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Spatial disparities in the provision of rural health facilities: application of GIS based modelling in rural Birbhum, India

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Abstract

The works explores the possibilities of using GIS for the government health facility centres in Murarai-I C.D.Block of Birbhum district in India. The empirical data were processed in GIS environment and principal component analysis has been carried out for quantitative inferences. The GIS application is created cover three main areas of maternal health care services which are identification of physical accessibility of each health-care units, assessment of influence zones or health service area of the government facility centre and finally, quantification of underserved scenario in service provision. Each of the issues is covered using several GIS functions including road network analysis, overlay analysis, euclidian distance, buffer and thiessen polygon analysis. ASTER-digital elevation model has been used to identify the topographical aspects of the study area. A sample of 229 cohorts and 28 health centres have been drawn through systematic random and stratified procedures on the basis of cross-sectional retrospective survey. The survey has established three principal findings. First, distance shows a strong inverse relationship with the utilization of health services in the study area. Second, comparatively higher elevated areas are characterized by smaller influence zone and under utilisation of services. Finally, the underserved score is higher in the northern part of study area. Recommendations for the location based modelling of health service provision and reduction of underserved areas at deprived periphery is depend on equity-based provision of services and proportionate distribution of health personnel along with essential transportation system.

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References

  1. Khan, A. A. (1992). An integrated approach to measuring potential spatial access to health care services. Socio-Economic Planning Sciences, 26, 275–287.

    Article  Google Scholar 

  2. Heard, N. J., Larsen, U., & HozumI, D. (2004). Investigating access to reproductive health services using GIS. Proximity to services and the use of modern contraceptives in Malawi. African Journal of Reproductive Healt, 8(2), 164–179.

    Article  Google Scholar 

  3. Farmer, J., Munoz, S. A., & Daly, C. (2012). Being rural in rural health research. Health & Place, 18, 1206–1208.

    Article  Google Scholar 

  4. Haynes, R., & Gale, S. (2000). Deprivation and poor health in rural areas. Inequalities hidden by averages. Health & Place, 6, 275–285.

    Article  Google Scholar 

  5. Tanser, F., Gijsbertsen, B., & Herbst, K. (2006). Modelling and understanding primary health care accessibility and utilization in rural South Africa. An exploration using a geographical information system. Social Science & Medicine, 63(3), 691–705.

    Article  Google Scholar 

  6. Garner, P. (2009). Maternal and child health. England. Liverpool School of Tropical Medicine 5–28.

  7. African population and health research centre (APHRC). (2017). Fact sheet. Maternal health in Nigeria. Facts and figures. Nairobi, Kenya. Retrieved on 2nd January, 2019.

  8. Thaddeus, S., & Maine, D. (1994). Too far to walk. Maternal mortality in context. Social Science and Medicine, 38(8), 1091–1110.

    Article  Google Scholar 

  9. Mamdani, M., & Bangser, M. (2004). Poor people experiences of health services in Tanzinia. A literature review. Reproductive Health Matters (RHM), 12(24), 138–153.

    Article  Google Scholar 

  10. Kara, F., & Egresi, I. O. (2013). Accessibility of health care institutions. A case study by using GIS. International Journal of Scientific Knowledge, 3(4), 16–27.

    Google Scholar 

  11. Dicamillo, M., Greenwald, H. P., O’keefe, S., & Dicamillo, M. (2004). The importance of public sector health care in an underserved population. Journal of Health and Human Services Administration, 27(2), 142–157.

    Google Scholar 

  12. Vissandjee, B., Barlow, R., & Fraser, D. W. (1997). Utilization of health services among rural women in Gujarat, India. Public Health, 111(3), 135148.

    Article  Google Scholar 

  13. Toan, N. V., Trong, L. N., Höjer, B., & Persson, L. A. (2002). Public health services use in a mountainous area, Vietnam. Implications for health policy. Scandinavian Journal of Public Health, 30(2), 86–93.

    Google Scholar 

  14. Blanford, J. I., Kumar, S., Luo, W., & MacEachren, A. M. (2012). It’s a long, long walk. Accessibility to hospitals, maternity and integrated health centres in Niger. International Journal of Health Geographics, 11(24), 3–15.

    Google Scholar 

  15. Taiar, A. A., Clark, A., Longenecker, J. C., & Whitty, C. J. (2010). Physical accessibility and utilization of health services in Yemen. International Journal of Health Geographics, 9(38), 1–8.

    Google Scholar 

  16. Hotchkiss, D. R. (2001). Expansion of rural health care and the use of maternal services in Nepal. Health & Place, 7, 39–45.

    Article  Google Scholar 

  17. Goland, E., Hoa, D. T. P., & Malqvist, M. (2012). Inequality in maternal health care utilisation in Vietnam. International Journal for Equity in Health, 11(24), 5–8.

    Google Scholar 

  18. Satia, J. K., Misra, M., Arora, R., & Neogi, S. (2014). Innovation in maternal health, New Delhi, India. Case study from India: SAGE Publication.

    Google Scholar 

  19. Pearce, J., Witten, K., & Bartie, P. (2006). Neighbourhoods and health. A GIS approach to measuring community resource accessibility. Journal of Epidemiology and Community Health, 60(5), 389–395.

