Department of Sociology, 124934Kaduna State University, Kaduna, Nigeria.
Department of Public Health, Ministry of Health, Osogbo, Osun, Nigeria.
Int J Health Serv. 2022 Oct;52(4):512-522. doi: 10.1177/00207314221114533. Epub 2022 Jul 25.
This article examines the distribution patterns of primary health care centers (PHCC) in the 30 Local Government Areas (LGAs) of Osun State, Nigeria, using secondary data. The study focused on the problem of inequality and inadequacy in the distribution pattern of PHCCs among the population. The provision of PHCCs in the state was analyzed using three criteria: among the three senatorial districts; among the 30 LGAs; and on the basis of population per PHCC. Findings revealed that although PHCCs were almost equally distributed among senatorial districts, disparities exist in distribution patterns among the LGAs and within each senatorial district and in terms of population ratio per PHCC in the state. Sixty percent (60%) of the LGAs had fewer than 26 PHCCs, which is the expected average number of PHCCs in the state. The inequalities observed in the study favored rural areas against urban areas. The study further revealed inadequacies in the provision of PHCCs in terms of the population ratio per PHCCs. The study concluded that to achieve the Sustainable Development Goals (SDGs) by 2030-and to contain the COVID-19 pandemic-there is a need for government intervention in the provision of PHCCs in Osun State for equal and adequate distribution.
本文利用二手资料,考察了尼日利亚奥孙州 30 个地方政府区(LGA)的初级保健中心(PHCC)的分布模式。研究关注的是 PHCC 分配模式在人口中的不平等和不足问题。该州 PHCC 的提供情况使用了三个标准进行分析:在三个参议员区之间;在 30 个 LGA 之间;以及根据每个 PHCC 的人口数。调查结果显示,尽管 PHCC 在参议员区之间几乎平均分配,但在 LGA 之间以及每个参议员区内部以及该州每个 PHCC 的人口比例方面存在分配模式的差异。60%的 LGA 拥有的 PHCC 少于 26 个,这是该州预期的 PHCC 平均数量。研究中观察到的不平等现象有利于农村地区,而不利于城市地区。该研究进一步揭示了 PHCC 提供方面的不足,即每个 PHCC 的人口比例不足。研究得出结论,为了到 2030 年实现可持续发展目标(SDGs)并控制 COVID-19 大流行,奥孙州政府需要干预 PHCC 的提供,以实现平等和充足的分配。