ArticleJournal of global health2023
Estimated travel time and staffing constraints to accessing the Ethiopian health care system: A two-step floating catchment area analysis.
Article in Journal of global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Is context considered in health inequity research and why? An examination of current trends in Ethiopia.Philosophy, ethics, and humanities in medicine : PEHM · 2026Pooled it
- Associations between exposure to nutrition, WASH interventions and children's academic performance in Ethiopia: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Pooled it
- Coverage and determinants of hepatitis B virus vaccine uptake among children aged 12-36 months in Ethiopia: an analysis of the 2016 Ethiopian Demographic and Health Survey.International health · 2026Article
- Trends and Epidemiology of Ciguatera in Vanuatu, 2015-2024.EcoHealth · 2026Article
- Access and time to chemotherapy among Ethiopian cancer patients: a population-based registry study.The oncologist · 2026Article
- "Words fail to describe what has been done": understanding the lived experiences of health professionals during war and siege.Human resources for health · 2026Article
- Inequalities in the completion of maternal continuum of care in Ethiopia using the 2019 mini-Ethiopian demographic and health survey.Scientific reports · 2026Article
- Practices and perspectives on antimicrobial drug misuse in Southern Ethiopia: a mixed-method study, 2024.Antimicrobial resistance and infection control · 2026Article
- Geospatial variation and determinants of incomplete antenatal care follow-up in ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2025Article
- Quantifying undetected tuberculosis in Ethiopia using a novel geospatial modelling approach.Scientific reports · 2025Article
- Spatial distribution and associated factors of zero-dose immunization among 12-23 month-old children in Ethiopia: spatial and survey regression analysis.BMC pediatrics · 2025Article
- Article
- Spatial clustering and determinants of zero-utilization of antenatal care among pregnant women in Ethiopia.Scientific reports · 2025Article
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- Article
- Low effective coverage of HIV testing and counselling services during antenatal care in Ethiopia: evidence from the demographic and health survey and service provision assessment.BMJ public health · 2024Article
- Clinical characteristics and outcomes of patients on haemodialysis at Jimma medical center, Ethiopia: a 7-Year review.BMC nephrology · 2024Article
- Article
- Incidence and predictors of hyperglycemic emergencies among adult diabetic patients at public hospitals of Sidama Region and Gedeo Zone, Southern Ethiopia: a survival analysis.Therapeutic advances in endocrinology and metabolism · 2024Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Despite large investments in the public health care system, disparities in health outcomes persist between lower- and upper-income individuals, as well as rural vs urban dwellers in Ethiopia. Evidence from Ethiopia and other low- and middle-income countries suggests that challenges in health care access may contribute to poverty in these settings. Methods: We employed a two-step floating catchment area to estimate variations in spatial access to health care and in staffing levels at health care facilities. We estimated the average travel time from the population centers of administrative areas and adjusted them with provider-to-population ratios. To test hypotheses about the role of travel time vs staffing, we applied Spearman's rank tests to these two variables against the access score to assess the significance of observed variations. Results: Among Ethiopia's 11 first-level administrative units, Addis Ababa, Dire Dawa, and Harari had the best access scores. Regions with the lowest access scores were generally poorer and more rural/pastoral. Approximately 18% of the country did not have access to a public health care facility within a two-hour walk. Our results suggest that spatial access and staffing issues both contribute to access challenges. Conclusion: Investments both in new health facilities and staffing in existing facilities will be necessary to improve health care access within Ethiopia. Because rural and low-income areas are more likely to have poor access, future strategies for expanding and strengthening the health care system should strongly emphasize equity and the role of improved access in reducing poverty.
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