ArticleWorld journal of surgery2017
The Correlation Between Poverty and Access to Essential Surgical Care in Ghana: A Geospatial Analysis.
Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Climate, geography and socioeconomic vulnerability and emergency care accessibility in Nepal, 2022: a high-resolution geospatial analysis of inequalities.BMJ global health · 2026Article
- Expanding surgical access in Africa through improved health insurance schemes: A review.Medicine · 2024Review
- The state of surgery, obstetrics, trauma, and anaesthesia care in Ghana: a narrative review.Global health action · 2022Review
- Using open-source data to construct 20 metre resolution maps of children's travel time to the nearest health facility.Scientific data · 2022Article
- Emergency surgery workforce and its inverse relationship with multidimensional poverty in Colombia.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Geospatial analysis of pediatric surgical need and geographical access to care in Somaliland: a cross-sectional study.BMJ open · 2021Article
- Injured and broke: The impacts of the Ghana National Health Insurance Scheme (NHIS) on service delivery and catastrophic health expenditure among seriously injured children.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Barriers to Timely Presentation of Patients with Surgical Conditions at Tamale Teaching Hospital in Northern Ghana.World journal of surgery · 2019Article
- What is 'global surgery'? Defining the multidisciplinary interface between surgery, anaesthesia and public health.BMJ global health · 2019Review
- Current realities versus theoretical optima: quantifying efficiency and sociospatial equity of travel time to hospitals in low-income and middle-income countries.BMJ global health · 2019Article
- Exploring the Relationship Between Surgical Capacity and Output in Ghana: Current Capacity Assessments May Not Tell the Whole Story.World journal of surgery · 2018Article
- Improving Benchmarks for Global Surgery: Nationwide Enumeration of Operations Performed in Ghana.Annals of surgery · 2018Article
- Emergency-to-Elective Surgery Ratio: A Global Indicator of Access to Surgical Care.World journal of surgery · 2018Article
- A cross-sectional ecological analysis of international and sub-national health inequalities in commercial geospatial resource availability.International journal of health geographics · 2018Article
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSurgical disease burden falls disproportionately on individuals in low- and middle-income countries. These populations are also the least likely to have access to surgical care. Understanding the barriers to access in these populations is therefore necessary to meet the global surgical need.
methodsUsing geospatial methods, this study explores the district-level variation of two access barriers in Ghana: poverty and spatial access to care. National survey data were used to estimate the average total household expenditure (THE) in each district. Estimates of the spatial access to essential surgical care were generated from a cost-distance model based on a recent surgical capacity assessment. Correlations were analyzed using regression and displayed cartographically.
resultsBoth THE and spatial access to surgical care were found to have statistically significant regional variation in Ghana (p < 0.001). An inverse relationship was identified between THE and spatial access to essential surgical care (β -5.15 USD, p < 0.001). Poverty and poor spatial access to surgical care were found to co-localize in the northwest of the country.
conclusionsMultiple barriers to accessing surgical care can coexist within populations. A careful understanding of all access barriers is necessary to identify and target strategies to address unmet surgical need within a given population.
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