ArticleCommunications medicine2023
A geospatial analysis of accessibility and availability to implement the primary healthcare roadmap in Ethiopia.
Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Mapping facility-based tuberculosis preventive treatment provision in Ethiopia: a geospatial analysis.BMC health services research · 2026Article
- Health extension programme unit for optimizing access to quality healthcare service in Ethiopia: a case study.Primary health care research & development · 2026Article
- Article
- Geographical accessibility of cancer hospital using geospatial technology in Bagmati province, Nepal.Frontiers in public health · 2026Article
- Mapping the Availability of Rehabilitation Providers Using Public Licensure and Population Data for a Geographic Information System-Based Approach to Workforce Planning: Cross-Sectional Feasibility Study.JMIR formative research · 2025Article
- Spatial distribution and determinants of the knowledge of reproductive age women about prevention of mother to child transmission (PMTCT) of HIV in Ethiopia.AIDS research and therapy · 2025Article
- Quantifying undetected tuberculosis in Ethiopia using a novel geospatial modelling approach.Scientific reports · 2025Article
- Local progress towards achieving the End TB targets in Ethiopia: a geospatial analysis.International journal of epidemiology · 2025Article
- Comparative analysis of machine learning models for malaria detection using validated synthetic data: a cost-sensitive approach with clinical domain knowledge integration.Scientific reports · 2025Article
- Inequity in access to medications among communities in Eastern Ethiopia: a decomposition analysis.BMC health services research · 2025Article
- Assessing the impact of building footprint dataset choice for health programme planning: a case study of indoor residual spraying (IRS) in Zambia.International journal of health geographics · 2025Article
- Geospatial analysis and scale-up modelling of the impact of mobile programming on access to essential childhood vaccinations in Yemen.Communications medicine · 2025Article
- Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Health Service Utilization by Women Members and Non-Members of Community-Based Health Insurance Schemes in Sidama, Southern Ethiopia, 2024: A Comparative Cross-Sectional Study.Health services insights · 2025Article
- Disparities in public transit access to healthcare in Austin, Texas.Frontiers in public health · 2025Article
- Review
- Routine data in a primary care performance dashboard, Ethiopia.Bulletin of the World Health Organization · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary healthcare (PHC) is a crucial strategy for achieving universal health coverage. Ethiopia is working to improve its primary healthcare system through the Optimization of Health Extension Program (OHEP), which aims to increase accessibility, availability and performance of health professionals and services. Measuring current accessibility of healthcare facilities and workforce availability is essential for the success of the OHEP and achieving universal health coverage in the country.
methodsIn this study we use an innovative mixed geospatial approach to assess the accessibility and availability of health professionals and services to provide evidence-based recommendations for the implementation of the OHEP. We examined travel times to health facilities, referral times between health posts and health centers, geographical coverage, and the availability and density of health workers relative to the population.
resultsOur findings show that the accessibility and availability of health services in Somali region of Ethiopia is generally low, with 65% of the population being unable to reach a health center or a health post within 1 h walking and referral times exceeding 4 h walking on average. The density of the health workforce is low across Somali region, with no health center being adequately staffed as per national guidelines.
conclusionsImproving accessibility and addressing healthcare worker scarcity are challenges for implementing the primary care roadmap in Ethiopia. Upgrading health posts and centers, providing comprehensive services, and training healthcare workers are crucial. Effective outreach strategies are also needed to bridge the gap and improve accessibility and availability.
Identifiers
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Registered trials
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.