Accessibility to Primary Health Centre in a Tribal District of Gujarat, India: application of two step floating catchment area model
Accessibility to the health centre is poorly understood in most of the developing countries. Regardless of development, it is a challenge to provide healthcare services to the entire population. To measure the accessibility of Primary Health Centre (PHC), a two-step floating catchment area model has been used in a tribal district (Dahod) of Gujarat, India. This model catches service area twice. In the first step, it considers the healthcare facility demand for the population to population ratio and in the second step measures the accessibility by summing up the all the values of those service areas within the threshold. It has been observed that there is an apparent disparity in the accessibility of healthcare services. In few pockets of the district, the accessibility is less due to a shortfall of 24 against 66 PHCs or insufficient road network. In other words, the villagers had to travel a long distance for seeking healthcare facility. The study identifies the rendered dark zones of the district and helps the researchers and policymakers to develop infrastructure in terms of improving road network or identify the optimal location for more PHCs.
Keywords2SFCA Accessibility PHC Road network Service area
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interests.
The analysis is based on secondary data available in public domain for research; thus no approval was required from any institutional review board (IRB).
- Bagheri, N., Benwell, G., & Holt, A. Measuring spatial accessibility to primary health care. Resource Document. SIRC 2005—17th Annual Colloquium Spatial Information Research Center. https://ourarchive.otago.ac.nz/handle/10523/756.
- Bindu, B., & Joshi, J. P. (2013). A geospatial approach for assessing and modeling spatial accessibility of the primary health centers in the tribal Talukas of the Vadodara district. International Journal Geomatics Geoscience, 3(3), 582–591.Google Scholar
- Directorate General of Health Services. (2011). Indian Public Health Standards (IPHS) for Primary Health Centres—Guidelines. New Delhi: Ministry of Health and Family Welfare, Government of India.Google Scholar
- Joseph, A. E., & Phillips, D. R. (1984). Accessibility and utilization: Geographical perspectives on health care delivery. London: Harper & Row Publishers.Google Scholar
- Mallick, R. K., & Routray, J. K. (2001). Identification and accessibility analysis of rural service centers in Kendrapara District, Orissa, India: A GIS-based application. International Journal of Applied Earth Observation and Geoinformation, 3(1), 99–105. https://doi.org/10.1016/S0303-2434(01)85027-3.CrossRefGoogle Scholar
- Ministry of Health and Family Welfare. (2015). Rural health statistics. New Delhi: Government of India.Google Scholar
- Ni, J., Wang, J., Rui, Y., Qian, T., & Wang, J. (2015). An enhanced variable two-step floating catchment area method for measuring spatial accessibility to residential care facilities in Nanjing. International Journal of Environmental Research and Public Health, 12(11), 14490–14504. https://doi.org/10.3390/ijerph121114490.CrossRefGoogle Scholar
- Radke, J., & Mu, L. (2000). Spatial decomposition, modeling and mapping service regions to predict access to social programs. Geographic Information Sciences, 6(2), 105–112.Google Scholar
- Ranga Rao, S. P. (1993). Administration of Primary Health Centres in India. A study from the three southern states. New Delhi: Mittal Publications.Google Scholar
- Vadrevu, L., & Kanjilal, B. (2016). Measuring spatial equity and access to maternal health services using enhanced two step floating catchment area method (E2SFCA): A case study of the Indian Sundarbans. International Journal for Equity in Health, 15(1), 1–12. https://doi.org/10.1186/s12939-016-0376-y.CrossRefGoogle Scholar
- Vora, K. S., Yasobant, S., Patel, A., Upadhyay, A., & Mavalankar, D. V. (2015). Has Chiranjeevi Yojana changed the geographic availability of free comprehensive emergency obstetric care services in Gujarat, India? Global Health Action, 8(1), 1–11. https://doi.org/10.3402/gha.v8.28977.CrossRefGoogle Scholar