title: Chronic Kidney Disease in Nigeria: An Evaluation of the Spatial Accessibility to Healthcare for Diagnosed Cases in Edo State.
abstract: Chronic kidney disease (CKD) is a growing problem in Nigeria, presenting challenges to the nation's health and economy. This study evaluates the accessibility to healthcare in Edo State of CKD patients diagnosed between 2006 and 2009. Using cost analysis techniques within a geographical information system, an estimated travel time to the hospital was used to examine the spatial accessibility of diagnosed patients to available CKD healthcare in the state. The results from the study indicated that although there was an annual rise in the number of diagnosed cases, there were no significant changes in the proportion of patients that were diagnosed at the last stage of CKD. However, there were indications that the travel time to the hospital for CKD treatment might be a contributing factor to the number of diagnosed CKD cases. This implies that the current structure for CKD management within the state might not be adequate.
authors.affiliation: Centre for Health and Population Sciences, Hull York Medical School, University of Hull , UK.
authors.forename: Osaretin
authors.initials: O
authors.lastname: Oviasu
authors.affiliation: Department of Geography, National University of Ireland Maynooth , Co Kildare, Ireland.
authors.forename: Janette E
authors.initials: JE
authors.lastname: Rigby
authors.affiliation: Department of Geography, University of Sheffield , UK.
authors.forename: Dimitris
authors.initials: D
authors.lastname: Ballas
keywords: Geographical Information System; Kidney; accessibility; healthcare