Delineating natural catchment health districts with routinely collected health data from women's travel to give birth in Ghana.
Delineating natural catchment health districts with routinely collected health data from women's travel to give birth in Ghana.
复制标题
DOI：
10.1186/s12913-022-08125-9
复制
发表时间：
2022-06-13
影响因子：
2.8
通讯作者：
Wright, Jim
中科院分区：
文献类型：
--
作者：
Dotse-Gborgbortsi, Winfred;Tatem, Andrew J.;Matthews, Zoe;Alegana, Victor;Ofosu, Anthony;Wright, Jim
关键词：
卫生服务区对于公共卫生干预措施的规划、政策和管理至关重要。在这项研究中，我们从常规收集的健康数据中划定卫生服务区，作为提供孕产妇保健指标的坚实地理基础。一个区域的设计算法，通过一个横截面，生态研究设计划定卫生服务区。卫生分区被并入卫生服务区，从而将跨界患者流量降至最低。划定的区域和现有的行政边界被用来提供获得孕产妇保健服务的估计数。我们分析了二级数据，包括从27家医院分娩的32，921名妇女定期收集的健康记录，空间人口统计数据，对加纳东部地区孕产妇保健质量和健康分区边界的服务提供评估。从分析中可以清楚地看出为分娩而跨界流动的模式，但更多的妇女是从靠近医院的地方出生的。在合并了33个区的250个分区后，设立了11个卫生服务区。在任何卫生服务区内分娩的妇女的最低内部流动百分比为97.4%。由于新划定的边界更“自然”，对观察到的流动模式更敏感，当我们计算面积指标估计数时，它们显示出比现有行政边界有明显改善，每个卫生服务区都包括一家医院。通过使用常规卫生数据来划定自然集水卫生区，可以改进卫生规划。此外，从公共卫生事件中得出的数据驱动的地理边界将改善地区卫生指标的估计、规划和干预。
Health service areas are essential for planning, policy and managing public health interventions. In this study, we delineate health service areas from routinely collected health data as a robust geographic basis for presenting access to maternal care indicators. A zone design algorithm was adapted to delineate health service areas through a cross-sectional, ecological study design. Health sub-districts were merged into health service areas such that patient flows across boundaries were minimised. Delineated zones and existing administrative boundaries were used to provide estimates of access to maternal health services. We analysed secondary data comprising routinely collected health records from 32,921 women attending 27 hospitals to give birth, spatial demographic data, a service provision assessment on the quality of maternal healthcare and health sub-district boundaries from Eastern Region, Ghana. Clear patterns of cross border movement to give birth emerged from the analysis, but more women originated closer to the hospitals. After merging the 250 sub-districts in 33 districts, 11 health service areas were created. The minimum percent of internal flows of women giving birth within any health service area was 97.4%. Because the newly delineated boundaries are more “natural” and sensitive to observed flow patterns, when we calculated areal indicator estimates, they showed a marked improvement over the existing administrative boundaries, with the inclusion of a hospital in every health service area. Health planning can be improved by using routine health data to delineate natural catchment health districts. In addition, data-driven geographic boundaries derived from public health events will improve areal health indicator estimates, planning and interventions.
登录
查看更多内容
DOI：
10.1111/tmi.13460
发表时间：
2020-09
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Dotse-Gborgbortsi W;Tatem AJ;Alegana V;Utazi CE;Ruktanonchai CW;Wright J
通讯作者：
Wright J
影响因子：
4.9
作者：
Jia, Peng
通讯作者：
Jia, Peng
DOI：
10.1136/bmj.l6986
发表时间：
2020-01-27
期刊：
The BMJ
影响因子：
--
作者：
Boerma T;Victora CG;Sabin ML;Simpson PJ
通讯作者：
Simpson PJ
影响因子：
3.6
作者：
COOMBES, MG;GREEN, AE;OPENSHAW, S
通讯作者：
OPENSHAW, S
影响因子：
4.9
作者：
Gao F;Kihal W;Le Meur N;Souris M;Deguen S
通讯作者：
Deguen S