Improving the geographical accessibility of health care in rural areas: a Nigerian case study.

Improving the geographical accessibility of health care in rural areas: a Nigerian case study.
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改善农村地区医疗保健的地理可及性:尼日利亚案例研究。

DOI:
10.1016/0277-9536(87)90349-2
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发表时间:
1987
影响因子:
5.4
通讯作者:
M. L. McNulty
M. L. McNulty
中科院分区:
医学2区
文献类型:
--
作者:
B. Ayeni;G. Rushton;M. L. McNulty

文献摘要

被引文献

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该文件讨论了尼日利亚农村地区医疗保健的地理可及性问题。它分析了政府提供的保健设施的位置、分布和向人民提供服务的便利性,并提出了一个框架,用以衡量在便利性方面的改善情况,并评估关于新设施位置的决定的效率。它表明,虽然在1979年至1982年期间,通过建立更多的诊所和妇幼福利中心,研究地区的可达性有所改善,但地点的相对效率仍然很低。该计划为一九七九至一九八二年期间引进的新设施物色其他地点,估计可使母婴健康院的使用率增加12%,而药房的使用率则增加16%。
The paper addresses problems of geographical accessibility of health care in rural areas of Nigeria. It provides analyses of the location, distribution and accessibility of government-provided health care facilities to people and presents a framework for measuring improvements in accessibility and for assessing the efficiency of decisions about location of new facilities. It shows that while accessibility in the study area improved between 1979 and 1982 through the establishment of more dispensaries and maternity and child-welfare centres, the relative efficiency of locations has remained low. It identifies alternate locations for the new facilities introduced in the 1979–1982 period that could have increased the utilization of maternal and child health centres by an estimated 12% and the utilization of dispensaries by 16%.