Accessibility and Utilization of Healthcare Facilities among Internally Displaced Persons (IDPs) In Abuja, Nigeria

In Nigeria, internally displaced people (IDPs) are challenged by chronic obstacles in getting vital healthcare services despite the existence of various humanitarian and government interventions. This research paper focuses on investigating the spatial distribution, accessibility, and utilisation of healthcare facilities in the IDP camps of the Federal Capital Territory (FCT) in Abuja. Through descriptive research design, GPS data from 31 IDP camps were gathered and assessed using a nearest neighbour analysis. Questionnaire data from 357 IDPs were analysed using descriptive statistics, ANOVA, and logistic regression. Findings indicate that the distribution of IDP camps in the FCT is clustered, with 87 percent of the camps located in the Abuja Municipal Area Council. Healthcare facilities were generally within walking distance generally with the majority of the IDPs taking less than two minutes to arrive at the services, and there was no charge for transport. Although these are geographically close, a number of socio-economic and cultural elements that had a considerable impact on the utilisation of healthcare were evident, such as education, income, gender, perceived need, and cultural norms. The paper also points out discrepancies in the access of services and discrepancies in quality of care among camps. The results indicate the necessity of the specific health measures, enhanced resource distribution, and culturally competent engagement strategies to increase access and use of healthcare services by IDPs in the FCT. Enhancement of primary healthcare provision in camps and targeting social determinants of health have been important to the enhancement of health outcomes among displaced populations.

Internally displaced persons, healthcare accessibility

1. Abhadionmhen, A. O., Imarenezor, E. P. K., Ogodo, A. C., & Ahuchaogu, A. A. (2025). Socioeconomic and cultural factors influencing traditional medicine (TM) use in Nigeria: A systematic mixed method review. European Journal of Integrative Medicine, 74, 102436. [Google Scholar] [Crossref]

2. Adegoke, O., Morenikeji, T., Morakinyo, O., Alade, R., Odutola, S., Saliu, T., & Grant, J. (2019). Evaluation of residents’ accessibility and utilisation of healthcare services in Oko-Ito Gberigbe, Ikorodu local government area, Lagos State, Nigeria. American Scientific Research Journal for Engineering, Technology, and Sciences, 59(1), 49-62. [Google Scholar] [Crossref]

3. Adesina, E., Oyero, O., Amodu, L., Amoo, E., Oyesomi, K., Adeyeye, B., & Yartey, D. (2021). Health belief model and behavioural practice of urban poor towards COVID-19 in Nigeria. Heliyon, 7(9), e08037. https://doi.org/10.1016/j.heliyon.2021.e08037 [Google Scholar] [Crossref]

4. Agresti, A. (1996). An introduction to categorical data analysis. New York: Wiley. [Google Scholar] [Crossref]

5. Ahmed, S. M. M., Gasmalha, M. E. A., M. Ahmed, A. B., Alrawa, S., Mohammed, K. A. E., & Ahmed, M. B. M. (2025). Access and satisfaction with healthcare services among chronic disease patients during the Sudan armed conflict: a cross-sectional study. Conflict and Health, 19(1), 61. [Google Scholar] [Crossref]

6. Alfahal, M. S., Alasha, B., Ahmed, A. E. A., Higazy, T. A., Khalid, E. M., Salim, D. S. A., & Ahmed, O. E. A. (2025). Conflict and displacement in Sudan: Health challenges, socio-economic strain, trauma, and coping mechanisms among internally displaced persons in Port Sudan shelters. Medicine, 104(16), e42232. [Google Scholar] [Crossref]

7. Ali, A. M. A., Adam, O. A. M., Salem, S. E. M., Hamad, S. H. I., Ahmed, N. E. M., Ali, H. M. A., ... & Osman, A. H. (2024). Prevalence of physical and mental health problems among internally displaced persons in White Nile state, Sudan 2023: a cross sectional study. BMC Public Health, 24(1), 3448. [Google Scholar] [Crossref]

8. Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilisation in the United States. The Milbank Memorial Fund Quarterly. Health and Society, 95-124. https://doi.org/10.2307/3349613 [Google Scholar] [Crossref]

9. Azfredrick, E. C. (2016). Using Andersen’s model of health service utilisation to examine use of services by adolescent girls in south-eastern Nigeria. International Journal of Adolescence and Youth,21(4), 523-529. doi:10.1080/02673843.2015.1124790 [Google Scholar] [Crossref]

10. Balogun, O. (2001). The Federal Capital Territory of Nigeria: Geography of its Development. Ibadan: University Press.. [Google Scholar] [Crossref]

