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Accessibility to Primary Health Centre in a Tribal District of Gujarat, India: application of two step floating catchment area model

  • Subhojit ShawEmail author
  • Harihar Sahoo


Accessibility to the health centre is poorly understood in most of the developing countries. Regardless of development, it is a challenge to provide healthcare services to the entire population. To measure the accessibility of Primary Health Centre (PHC), a two-step floating catchment area model has been used in a tribal district (Dahod) of Gujarat, India. This model catches service area twice. In the first step, it considers the healthcare facility demand for the population to population ratio and in the second step measures the accessibility by summing up the all the values of those service areas within the threshold. It has been observed that there is an apparent disparity in the accessibility of healthcare services. In few pockets of the district, the accessibility is less due to a shortfall of 24 against 66 PHCs or insufficient road network. In other words, the villagers had to travel a long distance for seeking healthcare facility. The study identifies the rendered dark zones of the district and helps the researchers and policymakers to develop infrastructure in terms of improving road network or identify the optimal location for more PHCs.


2SFCA Accessibility PHC Road network Service area 



This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interests.

Ethical approval

The analysis is based on secondary data available in public domain for research; thus no approval was required from any institutional review board (IRB).


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© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.International Institute for Population SciencesMumbaiIndia

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