Spatial access to health care: a case study on community health centers in Asmat District, Papua, Indonesia
In recent decades, access to primary health care has become a crucial issue for health policy planners and researchers. One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, th...
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| Veröffentlicht in: | Journal of public health policy 2021-03, Vol.42 (1), p.113-126 |
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| description | In recent decades, access to primary health care has become a crucial issue for health policy planners and researchers. One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, this study aims to examine the spatial access to Community Health Centers (CHC) in the Asmat district, one of the most isolated regions in Papua, Indonesia. We conducted the study using a two-step floating catchment area (2SFCA) method to quantify accessibility value to primary health care of each village in the district of Asmat. By taking five distance thresholds ranging from 5 to 25 km with an increment of 5 km, the results indicate that distance has a varying impact on each village. For example, within a 5-km distance threshold, 74% of villages have a zero score or have no access to CHCs, 22% have a score 100 or meet the minimum score recommended by World Health Organization (WHO). Two major related factors of these geographic disparities are the unequal distribution of CHCs and the high population dispersion. As an attempt to provide equal access to health care services, these results suggest that spatial access should be conscientiously considered by health planners and policy makers. |
| doi_str_mv | 10.1057/s41271-020-00267-6 |
| format | Article |
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One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, this study aims to examine the spatial access to Community Health Centers (CHC) in the Asmat district, one of the most isolated regions in Papua, Indonesia. We conducted the study using a two-step floating catchment area (2SFCA) method to quantify accessibility value to primary health care of each village in the district of Asmat. By taking five distance thresholds ranging from 5 to 25 km with an increment of 5 km, the results indicate that distance has a varying impact on each village. For example, within a 5-km distance threshold, 74% of villages have a zero score or have no access to CHCs, 22% have a score < 100, while only 4% of villages have a score > 100 or meet the minimum score recommended by World Health Organization (WHO). Two major related factors of these geographic disparities are the unequal distribution of CHCs and the high population dispersion. As an attempt to provide equal access to health care services, these results suggest that spatial access should be conscientiously considered by health planners and policy makers.</description><identifier>ISSN: 0197-5897</identifier><identifier>EISSN: 1745-655X</identifier><identifier>DOI: 10.1057/s41271-020-00267-6</identifier><identifier>PMID: 33436967</identifier><language>eng</language><publisher>London: Palgrave Macmillan UK</publisher><subject>Case studies ; Catchment Area, Health ; Catchment areas ; Community centers ; Community Health Centers ; Community health services ; Equality and Human Rights ; Geographic distribution ; Geographical distribution ; Geography ; Health care ; Health care access ; Health care facilities ; Health care industry ; Health care policy ; Health disparities ; Health Facilities ; Health policy ; Health services ; Health Services Accessibility ; Humans ; Indonesia ; Medical personnel ; Medical Sociology ; Original Article ; Planners ; Policy making ; Population distribution ; Population studies ; Primary care ; Public Health ; Social Justice ; Social Policy ; Social Sciences ; Sociology ; Thresholds ; Villages</subject><ispartof>Journal of public health policy, 2021-03, Vol.42 (1), p.113-126</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-f04a9bb4046268f624461a172b4451d33a3752fb714bb2bfbc422a7ccb0b19133</citedby><cites>FETCH-LOGICAL-c419t-f04a9bb4046268f624461a172b4451d33a3752fb714bb2bfbc422a7ccb0b19133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1057/s41271-020-00267-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1057/s41271-020-00267-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27344,27866,27924,27925,30999,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33436967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Efriandi, Tri</creatorcontrib><title>Spatial access to health care: a case study on community health centers in Asmat District, Papua, Indonesia</title><title>Journal of public health policy</title><addtitle>J Public Health Pol</addtitle><addtitle>J Public Health Policy</addtitle><description>In recent decades, access to primary health care has become a crucial issue for health policy planners and researchers. One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, this study aims to examine the spatial access to Community Health Centers (CHC) in the Asmat district, one of the most isolated regions in Papua, Indonesia. We conducted the study using a two-step floating catchment area (2SFCA) method to quantify accessibility value to primary health care of each village in the district of Asmat. By taking five distance thresholds ranging from 5 to 25 km with an increment of 5 km, the results indicate that distance has a varying impact on each village. For example, within a 5-km distance threshold, 74% of villages have a zero score or have no access to CHCs, 22% have a score < 100, while only 4% of villages have a score > 100 or meet the minimum score recommended by World Health Organization (WHO). Two major related factors of these geographic disparities are the unequal distribution of CHCs and the high population dispersion. As an attempt to provide equal access to health care services, these results suggest that spatial access should be conscientiously considered by health planners and policy makers.</description><subject>Case studies</subject><subject>Catchment Area, Health</subject><subject>Catchment areas</subject><subject>Community centers</subject><subject>Community Health Centers</subject><subject>Community health services</subject><subject>Equality and Human Rights</subject><subject>Geographic distribution</subject><subject>Geographical distribution</subject><subject>Geography</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health care facilities</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health disparities</subject><subject>Health Facilities</subject><subject>Health policy</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Medical personnel</subject><subject>Medical Sociology</subject><subject>Original Article</subject><subject>Planners</subject><subject>Policy making</subject><subject>Population distribution</subject><subject>Population studies</subject><subject>Primary care</subject><subject>Public Health</subject><subject>Social Justice</subject><subject>Social Policy</subject><subject>Social 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Indonesia</atitle><jtitle>Journal of public health policy</jtitle><stitle>J Public Health Pol</stitle><addtitle>J Public Health Policy</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>42</volume><issue>1</issue><spage>113</spage><epage>126</epage><pages>113-126</pages><issn>0197-5897</issn><eissn>1745-655X</eissn><abstract>In recent decades, access to primary health care has become a crucial issue for health policy planners and researchers. One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, this study aims to examine the spatial access to Community Health Centers (CHC) in the Asmat district, one of the most isolated regions in Papua, Indonesia. We conducted the study using a two-step floating catchment area (2SFCA) method to quantify accessibility value to primary health care of each village in the district of Asmat. By taking five distance thresholds ranging from 5 to 25 km with an increment of 5 km, the results indicate that distance has a varying impact on each village. For example, within a 5-km distance threshold, 74% of villages have a zero score or have no access to CHCs, 22% have a score < 100, while only 4% of villages have a score > 100 or meet the minimum score recommended by World Health Organization (WHO). Two major related factors of these geographic disparities are the unequal distribution of CHCs and the high population dispersion. As an attempt to provide equal access to health care services, these results suggest that spatial access should be conscientiously considered by health planners and policy makers.</abstract><cop>London</cop><pub>Palgrave Macmillan UK</pub><pmid>33436967</pmid><doi>10.1057/s41271-020-00267-6</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Case studies Catchment Area, Health Catchment areas Community centers Community Health Centers Community health services Equality and Human Rights Geographic distribution Geographical distribution Geography Health care Health care access Health care facilities Health care industry Health care policy Health disparities Health Facilities Health policy Health services Health Services Accessibility Humans Indonesia Medical personnel Medical Sociology Original Article Planners Policy making Population distribution Population studies Primary care Public Health Social Justice Social Policy Social Sciences Sociology Thresholds Villages |
| title | Spatial access to health care: a case study on community health centers in Asmat District, Papua, Indonesia |
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