Evidence map›Paper›PMID 36124060›Full record

ArticleCommunications medicine2022

Differences between gridded population data impact measures of geographic access to healthcare in sub-Saharan Africa.

Fleur Hierink, Gianluca Boo, Peter M Macharia, Paul O Ouma, Pablo Timoner, Marc Levy, Kevin Tschirhart, Stefan Leyk, Nicholas Oliphant, Andrew J Tatem and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
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  3. Urban-Rural Disparities in Geographic Healthcare Accessibility: A Comparative Study of Nigeria and Zambia.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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  9. Forest citizens and people-centered conservation in the Brazilian Amazon.Conservation biology : the journal of the Society for Conservation Biology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fleur HierinkGeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-2727-0540
Gianluca BooWorldPop, School of Geography and Environmental Science, University of Southampton, Southampton, UK.ORCID 0000-0002-4078-8221
Peter M MachariaPopulation Health Unit, Kenya Medical Research Institute - Wellcome Trust Research Programme, Nairobi, Kenya.ORCID 0000-0003-3410-1881
Paul O OumaPopulation Health Unit, Kenya Medical Research Institute - Wellcome Trust Research Programme, Nairobi, Kenya.
Pablo TimonerGeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Marc LevyCIESIN, The Center for International Earth Science Information Network, Columbia University, Palisades, NY USA.ORCID 0000-0002-1111-2222
Kevin TschirhartCIESIN, The Center for International Earth Science Information Network, Columbia University, Palisades, NY USA.
Stefan LeykDepartment of Geography, University of Colorado in Boulder, Boulder, CO USA.ORCID 0000-0001-9180-4853
Nicholas OliphantThe Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland.
Andrew J TatemWorldPop, School of Geography and Environmental Science, University of Southampton, Southampton, UK.ORCID 0000-0002-7270-941X
Nicolas RayGeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-4696-5313

Funding

University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
NICHD NIH HHS P2C HD066613Wellcome Trust
6 · The paper itself

Abstract

Background: Access to healthcare is imperative to health equity and well-being. Geographic access to healthcare can be modeled using spatial datasets on local context, together with the distribution of existing health facilities and populations. Several population datasets are currently available, but their impact on accessibility analyses is unknown. In this study, we model the geographic accessibility of public health facilities at 100-meter resolution in sub-Saharan Africa and evaluate six of the most popular gridded population datasets for their impact on coverage statistics at different administrative levels. Methods: Travel time to nearest health facilities was calculated by overlaying health facility coordinates on top of a friction raster accounting for roads, landcover, and physical barriers. We then intersected six different gridded population datasets with our travel time estimates to determine accessibility coverages within various travel time thresholds (i.e., 30, 60, 90, 120, 150, and 180-min). Results: Here we show that differences in accessibility coverage can exceed 70% at the sub-national level, based on a one-hour travel time threshold. The differences are most notable in large and sparsely populated administrative units and dramatically shape patterns of healthcare accessibility at national and sub-national levels. Conclusions: The results of this study show how valuable and critical a comparative analysis between population datasets is for the derivation of coverage statistics that inform local policies and monitor global targets. Large differences exist between the datasets and the results underscore an essential source of uncertainty in accessibility analyses that should be systematically assessed.

Indexed as

Health servicesPublic health

Identifiers

PMID36124060
PMCPMC9481590

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.