Optimising geographical accessibility to primary health care: a geospatial analysis of community health posts and community health workers in Niger.

ABSTRACT:

Background

Little is known about the contribution of community health posts and community health workers (CHWs) to geographical accessibility of primary healthcare (PHC) services at community level and strategies for optimising geographical accessibility to these services.

Methods

Using a complete georeferenced census of community health posts and CHWs in Niger and other high-resolution spatial datasets, we modelled travel times to community health posts and CHWs between 2000 and 2013, accounting for training, commodities and maximum population capacity. We estimated additional CHWs needed to optimise geographical accessibility of the population beyond the reach of the existing community health post network. We assessed the efficiency of geographical targeting of the existin

SUBMITTER: Oliphant NP 

PROVIDER: S-EPMC8186743 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature