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Improving the geographical accessibility of health care in rural areas: A Nigerian case study

Author

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  • Ayeni, Bola
  • Rushton, Gerard
  • McNulty, Michael L.

Abstract

The paper addresses problems of geographical accessibility of health care in rural areas of Nigeria. It provides analyses of the location, distribution and accessibility of government-provided health care facilities to people and presents a framework for measuring improvements in accessibility and for assessing the efficiency of decisions about location of new facilities. It shows that while accessibility in the study area improved between 1979 and 1982 through the establishment of more dispensaries and maternity and child-welfare centres, the relative efficiency of locations has remained low. It identifies alternate locations for the new facilities introduced in the 1979-1982 period that could have increased the utilization of maternal and child health centres by an estimated 12% and the utilization of dispensaries by 16%.

Suggested Citation

  • Ayeni, Bola & Rushton, Gerard & McNulty, Michael L., 1987. "Improving the geographical accessibility of health care in rural areas: A Nigerian case study," Social Science & Medicine, Elsevier, vol. 25(10), pages 1083-1094, January.
    • Handle: RePEc:eee:socmed:v:25:y:1987:i:10:p:1083-1094
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    Cited by:

    1. Oppong, Joseph R., 1996. "Accommodating the rainy season in Third World location-allocation applications," Socio-Economic Planning Sciences, Elsevier, vol. 30(2), pages 121-137, June.
    2. Karen Witten & Daniel Exeter & Adrian Field, 2003. "The Quality of Urban Environments: Mapping Variation in Access to Community Resources," Urban Studies, Urban Studies Journal Limited, vol. 40(1), pages 161-177, January.
    3. Kathryn Grace & Ran Wei & Alan T. Murray, 2017. "A spatial analytic framework for assessing and improving food aid distribution in developing countries," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 9(4), pages 867-880, August.
    4. Edgeworth, Ross & Collins, Andrew E., 2006. "Self-care as a response to diarrhoea in rural Bangladesh: Empowered choice or enforced adoption?," Social Science & Medicine, Elsevier, vol. 63(10), pages 2686-2697, November.

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