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Territorial health approach outputs of geo-governance of health facilities: case study of Batna, Algeria

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Abstract

The city of Batna is currently experiencing major spatial disparities between the number of health facilities and their urban distribution. This situation has encouraged the re-evaluation of the functioning of the healthcare system and its spatial infrastructure deficit, especially regarding the proximity of healthcare facilities to the populations they cater to. This spatial deficit has resulted in a decrease in prevention program performance and the quality of healthcare. The aim of this paper is to measure the spatial healthcare inequalities in the city by quantifying the accessibility, delimiting the proximal service area, and detecting the distribution type based on a health-territory approach that integrates health dimension into a territorial master plan of the city using a geographic information system database developed for this purpose. The results confirm that accessibility is affected by the distribution of the health facilities as proposed by the urban master plan of the city. The proximity distances have increased, which provides an opportunity to maximise the service areas; however, it also creates a functional imbalance and overloads the health facilities.

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Notes

  1. Plan Directeur d’Aménagement et d’Urbanisme.

  2. In French: Zone habitat urbanisé nouvel.

  3. La Grille théorique des equipement.

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Authors and Affiliations

  1. Laboratory of Natural Hazards and Spatial Planning (LRNAT), University of Batna 2, 53, Route de Constantine, 05078, Fesdis, Batna, Algeria

    Belkacem Lahmar, Hadda Dridi & Ahmed Akakba

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  1. Belkacem Lahmar
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  2. Hadda Dridi
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Correspondence to Belkacem Lahmar.

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The authors (Dr. LAHMAR Belkacem, Pr. DRIDI Hadda and Dr. AKAKBA Ahmed) declare that they have no conflict of interest.

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Lahmar, B., Dridi, H. & Akakba, A. Territorial health approach outputs of geo-governance of health facilities: case study of Batna, Algeria. GeoJournal 86, 2305–2319 (2021). https://doi.org/10.1007/s10708-020-10189-1

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