Factors Affecting Access to Rural Health Services: A Case Study of Baringo Area of Kenya Using GIS
This study sought to identify the major barriers to health service access for a special section of the Kenya community, namely, a rural community in a semi-arid environment, using Marigat Division of Baringo District within the Rift Valley as an example. Such environments are characterized by harsh weather conditions, sparsely distributed small settlements, poor road and other communication networks and low economic levels. The study used both primary and secondary socio-economic data, including health service attendance patterns, population and disease incidence distributions, as well as bio-physical data such as topography, weather and road networks to analyze health attendance patterns.
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CHAPTER ONE INTRODUCTION
CHAPTER TWO MEASURING ADEQUACY AND ACCESSIBILITY TO HEALTH SERVICES
CHAPTER THREE MATERIALS AND METHODS
CHAPTER FOUR RESULTS
CHAPTER FIVE DISCUSSIONS OF RESULTS
CHAPTER SIX CONCLUSIONS AND RECOMMENDATIONS
access to health accessibility analyses accessing health services ArcView assessing attend a health attendance levels attendance patterns Baringo Baringo District barriers to health best route catchment cent cost cultural developing dimensions of access disease incidences Dispensary economic access Eldama Ravine equitable access etal Euclidean distances Figure geographic information systems health centres health facility attendance health service access health service provision herbal medicines impedance improve access income independent variable infrastructure Job type Kabarnet Kenya kilometres levels of attendance logistic regression malaria Marigat Division measure nearest facility nearest health facility Nominal Noor optimise physical access population densities potential poverty line respondents road networks semi-arid service areas service centres service delivery service seeker slope spatial accessibility spatial analysis spatial and temporal spatial interpolation study area sub-location temporal variations Thiessens Thiessens polygons topography tract infections variations in disease walk