11. Brittain, S., Ibbett, H., de Lange, E., Dorward, L., Hoyte, S., Marino, A., ... & Lewis, J. (2020). Ethical considerations when conservation research involves people. Conservation Biology, 34(4), 925-933. [Google Scholar] [Crossref]

12. Cantor, D. J., Swartz, J., Bayard, R., Abbara, A., Ager, A., Bhutta, Z. A., ... & Smith, J. (2021). Understanding the health needs of internally displaced persons: A scoping review. Journal of Migration and Health, 100071. DOI: 10.1016/j.jmh.2021.100071 [Google Scholar] [Crossref]

13. Çamcı, M., Zaman, S., Hassanien, N., & Baran, M. F. (2025). Access to emergency medical services and associated barriers among war-affected patients evacuated from Gaza: a cross-sectional study. Archives of Public Health, 83(1), 234. [Google Scholar] [Crossref]

14. Dahal, B. (2024). Participants’ right to withdraw from research: Researchers’ lived experiences on ethics of withdrawal. Journal of Academic Ethics, 22(1), 191-209. [Google Scholar] [Crossref]

15. Deinne, C. E., & Ajayi, D. D. (2018). Spatial dynamics of urban poverty in Delta State Nigeria. Journal of Poverty, 22(3), 269-286. https://doi.org/10.1080/10875549.2017.1348432 [Google Scholar] [Crossref]

16. Ekezie, W., Adaji, E. E., & Murray, R. L. (2020). Essential healthcare services provided to conflict-affected internally displaced populations in low and middle-income countries: A systematic review. Health Promotion Perspectives, 10 (1), 24. https://doi.org/10.15171/hpp.2020.06 [Google Scholar] [Crossref]

17. Ekezie, W., Myles, P., Murray, R. L., Bains, M., Timmons, S., & Pritchard, C. (2021). Self-reported diseases and their associated risk factors among camp-dwelling conflict-affected internally displaced populations in Nigeria. Journal of Public Health, 43(2), e171-e179. https://doi.org/10.1093/pubmed/fdaa114 [Google Scholar] [Crossref]

18. Elmukashfi ShamsEldin Elobied, H., Bushra Masaad Ahmed, M., Balla M. Ahmed, A., Abdelrahman Hassan Salih, R., Mohammed Mokhtar Ahmed, S., MA Mahgoub, A., ... & Elias Shabo, A. (2025). Healthcare accessibility, utilization, and quality of life among internally displaced people during the Sudan war: a cross-sectional study. Conflict and Health, 19(1), 11. [Google Scholar] [Crossref]

19. Faronbi, J. O., Akinyoola, O. D., Faronbi, G. O., Adegbola, G. A., & Bello, C. B. (2019). Health needs and health seeking behaviour of internally displaced persons in Dalori Camp, Maiduguri, Borno State, Nigeria. Research Journal of Health Sciences, 7(3), 246-255. https://doi.org/10.4314/rejhs.v7i3. [Google Scholar] [Crossref]

20. Gabrani, J., Schindler, C., & Wyss, K. (2020). Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania. BMJ open, 10(12), e040398. https://doi.org/10.1136/bmjopen-2020-040398 [Google Scholar] [Crossref]

21. Gidado, S., Musa, M., Ba’aba, A. I., Okeke, L. A., Nguku, P. M., Hadejia, I. S., ... & Atkins, S. (2023). Factors associated with health-seeking patterns among internally displaced persons in complex humanitarian emergency, Northeast Nigeria: a cross-sectional study. Conflict and health, 17(1), 54. [Google Scholar] [Crossref]

22. Hassan, M. A. (2024). GIS-BASED Mapping of Health Infrastructure and Access to Healthcare Services In Taraba State, Nigeria. Journal of Advanced Science and Optimization Research. [Google Scholar] [Crossref]

23. IDMC (2021a). Global report on internal displacement 2021. Available at: https://www.internal-displacement.org/global-report/grid2021/ [Google Scholar] [Crossref]

24. IDMC (2021b) Global Report on Internal Displacement 2021 (GRID 2021). Available at: https://reliefweb.int/report/world/global-report-internal-displacement-2021-grid-2021 [Google Scholar] [Crossref]

25. Internal Displacement Monitoring Centre (IDMC) (2022). GRID 2022. Available at: https://www.internaldisplacement.org/sites/default/files/publications/documents/IDMC_GRID_2022_LR.pdf [Google Scholar] [Crossref]

26. Internal Displacement Monitoring Centre IDMC (2020). Internal displacement 2020: mid-Year Update. Available at: https://reliefweb.int/report/world/idmc-internal-displacement-2020-mid-year-update [Google Scholar] [Crossref]

