Geographic accessibility to primary healthcare centers in Mozambique

Detalhes bibliográficos
Autor(a) principal: Dos Anjos Luis, António
Data de Publicação: 2016
Outros Autores: Cabral, Pedro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.1186/s12939-016-0455-0
Resumo: Dos Anjos Luis, A., & Cabral, P. (2016). Geographic accessibility to primary healthcare centers in Mozambique. International Journal for Equity in Health, 15(1), 1-13. https://doi.org/10.1186/s12939-016-0455-0
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spelling Geographic accessibility to primary healthcare centers in MozambiqueAccessibilityGeographic information systemsHealth centersMozambiqueService areaHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingDos Anjos Luis, A., & Cabral, P. (2016). Geographic accessibility to primary healthcare centers in Mozambique. International Journal for Equity in Health, 15(1), 1-13. https://doi.org/10.1186/s12939-016-0455-0RESULTS: The findings from this study highlight accessibility problems, especially in the walking scenario, in which 90.2 % of Mozambique was considered an underserved area. In this scenario, Maputo City (69.8 %) is the province with the greatest coverage of HC. On the other hand, Tete (93.4 %), Cabo Delgado (93 %) and Gaza (92.8 %) are the provinces with the most underserved areas. The driving scenario was less problematic, with about 66.9 % of Mozambique being considered a served area. We also found considerable regional disparities at the province level for this scenario, ranging from 100 % coverage in Maputo City to 48.3 % in Cabo Delgado. In terms of population coverage we found that the problem of accessibility is more acute in the walking scenario, in which about 67.3 % of the Mozambican population is located in underserved areas. For the driving scenario, only 6 % of population is located in underserved areas. CONCLUSIONS: This study highlights critical areas in Mozambique in which HC are lacking when assessed by walking and driving travel time distance. The majority of Mozambicans are located in underserved areas in the walking scenario. The mapped outputs may have policy implications and can be used for future decision making processes and analysis. TRIAL REGISTRATION: Not applicable. BACKGROUND: Access to healthcare services has an essential role in promoting health equity and quality of life. Knowing where the places are and how much of the population is covered by the existing healthcare network is important information that can be extracted from Geographical Information Systems (GIS) and used in effective healthcare planning. The aim of this study is to measure the geographic accessibility of population to existing Healthcare Centers (HC), and to estimate the number of persons served by the health network of Mozambique. METHODS: Health facilities' locations together with population, elevation, and ancillary data were used to model accessibility to HC using GIS. Two travel time scenarios used by population to attend HC were considered: (1) Driving and; and (2) Walking. Estimates of the number of villages and people located in the region served, i.e. within 60 min from an HC, and underserved area, i.e. outside 60 min from an HC, are provided at national and province level.NOVA Information Management School (NOVA IMS)Information Management Research Center (MagIC) - NOVA Information Management SchoolRUNDos Anjos Luis, AntónioCabral, Pedro2019-05-21T22:17:38Z2016-10-182016-10-18T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article13application/pdfhttps://doi.org/10.1186/s12939-016-0455-0eng1475-9276PURE: 13266750http://www.scopus.com/inward/record.url?scp=85061424868&partnerID=8YFLogxKhttps://doi.org/10.1186/s12939-016-0455-0info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:33:19Zoai:run.unl.pt:10362/70391Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:35:05.064076Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Geographic accessibility to primary healthcare centers in Mozambique
title Geographic accessibility to primary healthcare centers in Mozambique
spellingShingle Geographic accessibility to primary healthcare centers in Mozambique
Dos Anjos Luis, António
Accessibility
Geographic information systems
Health centers
Mozambique
Service area
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Geographic accessibility to primary healthcare centers in Mozambique
title_full Geographic accessibility to primary healthcare centers in Mozambique
title_fullStr Geographic accessibility to primary healthcare centers in Mozambique
title_full_unstemmed Geographic accessibility to primary healthcare centers in Mozambique
title_sort Geographic accessibility to primary healthcare centers in Mozambique
author Dos Anjos Luis, António
author_facet Dos Anjos Luis, António
Cabral, Pedro
author_role author
author2 Cabral, Pedro
author2_role author
dc.contributor.none.fl_str_mv NOVA Information Management School (NOVA IMS)
Information Management Research Center (MagIC) - NOVA Information Management School
RUN
dc.contributor.author.fl_str_mv Dos Anjos Luis, António
Cabral, Pedro
dc.subject.por.fl_str_mv Accessibility
Geographic information systems
Health centers
Mozambique
Service area
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Accessibility
Geographic information systems
Health centers
Mozambique
Service area
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Dos Anjos Luis, A., & Cabral, P. (2016). Geographic accessibility to primary healthcare centers in Mozambique. International Journal for Equity in Health, 15(1), 1-13. https://doi.org/10.1186/s12939-016-0455-0
publishDate 2016
dc.date.none.fl_str_mv 2016-10-18
2016-10-18T00:00:00Z
2019-05-21T22:17:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.1186/s12939-016-0455-0
url https://doi.org/10.1186/s12939-016-0455-0
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1475-9276
PURE: 13266750
http://www.scopus.com/inward/record.url?scp=85061424868&partnerID=8YFLogxK
https://doi.org/10.1186/s12939-016-0455-0
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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