ArticleBMC international health and human rights2018
Combining survey data, GIS and qualitative interviews in the analysis of health service access for persons with disabilities.
Article in BMC international health and human rights, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Measures of the Availability and Accessibility of Behavioral Health Services: A Scoping Review.Psychiatric services (Washington, D.C.) · 2025Article
- Maximizing Veterans Health Affairs Community Hospice Collaborations: Review of Perceived Resource Needs to Support Veterans at End of Life.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2024Review
- A Web-GIS tool for diagnosing spatial orientation of young adults: design and evaluation of Geo-Survey.Scientific reports · 2023Article
- Small-area estimation and analysis of HIV/AIDS indicators for precise geographical targeting of health interventions in Nigeria. a spatial microsimulation approach.International journal of health geographics · 2023Article
- An Unsupervised Learning-Based Spatial Co-Location Detection System from Low-Power Consumption Sensor.Sensors (Basel, Switzerland) · 2021Article
- Towards a Situated Spatial Epidemiology of Violence: A Placially-Informed Geospatial Analysis of Homicide in Alagoas, Brazil.International journal of environmental research and public health · 2020Article
- When it rains, it pours: detecting seasonal patterns in utilization of maternal healthcare in Mozambique using routine data.BMC health services research · 2020Article
- Factors that influence the use of community assets by people with physical disabilities: results of participatory mapping in Envigado, Colombia.BMC public health · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundEquitable access to health services is a key ingredient in reaching health for persons with disabilities and other vulnerable groups. So far, research on access to health services in low- and middle-income countries has largely relied on self-reported survey data. Realizing that there may be substantial discrepancies between perceived and actual access, other methods are needed for more precise knowledge to guide health policy and planning. The objective of this article is to describe and discuss an innovative methodological triangulation where statistical and spatial analysis of perceived distance and objective measures of access is combined with qualitative evidence.
methodsThe data for the study was drawn from a large household and individual questionnaire based survey carried out in Namibia and Malawi. The survey data was combined with spatial data of respondents and health facilities, key informant interviews and focus group discussions. To analyse access and barriers to access, a model is developed that takes into account both measured and perceived access. The geo-referenced survey data is used to establish four outcome categories of perceived and measured access as either good or poor. Combined with analyses of the terrain and the actual distance from where the respondents live to the health facility they go to, the data allows for categorising areas and respondents according to the four outcome categories. The four groups are subsequently analysed with respect to variation in individual characteristics and vulnerability factors. The qualitative component includes participatory map drawing and is used to gain further insight into the mechanisms behind the different combinations of perceived and actual access.
resultsPreliminary results show that there are substantial discrepancies between perceived and actual access to health services and the qualitative study provides insight into mechanisms behind such divergences.
conclusionThe novel combination of survey data, geographical data and qualitative data will generate a model on access to health services in poor contexts that will feed into efforts to improve access for the most vulnerable people in underserved areas.
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