Geographic accessibility to public health facilities providing tuberculosis testing services at point-of-care in the upper east region, Ghana

被引:1
作者
Kuupiel, Desmond [1 ,7 ]
Adu, Kwame M. [2 ]
Apiribu, Felix [1 ,3 ]
Bawontuo, Vitalis [4 ,7 ]
Adogboba, Duncan A. [5 ]
Ali, Kwasi T. [6 ]
Mashamba-Thompson, Tivani P. [1 ]
机构
[1] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Dept Publ Hlth Med, Durban, South Africa
[2] Univ Ghana, Dept Geog, Legon, Ghana
[3] Kwame Nkrumah Univ Sci & Technol, Dept Nursing, Kumasi, Ghana
[4] Catholic Univ Coll Ghana, Fac Hlth & Allied Sci, Fiapre, Sunyani, Ghana
[5] Ghana Hlth Serv, Reg Hlth Directorate, Bolgatanga, Upper East Regi, Ghana
[6] Catholic Hlth Serv, Goaso, Brong Ahafo Reg, Ghana
[7] Res Sustainable Dev Consult, Sunyani, Ghana
关键词
Geographic; Distribution; Accessibility; Health facilities; Tuberculosis; Point-of-care testing; Upper east region; Ghana;
D O I
10.1186/s12889-019-7052-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundIn Ghana, limited evidence exists about the geographical accessibility to health facilities providing tuberculosis (TB) diagnostic services to facilitate early diagnosis and treatment. Therefore, we aimed to assess the geographic accessibility to public health facilities providing TB testing services at point-of-care (POC) in the Upper East Region (UER), Ghana.MethodsWe assembled detailed spatial data on all 10 health facilities providing TB testing services at POC, and landscape features influencing journeys. These data were used in a geospatial model to estimate actual distance and travel time from the residential areas of the population to health facilities providing TB testing services. Maps displaying the distance values were produced using ArcGIS Desktop v10.4. Spatial distribution of the health facilities was done using spatial autocorrelation (Global Moran's Index) run in ArcMap10.4.1. We also applied remote sensing through satellite imagery analysis to map out residential areas and identified locations for targeted improvement in the UER.ResultsOf the 13 districts in the UER, 4 (31%) did not have any health facility providing TB testing services. In all, 10 public health facilities providing TB testing services at POC were available in the region representing an estimated population to health facility ratio of 125,000 people per facility. Majority (60%) of the health facilities providing TB testing services in the region were in districts with a total population greater than 100,000 people. Majority (62%) of the population resident in the region were located more than 10km away from a health facility providing TB testing services. The mean distance standard deviation to the nearest public health facility providing TB testing services in UER was 33.2km +/- 13.5. Whilst the mean travel time using a motorized tricycle speed of 20km/h to the nearest facility providing TB testing services in the UER was 99.6min +/- 41.6. The results of the satellite imagery analysis show that 51 additional health facilities providing TB testing services at POC are required to improve geographical accessibility. The results of the spatial autocorrelation analysis show that the spatial distribution of the health facilities was dispersed (z-score=-2.3; p=0.02).ConclusionThere is poor geographic accessibility to public health facilities providing TB testing services at POC in the UER of Ghana. Targeted improvement of rural PHC clinics in the UER to enable them provide TB testing services at POC is highly recommended.
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页数:12
相关论文
共 24 条
[1]  
[Anonymous], 2018, MOD LIST ESS IN VITR
[2]  
[Anonymous], 2012, 2010 POP HOUS CENS S
[3]  
[Anonymous], 2015, IMPL END TB STRAT ES
[4]  
[Anonymous], 2015, IMPR MAT HLTH MDG 5
[5]  
[Anonymous], 2017, GHAN TUB PROF 2017
[6]   OMNIgene SPUTUM: A Good Transport and Decontaminating Reagent for Tuberculosis Testing [J].
Asandem, Diana Asema ;
Asante-Poku, Adwoa ;
Asare, Prince ;
Aboagye, Sammy Yaw ;
Stephen, Osei-Wusu ;
Danso, Emelia ;
Klevor, Pius Mawutor ;
Hayibor, Kenneth Mawuta ;
Yeboah-Manu, Dorothy .
INTERNATIONAL JOURNAL OF MYCOBACTERIOLOGY, 2018, 7 (03) :222-227
[7]  
Becher H, 2004, B WORLD HEALTH ORGAN, V82, P265
[8]  
Bhaduri B., 2002, GEOINFOMATICS, V5, P34
[9]   Diagnostic accuracy of the rapid urine lipoarabinomannan test for pulmonary tuberculosis among HIV-infected adults in Ghana-findings from the DETECT HIV-TB study [J].
Bjerrum, Stephanie ;
Kenu, Ernest ;
Lartey, Margaret ;
Newman, Mercy Jemina ;
Addo, Kennedy Kwasi ;
Andersen, Aase Bengaard ;
Johansen, Isik Somuncu .
BMC INFECTIOUS DISEASES, 2015, 15
[10]   Accessibility to tuberculosis control services and tuberculosis programme performance in southern Ethiopia [J].
Dangisso, Mesay Hailu ;
Datiko, Daniel Gemechu ;
Lindtjorn, Bernt .
GLOBAL HEALTH ACTION, 2015, 8