Accessibility to Higher Order Public Health Centers a Study of District Pulwama (J&K)
Keywords:
Spatial Accessibility, Distance, Time, Service Area, Closest FacilityAbstract
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.
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