Modeling spatial access to cervical cancer screening services in Ondo State, Nigeria.

International Journal of Health Geographics
Kathleen StewartClement Adebamowo

Abstract

Women in low- and middle-income countries (LMIC) remain at high risk of developing cervical cancer and have limited access to screening programs. The limits include geographical barriers related to road network characteristics and travel behaviors but these have neither been well studied in LMIC nor have methods to overcome them been incorporated into cervical cancer screening delivery programs. To identify and evaluate spatial barriers to cervical cancer prevention services in Ondo State, Nigeria, we applied a Multi-Mode Enhanced Two-Step Floating Catchment Area model to create a spatial access index for cervical cancer screening services in Ondo City and the surrounding region. The model used inputs that included the distance between service locations and population centers, local population density, quantity of healthcare infrastructures, modes of transportation, and the travel time budgets of clients. Two different travel modes, taxi and mini bus, represented common modes of transit. Geocoded client residential locations were compared to spatial access results to identify patterns of spatial access and estimate where gaps in access existed. Ondo City was estimated to have the highest access in the region, while the largest ...Continue Reading

References

Feb 28, 2004·International Journal of Health Geographics·Mark F Guagliardo
Mar 22, 2006·Journal of Medical Systems·Duck-Hye YangRoss Mullner
May 23, 2008·International Journal of Health Geographics·Sarah E WieheJ Dennis Fortenberry
Oct 21, 2011·American Journal of Preventive Medicine·Jacqueline KerrJasper Schipperjin
May 25, 2012·Cancer Epidemiology·Elima Jedy-AgbaClement A Adebamowo
Jan 22, 2013·Annals of the Association of American Geographers·Fahui Wang
Jan 13, 2016·BMJ Open·Fatima Isa ModibboClement Adebamowo
Jan 26, 2016·American Journal of Clinical Oncology·Daniel X YangJames B Yu
Feb 29, 2016·Journal of Health, Population, and Nutrition·Dohyeong KimPriyanka Vyas
Oct 26, 2016·Cancer Epidemiology·E E Jedy-AgbaC A Adebamowo
Jun 9, 2019·Journal of Substance Abuse Treatment·Yanjia CaoMarcella H Sorg
Dec 1, 2003·Environment and Planning. B, Planning & Design·Wei Luo, Fahui Wang

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Citations

May 1, 2021·International Journal of Environmental Research and Public Health·Parisa BozorgiDwayne E Porter

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Software Mentioned

W3W
OpenStreetMap ( OSM )
2SFCA
Google Maps
ArcGIS
Bing Maps
Geo Tracker
LandScan
What3Words
R

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