Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya

This study aims to demonstrate the utility of location-allocation models in promoting spatial justice and enhancing access to primary healthcare services. Given the limitations of healthcare resources, it is essential to develop sustainable and equitable frameworks for primary healthcare. To accompl...

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Main Authors: Antony Ondiwa Okundi, Cigdem Varol
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Social Sciences and Humanities Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590291123003893
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author Antony Ondiwa Okundi
Cigdem Varol
author_facet Antony Ondiwa Okundi
Cigdem Varol
author_sort Antony Ondiwa Okundi
collection DOAJ
description This study aims to demonstrate the utility of location-allocation models in promoting spatial justice and enhancing access to primary healthcare services. Given the limitations of healthcare resources, it is essential to develop sustainable and equitable frameworks for primary healthcare. To accomplish this, the study utilizes the Maximum Covering Location Problem (MCLP) to assess the existing level of access in Migori County and to propose a viable approach for improving access. The proposed approach achieved a spatial coverage rate of 96%, a notable improvement compared to the existing rate of 84%. Therefore, the planning intervention serves as a viable spatial framework to complement the implementation of the Kenya Primary Health Care Strategic Framework (2019–2024) within the county. The study concludes by emphasizing the importance of policymakers and healthcare providers prioritizing the elimination of geographical disparities in primary healthcare access to foster spatial justice and an efficient referral system.
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spelling doaj.art-299d86ef53c54143892d74f0a7bcc3812024-04-07T04:36:23ZengElsevierSocial Sciences and Humanities Open2590-29112024-01-019100784Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, KenyaAntony Ondiwa Okundi0Cigdem Varol1Gazi University, Graduate School of Natural and Applied Sciences, Department of City and Regional Planning, Ankara, Türkiye; Corresponding author.Gazi University, Graduate School of Natural and Applied Sciences, Department of City and Regional Planning, Ankara, TürkiyeThis study aims to demonstrate the utility of location-allocation models in promoting spatial justice and enhancing access to primary healthcare services. Given the limitations of healthcare resources, it is essential to develop sustainable and equitable frameworks for primary healthcare. To accomplish this, the study utilizes the Maximum Covering Location Problem (MCLP) to assess the existing level of access in Migori County and to propose a viable approach for improving access. The proposed approach achieved a spatial coverage rate of 96%, a notable improvement compared to the existing rate of 84%. Therefore, the planning intervention serves as a viable spatial framework to complement the implementation of the Kenya Primary Health Care Strategic Framework (2019–2024) within the county. The study concludes by emphasizing the importance of policymakers and healthcare providers prioritizing the elimination of geographical disparities in primary healthcare access to foster spatial justice and an efficient referral system.http://www.sciencedirect.com/science/article/pii/S2590291123003893Health equityPrimary healthcareNetwork analysisSpatial justiceGeographic information systems
spellingShingle Antony Ondiwa Okundi
Cigdem Varol
Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
Social Sciences and Humanities Open
Health equity
Primary healthcare
Network analysis
Spatial justice
Geographic information systems
title Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
title_full Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
title_fullStr Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
title_full_unstemmed Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
title_short Spatial justice in healthcare: Advancing equitable geographic access to primary healthcare in Migori County, Kenya
title_sort spatial justice in healthcare advancing equitable geographic access to primary healthcare in migori county kenya
topic Health equity
Primary healthcare
Network analysis
Spatial justice
Geographic information systems
url http://www.sciencedirect.com/science/article/pii/S2590291123003893
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