Estimated travel time and staffing constraints to accessing the Ethiopian health care system: A two-step floating catchment area analysis.

ABSTRACT:

Background

Despite large investments in the public health care system, disparities in health outcomes persist between lower- and upper-income individuals, as well as rural vs urban dwellers in Ethiopia. Evidence from Ethiopia and other low- and middle-income countries suggests that challenges in health care access may contribute to poverty in these settings.

Methods

We employed a two-step floating catchment area to estimate variations in spatial access to health care and in staffing levels at health care facilities. We estimated the average travel time from the population centers of administrative areas and adjusted them with provider-to-population ratios. To test hypotheses about the role of travel time vs staffing, we applied Spearman's rank tests to these two variables ag

SUBMITTER: Hendrix N 

PROVIDER: S-EPMC9880518 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature