change in Spatial Representation of Demand for Primary Health Care Services." Quaestiones Geographicae 33, no. 3 (September 1, 2014): 39–53. http://dx.doi.org/10.2478/quageo-2013-0028.

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Abstract Health care accessibility can be measured by the number of prospective patients who could reach a medical facility within a prescribed time limit. The representation of health care demand in estimating accessibility is an important consideration since different spatial aggregations of demand have different consequences with regard to accessibility estimates. This article examines the effects of aggregating population demand for primary health care, ranging from census tract to aggregated census block, on estimates of primary health care accessibility. Spatial representations of aggregated demand were incorporated into a location-allocation model in order to determine a measure of accessibility represented by the unmet demand for primary health care services. The model was implemented for the U.S. State of Idaho, based on the allocation of Idaho residents’ demand for primary health care to the state’s existing primary health care facilities. The results confirm a relationship between the level of demand aggregation and the level of potential accessibility. In case of a rural state such as Idaho the relationship is positive; higher levels of aggregation result in higher measures of accessibility.

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Deinne, Clement Ebizimor, and Ekio Ambakederemo. "Accessibility and patronage of healthcare in Bayelsa State, Nigeria." International Journal of Healthcare Management 13, no. 3 (November 10, 2017): 222–28. http://dx.doi.org/10.1080/20479700.2017.1399237.

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Al-Taiar, Abdullah, Allan Clark, Joseph C. Longenecker, and Christopher JM Whitty. "Physical accessibility and utilization of health services in Yemen." International Journal of Health Geographics 9, no. 1 (2010): 38. http://dx.doi.org/10.1186/1476-072x-9-38.

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Olugbile, Olufemi, M. P. Zachariah, O. Coker, O. Kuyinu, and B. Isichei. "Provision of mental health services in Nigeria." International Psychiatry 5, no. 2 (April 2008): 32–34. http://dx.doi.org/10.1192/s1749367600005555.

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Abstract:

Nigeria, like other African countries, is short of personnel trained in mental healthcare. Efforts to tackle the problem have often focused on increasing the numbers of psychiatrists and nurses in the field. These efforts, over the past 20 years, have not appeared to have greatly improved service delivery at the grass roots. Most of the specialist centres where such highly trained personnel work are in urban areas and for a large part of the population access to them is limited by distance and cost.

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Ityavyar, Dennis A. "Proposals for Health Services in Northern Nigeria." Journal of the Royal Society of Health 105, no. 2 (April 1985): 55–60. http://dx.doi.org/10.1177/146642408510500205.

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Journal articles on the topic 'Health services accessibility – Nigeria'

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