دورية أكاديمية
Estimating geographic access to healthcare facilities in Sub-Saharan Africa by Degree of Urbanisation.
| العنوان: | Estimating geographic access to healthcare facilities in Sub-Saharan Africa by Degree of Urbanisation. |
|---|---|
| المؤلفون: | Florio, Pietro1 (AUTHOR), Freire, Sergio1 (AUTHOR), Melchiorri, Michele1 (AUTHOR) michele.melchiorri@ec.europa.eu |
| المصدر: | Applied Geography. Nov2023, Vol. 160, pN.PAG-N.PAG. 1p. |
| مصطلحات موضوعية: | *HEALTH services accessibility, *HEALTH facilities, *URBANIZATION, *TRAVEL time (Traffic engineering), *CITIES & towns |
| مصطلحات جغرافية: | SUB-Saharan Africa |
| الشركة/الكيان: | UNITED Nations |
| مستخلص: | Measuring rates of coverage and spatial access to healthcare services is essential to inform policies for development. These rates tend to reflect the urban-rural divide, typically with urban areas experiencing higher accessibility than rural ones. Especially in Sub-Saharan Africa (SSA), a region experiencing high disease burden amid fast urbanisation and population growth. However, such assessment has been hindered by a lack of updated and comparable geospatial data on urbanisation and health facilities. In this study, we apply the UN-endorsed Degree of Urbanisation (DoU or DEGURBA) method to investigate how geographic access to healthcare facilities varies across the urban-rural continuum in SSA as a whole and in each country, for circa 2020. Results show that geographic access is overall highest in cities and peri-urban areas , where more than 95% of inhabitants live within 30 min from the nearest HCF, with this share decreasing to 80–90% in towns. This share is lowest in villages and dispersed rural areas (65%), with about 10–15% of population more than 3 h away from any health post. Challenges in geographic access seem mostly determined by high travel impedance, since overall spatial densities of HCF are comparable to European levels. • The Degree of Urbanisation enables monitoring the urban-rural access to resources and services across boundaries worldwide. • This work characterizes distribution and accessibility of Health Care Facilities (HCF) by Degree of Urbanisation (DoU). • The accessibility to HCF at given travel time bins is shown by HCF tier of specialisation and share of covered population. • Access to HCF varies significantly across countries, and within countries by DoU territorial class (Fig. 7). • HCF are widespread in Sub-Saharan Africa but the inadequate infrastructure makes them inaccessible, notably in rural areas. [ABSTRACT FROM AUTHOR] |
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