ArticlePloS one2021
Modelling geographical accessibility to urban centres in Kenya in 2019.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Dialysis deserts in the Philippines: a national geospatial modeling study of dialysis services.Global health action · 2026Article
- Spatio-temporal heterogeneity of urban malaria in Libreville, Gabon (2012-2023): neighborhood-level hotspot analysis for micro-stratified control.Malaria journal · 2026Article
- Impact analysis of flood-induced changes in geographical accessibility and coverage to healthcare in both public and private sector, 2024, Kenya.International journal of health geographics · 2026Article
- The 'golden hour': a geospatial analysis of travel time to public emergency departments in Kenya.BMJ global health · 2026Observational
- Prevalence, spatial and temporal distribution of tungiasis in the Kilifi Health and Demographic Surveillance System (KHDSS) in Kenya.BMJ global health · 2026Article
- Spatially varying relationships between birth registration and influencing factors in Kenya, using a suite of geographically weighted regressions.Spatial and spatio-temporal epidemiology · 2025Article
- Analysis of antibiotic use and access to drugs among poultry farmers in Kenya.One health (Amsterdam, Netherlands) · 2025Article
- Paediatric anaemia in rural Kenya and the role of travel time to emergency care services.Frontiers in epidemiology · 2025Article
- Assessing Mbiotisho: A smartphone application used to collect high-frequency health and nutrition data from difficult-to-reach populations.Maternal & child nutrition · 2023Article
- Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya.International journal of health geographics · 2023Article
- Spatial variation and inequities in antenatal care coverage in Kenya, Uganda and mainland Tanzania using model-based geostatistics: a socioeconomic and geographical accessibility lens.BMC pregnancy and childbirth · 2022Article
- Combining school-catchment area models with geostatistical models for analysing school survey data from low-resource settings: Inferential benefits and limitations.Spatial statistics · 2022Article
- Unmet need for COVID-19 vaccination coverage in Kenya.Vaccine · 2022Article
- Geographic accessibility to public and private health facilities in Kenya in 2021: An updated geocoded inventory and spatial analysis.Frontiers in public health · 2022Article
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3 authors.
Funding
Abstract
backgroundAccess to major services, often located in urban centres, is key to the realisation of numerous Sustainable Development Goals (SDGs). In Kenya, there are no up-to-date and localised estimates of spatial access to urban centres. We estimate the travel time to urban centres and identify marginalised populations for prioritisation and targeting.
methodsUrban centres were mapped from the 2019 Kenya population census and combined with spatial databases of road networks, elevation, land use and travel barriers within a cost-friction algorithm to compute travel time. Seven travel scenarios were considered: i) walking only (least optimistic), ii) bicycle only, iii) motorcycle only, iv) vehicle only (most optimistic), v) walking followed by motorcycle transport, vi) walking followed by vehicle transport, and vii) walking followed by motorcycle and then vehicle transport (most pragmatic). Mean travel time, and proportion of the population within 1-hour and 2-hours of the urban centres were summarized at sub-national units (counties) used for devolved planning. Inequities were explored and correlations between the proportion of the population within 1-hour of an urban centre and ten SDG indicators were computed.
resultsA total of 307 urban centres were digitised. Nationally, the mean travel time was 4.5-hours for the walking-only scenario, 1.0-hours for the vehicle only (most optimistic) scenario and 1.5-hours for the walking-motorcycle-vehicle (most pragmatic) scenario. Forty-five per cent (21.3 million people) and 87% (41.6 million people) of Kenya's population resided within 1-hour of the nearest urban centre for the least optimistic and most pragmatic scenarios respectively. Over 3.2 million people were considered marginalised or living outside the 2-hour threshold in the pragmatic scenario, 16.0 million Kenyans for walking only, and 2.2 million for the most optimistic scenario. County-level spatial access was highly heterogeneous ranging between 8%-100% and 32%-100% of people within the 1-hour threshold for the least and most optimistic scenarios, respectively. Counties in northern and eastern parts of Kenya were generally most marginalised. The correlation coefficients for nine SDG indicators ranged between 0.45 to 0.78 and were statistically significant.
conclusionTravel time to urban centres in Kenya is heterogeneous. Therefore, marginalised populations should be prioritised during resource allocation and policies should be formulated to enhance equitable access to public services and opportunities in urban areas.
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