Spatial access to in-patient health care in northern rural India
Access to health care in rural areas is a major concern for local populations as well as for policy makers in developing countries. This paper examines spatial access to in-patient health care in northern rural India. In order to measure spatial access, impedance-based competition using the Three-St...
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Format: | Article |
Language: | English |
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PAGEPress Publications
2014-05-01
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Series: | Geospatial Health |
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Online Access: | http://www.geospatialhealth.net/index.php/gh/article/view/44 |
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author | Vikram Ranga Pradeep Panda |
author_facet | Vikram Ranga Pradeep Panda |
author_sort | Vikram Ranga |
collection | DOAJ |
description | Access to health care in rural areas is a major concern for local populations as well as for policy makers in developing countries. This paper examines spatial access to in-patient health care in northern rural India. In order to measure spatial access, impedance-based competition using the Three-Step floating Catchment Area (3SFCA) method, a modification of the simple gravity model, was used. 3SFCA was chosen for the study of the districts of Pratapgarh and Kanpur Dehat in the Uttar Pradesh state and Vaishali in the Bihar state, two of India’s poorest states. This approach is based on discrete distance decay and also considers more parameters than other available methods, hence is believed to be a robust methodology. It was found that Vaishali district has the highest spatial access to in-patient health care followed by Pratapgarh and Kanpur Dehat. There is serious lack of health care, in Pratapgarh and Kanpur Dehat with 40% and 90% of the villages having shortage of in-patient care facilities in these respective districts. The most important factor affecting spatial access was found to be the distance to the nearest major urban agglomeration. |
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format | Article |
id | doaj.art-22a3d496a19b45f59ccbbb8a9fceac92 |
institution | Directory Open Access Journal |
issn | 1827-1987 1970-7096 |
language | English |
last_indexed | 2024-12-14T21:57:27Z |
publishDate | 2014-05-01 |
publisher | PAGEPress Publications |
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series | Geospatial Health |
spelling | doaj.art-22a3d496a19b45f59ccbbb8a9fceac922022-12-21T22:46:04ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962014-05-018254555610.4081/gh.2014.4444Spatial access to in-patient health care in northern rural IndiaVikram Ranga0Pradeep Panda1Micro Insurance Academy, The Sarvjan Unnati Bodhini (SUB) Charitable Trust, New DelhiMicro Insurance Academy, The Sarvjan Unnati Bodhini (SUB) Charitable Trust, New DelhiAccess to health care in rural areas is a major concern for local populations as well as for policy makers in developing countries. This paper examines spatial access to in-patient health care in northern rural India. In order to measure spatial access, impedance-based competition using the Three-Step floating Catchment Area (3SFCA) method, a modification of the simple gravity model, was used. 3SFCA was chosen for the study of the districts of Pratapgarh and Kanpur Dehat in the Uttar Pradesh state and Vaishali in the Bihar state, two of India’s poorest states. This approach is based on discrete distance decay and also considers more parameters than other available methods, hence is believed to be a robust methodology. It was found that Vaishali district has the highest spatial access to in-patient health care followed by Pratapgarh and Kanpur Dehat. There is serious lack of health care, in Pratapgarh and Kanpur Dehat with 40% and 90% of the villages having shortage of in-patient care facilities in these respective districts. The most important factor affecting spatial access was found to be the distance to the nearest major urban agglomeration.http://www.geospatialhealth.net/index.php/gh/article/view/443SFCA, spatial access, in-patient health care, India. |
spellingShingle | Vikram Ranga Pradeep Panda Spatial access to in-patient health care in northern rural India Geospatial Health 3SFCA, spatial access, in-patient health care, India. |
title | Spatial access to in-patient health care in northern rural India |
title_full | Spatial access to in-patient health care in northern rural India |
title_fullStr | Spatial access to in-patient health care in northern rural India |
title_full_unstemmed | Spatial access to in-patient health care in northern rural India |
title_short | Spatial access to in-patient health care in northern rural India |
title_sort | spatial access to in patient health care in northern rural india |
topic | 3SFCA, spatial access, in-patient health care, India. |
url | http://www.geospatialhealth.net/index.php/gh/article/view/44 |
work_keys_str_mv | AT vikramranga spatialaccesstoinpatienthealthcareinnorthernruralindia AT pradeeppanda spatialaccesstoinpatienthealthcareinnorthernruralindia |