27. Jibirilla, F. M. (2021). Reproductive Health Factors and Maternal Mortality of Internally Displaced Women in Nigeria (Doctoral dissertation, Walden University). Available at: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=12079&context=dissertations [Google Scholar] [Crossref]

28. Kim, T. K. (2017). Understanding one-way ANOVA using conceptual figures. Korean journal of anesthesiology, 70(1), 22. [Google Scholar] [Crossref]

29. Langat, E. C., Ward, P., Gesesew, H., & Mwanri, L. (2025). Challenges and opportunities of universal health coverage in Africa: a scoping review. International Journal of Environmental Research and Public Health, 22(1), 86. [Google Scholar] [Crossref]

30. Lagos-Gallego, M., Gutierrez-Segura, J. C., Lagos-Grisales, G. J., & Rodriguez-Morales, A. J. (2017). Post-traumatic stress disorder in internally displaced people of Colombia: an ecological study. Travel Medicine and Infectious Disease, 16, 41-45. https://doi.org/10.1016/j.tmaid.2017.02.008 [Google Scholar] [Crossref]

31. Makhashvili, N., Javakhishvili, J., Pinchuk, I., & Roberts, B. (2017). Mental health conditions and co-morbidities among internally displaced populations (IDPs) in Ukraine. European Psychiatry, 41(S1), s245-s245. doi:10.1016/j.eurpsy.2017.02.024 [Google Scholar] [Crossref]

32. Massey, E., Smith, J. & Roberts, B. (2017). Health needs of older populations affected by humanitarian crises in low- and middle-income countries: a systematic review. Confl Health, 11:29. https://doi.org/10.1186/s13031-017-0133-x [Google Scholar] [Crossref]

33. Mosha, P. E., Msengwa, A. S., & Selemani, M. (2025). Modeling determinants of accessibility for healthcare services in rural and urban areas of Dodoma, Tanzania. BMC Public Health, 25(1), 2920. [Google Scholar] [Crossref]

34. Mwami, M. N., & Oleche, M. O. (2017). Determinants of utilisation of health care services in Kenya. International Journal of Academic Research in Business and Social Sciences, 7(10), 132-156. DOI: 10.6007/IJARBSS/v7-i10/3367 [Google Scholar] [Crossref]

35. National Academies of Sciences, Engineering, and Medicine (2018). Health-care utilisation as a proxy in disability determination. Available at: https://www.ncbi.nlm.nih.gov/books/NBK500097/ [Google Scholar] [Crossref]

36. Njuguna, C., Tola, H. H., Maina, B. N., Magambo, K. N., Phoebe, N., Mgamb, E. A., ... & Woldemariam, Y. T. (2024). Perceived barriers of access to health and nutrition services under drought and food insecurity emergency in north-east Uganda: a qualitative study. BMC Public Health, 24(1), 390. [Google Scholar] [Crossref]

37. Nsiah, R. B., Larbi-Debrah, P., Avagu, R., Yeboah, A. K., Anum-Doku, S., Zakaria, S. A. R., ... & Takramah, W. K. (2024). Mapping health disparities: spatial accessibility to healthcare facilities in a rural district of Ghana using geographic information systems techniques. American Journal of Health Research, 12(5), 110-123. [Google Scholar] [Crossref]

38. Nwokoro, U. U., Ugwa, O. M., Ekenna, A. C., Obi, I. F., & Onwuliri, C. D. (2022). Determinants of primary healthcare services utilisation in an under-resourced rural community in Enugu State, Nigeria: a cross-sectional study. Pan African Medical Journal, 42(1). [Google Scholar] [Crossref]

39. Nuh, A. Y. (2025). Prevalence of Depression, Anxiety, and Post-Traumatic Stress Disorder and Their Associated Factors among Internally Displaced Persons in Burao, Somaliland: Community-Based Cross-Sectional Study. Neuropsychiatric Disease and Treatment, 2465-2478. [Google Scholar] [Crossref]

40. OCHA (2020) Nigeria: 2020 Humanitarian Response Plan 2020. Available at: https://www.humanitarianresponse.info/en/operations/nigeria/document/nigeria-2020-humanitarian-response-plan [Google Scholar] [Crossref]

41. Ogah, P. O., Uguru, N., Okeke, C., Mohammed, N., Ogbe, O., Ashiver, W. G., & Aina, M. (2024). Primary health care in Nigeria: best practices and quality of care in Nigeria. BMC Health Services Research, 24(1), 963. [Google Scholar] [Crossref]

