Accessibility to Higher Order Public Health Centers a Study of District Pulwama (J&K)

Authors(3) :-Javaid Ahmad Tali, Asima Nusrath, Aasif Nengroo

The provision of equal and easy access to health centers is the fundamental right to all the citizens. This paper reviews the spatial accessibility to higher order health care facilities in terms of travel distance and travel time using service catchment areas and closest facility. Analysis of variance has been used to measure the variation in accessibility among the medical blocks of the district in both the dimensions (time & distance). Time and distance accessibility was further overlaid to measure the overall accessibility. Furthermore ordinal regression has been used to determine the impact of elevation, road density and distribution of health centers on accessibility to health centers of the district. The results revealed that the time accessibility to CHC and DH at medical blocks level varies significantly and in case of distance the accessibility also varies among medical blocks but only DH accessibility varies significantly. Over 14.63 percent of population has poor access to such health centers. It is necessary to underscore the necessities of area-specific strategies including increase the increase in number of health centers and also up gradation of infrastructure facilities as well as to increase of manpower.

Authors and Affiliations

Javaid Ahmad Tali
Department of Studies in Geography University of Mysore, India
Asima Nusrath
Department of Economics, Central University of Kashmir, India
Aasif Nengroo

Spatial Accessibility, Distance, Time, Service Area, Closest Facility

  1. Ahmad, S. (2012). A GIS based investigation of spatial accessibility to health care facilities by local communities within an urban fringe area of Melbourne.
  2. Burns, L. D. (1979). Transportation, temporal, and spatial components of accessibility.
  3. Kwan, M. P., & Weber, J. (2003). Individual accessibility revisited: implications for geographical analysis in the twenty?first century. Geographical analysis, 35(4), 341-353.
  4. Sanni, L. (2010). Distribution pattern of healthcare facilities in Osun state, Nigeria. Ethiopian Journal of Environmental Studies and Management, 3(2).
  5. Eklund, L., & Martensson, U. (2012). Using geographical information systems to analyse accessibility to health services in the West Bank, Occupied Palestinian Territory.
  6. Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health services research, 9(3), 208.
  7. Pawson, R., & Tilley, N. (1997). Realistic evaluation. Sage.
  8. Bhatt, B., & Joshi, J. P. (2013). A geospatial approach for assessing and modeling spatial accessibility of the primary health centers in the tribal talukas of the Vadodara district. International Journal of Geomatics and Geosciences, 3(3), 582.
  9. Islam, M. S., & Aktar, S. (2010). Measuring physical accessibility to health facilities - A case study on Khulna City. World health & population, 12(3), 33-41.
  10. Lee, M. S., & McNally, M. G. (2002). Measuring physical accessibility with space-time prisms in a GIS: A case study of access to health-care facilities. Center for Activity Systems Analysis.
  11. Luo, W. (2004). Using a GIS-based floating catchment method to assess areas with shortage of physicians. Health & place, 10(1), 1-11.
  12. Maheswaran, R., Payne, N., Meechan, D., Burden, R. P., Fryers, P. R., Wight, J., & Hutchinson, A. (2003). Socioeconomic deprivation, travel distance, and renal replacement therapy in the Trent Region, United Kingdom 2000: an ecological study. Journal of Epidemiology & Community Health, 57(7), 523-524.
  13. Fortney, J., Rost, K., Zhang, M., & Warren, J. (1999). The impact of geographic accessibility on the intensity and quality of depression treatment. Medical care, 37(9), 884-893.

Publication Details

Published in : Volume 3 | Issue 8 | November-December 2017
Date of Publication : 2017-12-31
License:  This work is licensed under a Creative Commons Attribution 4.0 International License.
Page(s) : 55-61
Manuscript Number : IJSRST173827
Publisher : Technoscience Academy

Print ISSN : 2395-6011, Online ISSN : 2395-602X

Cite This Article :

Javaid Ahmad Tali, Asima Nusrath, Aasif Nengroo, " Accessibility to Higher Order Public Health Centers a Study of District Pulwama (J&K)", International Journal of Scientific Research in Science and Technology(IJSRST), Print ISSN : 2395-6011, Online ISSN : 2395-602X, Volume 3, Issue 8, pp.55-61, November-December-2017.
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