Creating spatially defined databases for equitable health service planning in low-income countries: the example of Kenya

Acta Tropica
Abdisalan M NoorR W Snow

Abstract

Equity is an important criterion in evaluating health system performance. Developing a framework for equitable and effective resource allocation for health depends upon knowledge of service providers and their location in relation to the population they should serve. The last available map of health service providers in Kenya was developed in 1959. We have built a health service provider database from a variety of traditional government and opportunistic non-government sources and positioned spatially these facilities using global positioning systems, hand-drawn maps, topographical maps and other sources. Of 6674 identified service providers, 3355 (50%) were private sector, employer-provided or specialist facilities and only 39% were registered in the Kenyan Ministry of Health database during 2001. Of 3319 public service facilities supported by the Ministry of Health, missions, not-for-profit organizations and local authorities, 84% were registered on a Ministry of Health database and we were able to acquire co-ordinates for 92% of these. The ratio of public health services to population changed from 1:26,000 in 1959 to 1:9300 in 1999-2002. There were 82% of the population within 5 km of a public health facility and resident in...Continue Reading

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Citations

Dec 21, 2004·Nature Reviews. Microbiology·Simon I HayRobert W Snow
Jul 27, 2005·Malaria Journal·Abdinasir A Amin, Robert W Snow
Mar 1, 2011·International Journal of Health Geographics·Rohan P Fisher, Bronwyn A Myers
Mar 10, 2009·International Journal of Health Geographics·Abdisalan M NoorRobert W Snow
Jul 11, 2012·International Journal of Family Medicine·Catherine A PearsonGonzalo M L Bearman
Sep 28, 2005·Tropical Medicine & International Health : TM & IH·S I HayA J Tatem
Mar 19, 2008·Tropical Medicine & International Health : TM & IH·Stephen NtoburiMike English
Dec 13, 2005·Journal of Clinical Pharmacy and Therapeutics·A A AminG O Kokwaro
Jan 25, 2005·Trends in Parasitology·Simon I HayDavid J Rogers
Apr 1, 2016·International Journal of Public Health·Lila C FlemingKathryn H Jacobsen
Jul 13, 2004·Acta Tropica·A J GrahamF M Danson
Jun 23, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Victoria ShelusKafui Dzasi
Jan 1, 2015·Traffic Injury Prevention·Lani FoxAndrés Villaveces
Jan 10, 2012·Vaccine·Jeanette J RaineyElizabeth T Luman
Oct 1, 2007·Computational Geosciences·Pw GethingMs Nixon
Jul 3, 2019·The American Journal of Tropical Medicine and Hygiene·Hannah KoenkerAlbert Kilian
May 8, 2020·PeerJ·Jessica R FloydNick W Ruktanonchai
May 15, 2021·PloS One·Peter M MachariaEmelda A Okiro

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