Abstract
BackgroundThis study was carried out to enable an assessment of geospatial distribution and access to healthcare facilities under the National Health Insurance Scheme (NHIS) of Nigeria. The findings will be useful for efficient planning and equitable distribution of healthcare resources.MethodsData, including the distribution of selected health facilities, were collected in Ibadan, Nigeria. The location of all facilities was recorded using Global Positioning System and was subsequently mapped using ArcGIS software to produce spider-web diagrams displaying the spatial distribution of all health facilities.ResultsThe result of clustering analysis of health facilities shows that there is a statistically significant hotspot of health facility at 99% confidence located around the urban areas of Ibadan. The significant hotspot result is dominated by a feature with a high value and is surrounded by other features also with high values. Away from the urban built-up area of Ibadan, health facility clustering is not statistically significant. There was also a high level (94%) of bypassing of NHIS-accredited facilities among the enrollees.ConclusionsLopsided distribution of health facilities in the study area should be corrected as this may result in inequity of access to available health services.
Highlights
The magnitude and nature of determinants of access to healthcare differ between and within countries.[1,2] This determines the inequity of access to healthcare and difficulties in achieving universal health coverage (UHC).[3]
It should be noted that the total number of healthcare facilities in the urban local government areas (LGAs) was higher only by 18 (3.1%) than it was in the semiurban LGAs
It is important to note that the National Health Insurance Scheme (NHIS) did not accredit primary healthcare (PHC) facilities to provide care under the scheme
Summary
The magnitude and nature of determinants of access to healthcare differ between and within countries.[1,2] This determines the inequity of access to healthcare and difficulties in achieving universal health coverage (UHC).[3]. The findings will be useful for efficient planning and equitable distribution of healthcare resources
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