42. OHCHR (2021). About internally displaced persons. Available at: https://www.ohchr.org/en/issues/idpersons/pages/issues.aspx [Google Scholar] [Crossref]

43. Onwukwe, C. O. S. (2025). Accessibility Standards of Community Health Facilities in Southeast Nigeria: Urban-Rural Comparative Analysis. African Journal of Humanities and Contemporary Education Research, 21(1), 65-103. [Google Scholar] [Crossref]

44. Owoaje, E. T., Uchendu, O. C., Ajayi, T. O., & Cadmus, E. O. (2016). A review of the health problems of the internally displaced persons in Africa. Nigerian postgraduate medical journal, 23(4), 161. [Google Scholar] [Crossref]

45. Parwak, Y., Dandu, M., & Haar, R. J. (2019). Barriers to Health among IDPs in Kabul, Afghanistan: a qualitative study. Journal of Refugee & Global Health, 2(2), 8. [Google Scholar] [Crossref]

46. Rabiou, L. M., Oumarou, B., Mor, D., Abdou, M., Ibrahim, C., Tamuzi, J. L., ... & Manengu, T. C. (2024). Mobile outreach clinics for improving health care services accessibility in vulnerable populations of the Diffa Region in Niger: a descriptive study. International Journal for Equity in Health, 23(1), 235. [Google Scholar] [Crossref]

47. Rodríguez-Morales, A. J., Bonilla-Aldana, D. K., Bonilla-Aldana, J. C., & Mondragón-Cardona, Á. (2019). Arboviral diseases among internally displaced people of Neiva, Colombia, 2015–2017. Journal of Travel Medicine, 26(2), tay162. [Google Scholar] [Crossref]

48. Saeed, A. A., Mohammad Al Zamel, A., Ahmed, A. A. W. G., Abdelltif Abdelrahman, D. A., Ataa Abdoon, E. F., Mohammed Mousa, N. H., ... & Badi, S. (2025). The struggle for medicine: A valid and reliable cross-sectional study on the impact of war on healthcare access and its consequences for displaced Sudanese citizens. PLOS Global Public Health, 5(11), e0004867. [Google Scholar] [Crossref]

49. Samuel, A., et al. (2025). Knowledge, attitudes, and practices of AI-assisted diagnostics among master students. The Nigerian Health Journal, 25(3), 208 pp. – Sample size determined using Taro Yamane’s formula to calculate a representative survey size. [Google Scholar] [Crossref]

50. Sherif, B., Awaisu, A., & Kheir, N. (2022). Refugee healthcare needs and barriers to accessing healthcare services in New Zealand: a qualitative phenomenological approach. BMC Health Services Research, 22(1), 1310. [Google Scholar] [Crossref]

51. Summers, A., & Bilukha, O. O. (2018). Suboptimal infant and young child feeding practices among internally displaced persons during conflict in eastern Ukraine. Public health Nutrition, 21(5), 917-926. [Google Scholar] [Crossref]

52. The United Nations High Commissioner for Refugees (2005). Health: Key message, action sheet 15. Available at: https://www.unhcr.org/4794b5d32.pdf [Google Scholar] [Crossref]

53. UNICEF (2022). Nigeria: Humanitarian Situation Quarter 1: Available at: https://www.unicef.org/media/121306/file/Nigeria-Humanitarian-SitRep-January-March-2022.pdf [Google Scholar] [Crossref]

54. United Nations Office for the Coordination of Humanitarian Affairs (OCHA) (2021). Internal displacement. Available at: https://www.unocha.org/es/themes/internal-displacement [Google Scholar] [Crossref]

55. Varrella, S. (2021). Number of internally displaced persons in Nigeria 2013-2020. Available at: https://www.statista.com/statistics/1237374/number-of-internally-displaced-persons-in-nigeria/ [Google Scholar] [Crossref]

56. World Health Organization. (2023). Ensuring ethical standards and procedures for research with human beings. Geneva: World Health Organization, nd https://www. who. int/activities/ensuring-ethical-standards-and-procedures-for-research-with-human-beings. [Google Scholar] [Crossref]

57. Yitageasu, G., Adane, K. C., Tesfaye, A. H., Enawugaw, T., & Demoze, L. (2025). Global epidemiology of diarrhea among internally displaced populations and refugee camp populations an evidence-based systematic review and meta-analysis. BMC Public Health, 25(1), 3500. [Google Scholar] [Crossref]

58. Zainab, A., & Omotayo, L. W. (2025). Does Healthcare Facility Distance Have Influence On Human Capital Development? Evidence From Northwest Nigeria. Journal Of Economics And Allied Research (JEAR), 107 [Google Scholar] [Crossref]

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