ACCESS AND UTILIZATION OF ANTIRETROVIRAL DRUGS CENTRES IN BENUE STATE, NIGERIA
ACCESS AND UTILIZATION OF ANTIRETROVIRAL DRUGS CENTRES IN BENUE STATE, NIGERIA
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Date
2014-10
Authors
AYOO, Nicholas Terfa
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Abstract
The study was conducted on access and utilization of Antiretroviral drugs centres in Benue
State, Nigeria. The objectives of the study are to determine the location of ART centres, map
out all ART centres, create a spatial database for ART centres, assess the distribution of ART
centres in relation to people living with HIV/AIDS and to assess the utilization of ART
centres. A list of ART centres for individual LGAs was obtained from Ministry of Health
Makurdi. The population data was obtained from National Population Commission, which is
based on 2006 National Census. The population data was used to calculate the estimated
number of PLWHA in each LGA. The administrative map of the study area was collected
from Ministry of Land and Survey Makurdi which served as a base map. Structured
questionnaire was administered to 400 respondents. Four hundred PLWHA were randomly
selected from fifteen purposively selected ART centres in the three LGAs one from each
senatorial district. A global positioning System was used to obtain the geographical
coordinates of ART drug Centres. ArcGIS software version 10.1 was used in conjunction
with MS Excel for mapping and SSPS version 20.1 was used for statistical analysis. Point
maps were then generated using ArcGIS, and then joined with other map layers so as to
perform GIS analysis. GIS analysis tools used were, query analysis, overlaid analysis and
nearest neighbour analysis to determine the location and distribution of ART centres, assess
the spatial distribution of ART drug centres providing ART services in relation to the number
of PLWHA and the distribution pattern. Comparisons were made between the distribution of
ART centre with population and estimated number of PLWHA. The study reveals that, there
were 46 ART drug centres in the study area with 15.2% of them located in Makurdi the State
capital. The study also reveals that 93.5% of the ART drug centres are located in urban areas
while 6.5% were located in rural areas. Also, 58.7% were Government owned while 41.3%
were privately owned. The study further reveals that, 84.8% of ART drug centres that offered
ARV services are of the secondary type of healthcare facilities while 10.9% and 4.3% were
of primary and tertiary healthcare facility type. The pattern of distribution of ART drug
centres in the study was done using nearest neighbour analysis in ArcMap with an index of -
1.080209 which shows the pattern does not appear to be significantly different than random
with P- Value of 0.280049. The study recommends that, more centers should be cited in rural
areas and LGA areas with disproportionate centers.
Description
A THESIS SUBMITTED TO THE SCHOOL OF POSTGRADUATE STUDIES
AHMADU BELLO UNIVERSITY ZARIA IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE AWARD OF MASTERS OF SCIENCE DEGREE IN
REMOTE SENSING AND GEOGRAPHIC INFORMATION SYSTEM
DEPARTMENT OF GEOGRAPHY
AHMADU BELLO UNIVERSITY ZARIA, NIGERIA
OCTOBER, 2014
Keywords
ACCESS,, UTILIZATION,