The weakening of Primary healthcare (PHC) services in terms of its availability and the
increasing demand of healthcare due to population growth in the study area might have placed
PHC facilities in a deplorable situation. This study adopted a multi-stage sampling and
purposefully select one Local government area (LGA) each from the three zones of the state
based on information-rich area and the mean representation of the overall population; Lafia
south-zone, Akwanga north -zone, and Keffi west-zone. Data used for the study includes the
administrative map covering the study area, data on the type of facilities and capacity,
geographic coordinates of PHC facilities and population data. Overlay, buffering and the
nearest neighbor analysis were conducted in GIS environment using Qgis 2.14 and Arcgis 10.0,
descriptive statistics were also used. Findings were presented on the analysis of spatial
distribution of PHC facilities in Nasarawa State, Nigeria. The results showed PHC facilities
visually and descriptively in the study area. The total of 257 functional Primary health care
facilities of which 65.4% are Public facilities with Lafia having the largest percentage (57.1%)
and Keffi the least (18.9%) in their various categories ranging from Primary healthcare centres,
Clinics and Post. Both Akwanga and Keffi LGA were above the WHO standard for the
distribution of these facilities. Hence Akwanga has a deficit of 55 health post, 8 health clinics
while a surplus of 55 health center. Keffi has a deficit of 36 health post, 7 health clinics but a
surplus of 47 health centers with respect to population. While Lafia LGA shows uneven
distribution from the 5Km buffer analysis it also has a deficit of 156 health post, 14 health clinics
while the surplus of 134 health centers. Chiroma ward had the largest percentage (6.1%) while
Ungwan Rimi had the least percentage (0.9%) meanwhile Iya 1 ward (Keffi) has no PHC
facility. According to neighborhood analysis and the WHO criteria ,the distribution of the PHC
facilities with respect to coverage (5Km Buffer) showed Akwanga and Keffi LGAs are
relatively well covered while Lafia LGA shows gross inadequacy. Therefore, based on the
result of the analysis, there is urgent need for all stakeholders to invest more on PHC so that
acute health problems could be minimized. And also community based approach in locating
PHC facilities should be adopted so that PHC centres could be located within the minimum
distance of 5km and 5,000 population service area as recommended standard by WHO (2007)
And finally, it is recommended also that further research work be carryout on the accessibility
of PHC facilities in order to ascertain the level of the utilization of these facilities by host
communities and how it improve their lives in the study area..
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