keywords: Health care deliver, Decision support, Ogun State
Geographical information system was applied to map health facilities in Ogun State. The objective is to improve health care delivery in the state. Geographic coordinates of 1,141 health facilities across the 20 local governments were obtained and utilized to develop a Health Service Information Systems. Spatial database was constructed for all health facilities using information as ownership structure, number of personnel, capacities and building photographs. The facilities were categorized by spatial analysis into primary, secondary and tertiary health facilities; pharmaceutical, medical laboratories and traditional birth attendants. Analysis by ownership structure revealed that over 70% are privately managed while the other 30% were managed by either federal, state or local government authorities. Simpler medical services such as drug dispensary, maternity, pediatrics, family planning, immunization, dental, pharmaceutical and medical tests were provided by many of these health facilities, only very few could handle special services as surgery and other intricate medical services. The study revealed that the distribution of health facilities in the state is not equitable; they are rather clustered within urban areas and many people do not have direct access to good health services. Socioeconomic indicators also unveil the gross inadequacy of health facilities in all the local governments. The GIS maps indicates possible areas of locating new health facilities, it provides decision for geographical targeting of interventions for existing ones. The paper recommends particular attention to some identified towns in the construction of new health facilities in order to address inequality in health facilities distribution in the state.
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