    Article  Google Scholar 

  20. Vora, K. S., Mavalankar, D. V., Ramani, K. V., Upadhyaya, M., Sharma, B., & Iyengar, S. (2009). Maternal health situation in India. A case study. Journal of Health, Population and Nutrition, 27(2), 184–201.

    Article  Google Scholar 

  21. Arendt, J. N. (2012). The demand for health care by the poor under universal health care coverage. Journal of Human Capital, 6(4), 316–335.

    Article  Google Scholar 

  22. Pandey, A., Roy, N., Sahu, D., & Acharya, R. (2004). Maternal health care services. Observations from Chhattisgarh, Jharkhand and Uttaranchal. Economic and Political Weekly, 39(7), 713–720.

    Google Scholar 

  23. Purohit, B. C., & Siddiqui, T. A. (1994). Utilisation of health services in India. Economic and Political Weekly, 29(18), 1071–1080.

    Google Scholar 

  24. Mavalankar, D. V., Vora, K. S., Ramani, K. V., Raman, P., Sharma, B., & Upadhyaya, M. (2009). Maternal health in Gujrat, India. A case study. Journal of Health, Population and Nutrition, 27(2), 235–248.

    Article  Google Scholar 

  25. Bourke, L., Humphreys, J. S., Wakerman, J., & Taylor, J. (2012). Understanding rural and remote health. A framework for analysis in Australia. Health & Place, 18, 496–503.

    Article  Google Scholar 

  26. Teijlingen, E. V., & Pitchforth, E. (2010). Rural maternity care. Can we learn from Wal-Mart? Health & Place, 16, 359–364.

    Article  Google Scholar 

  27. Sen, P. K. (1993). Geomorphological analysis of drainage basin. An introduction to morphometry and hydrological parameters (pp. 46–55). Burdwan: The University of Burdwan.

    Google Scholar 

  28. Saxena, H. M. (2012). Transport geography. Jaipur: Rawat Publication.

    Google Scholar 

  29. Indian Public Health Standard (IPHS). (2012). Guidelines for sub-centres revised. Directorate General of Health Service, Ministry of Health & Family Welfare, Govt. of India.

  30. Noor, A. M., Gikandi, P. W., Hay, S. I., Muga, R. O., & Snow, R. W. (2004). Creating spatially defined databases for equitable health service planning in low-income countries. The example of Kenya. Acta Tropica, 91(3), 239–251.

    Article  Google Scholar 

  31. Zwarenstein, M., Krige, D., & Wolff, B. (1991). The use of a geographical information system for hospital catchment area research in Natal/KwaZulu. South African Medical Journal, 80(10), 497–500.

    Google Scholar 

  32. Taneja, D. K. (2015). Health policies and programmes in India (13th ed.). Delhi: Doctors Publications (REGD).

    Google Scholar 

  33. Sidhu, S. (1994). Pregnancy wastage in two tribal communities (Gujars and Bazigars) of Punjab, India. Anthropologischer Anzeiger, 52(2), 137–142.

    Article  Google Scholar 

  34. Census of India. (2011). Primary Census Abstract. New Delhi. Office of the Registrar General & Census Commissioner, Ministry of Home Affairs, Government of India.

  35. Ghosh, A., & Mistri, B. (2017). Obstacles in the utilisation of maternal health care services in Murarai-II C.D.Block, Birbhum District, West Bengal, India. Space and Culture, India, 4(3), 40–61.

    Article  Google Scholar 

  36. Indian Public Health Standard (IPHS). (2012). Guidelines for primary health centres revised. Directorate General of Health Service, Ministry of Health & Family Welfare, Govt. of India.

  37. Laditka, J. N., Laditka, S. B., & Probst, J. C. (2009). Health care access in rural areas. Evidence that hospitalization forambulatory care-sensitive conditions in the United States may increase with the level of rurality. Health & Place, 15, 761–770.

    Article  Google Scholar 

  38. McCann, M., Grundy, E., & O’Reilly, D. (2014). Urban and rural differences in risk of admission to a care home. A census-based follow-up study. Health & Place, 30, 171–176.

    Article  Google Scholar 

  39. Sidel, R., & Sidel, V. W. (1977). Health care services. Social Scientist, 5(11), 114–130.

    Article  Google Scholar 

  40. Castleden, H., Crooks, V. A., Schuurman, N., & Hanlon, N. (2010). ‘It’s not necessarily the distance on the mapy’’. Using place as an analytic tool to elucidate geographic issues central to rural palliative care. Health & Place, 16, 284–290.

    Article  Google Scholar 

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Acknowledgements

The first author is grateful to UGC, New Delhi, India, for providing the fellowship for carrying out the research work. This article is a part of her Ph.D. research, which has been submitted to The University of Burdwan. Authors are thankful to the Director of Health Services, Department of Health & Family Welfare, Govt. of West Bengal, Chief Medical Officer of Health (CMOH), Suri, and his staff for providing necessary information regarding the maternal health scenario of different C.D.Block of Birbhum District, West Bengal, India.

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Correspondence to Alokananda Ghosh.

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Ghosh, A., Mistri, B. Spatial disparities in the provision of rural health facilities: application of GIS based modelling in rural Birbhum, India. Spat. Inf. Res. 28, 655–668 (2020). https://doi.org/10.1007/s41324-020-00324-y

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