A Study of Children's Geographic Access to Health Services (Health Care Centers and Clinical Laboratories) in Kermanshah City, Iran

Authors

1 Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2 Social Development & Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Research Center for Environmental Determinants of Health(RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran.

4 Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Background
Given that the protection of children's health is of special importance due to their special age and physical conditions, the present study aimed to investigate the condition of children's Geographic access to health services (Health Centers and Clinical Laboratories) in Kermanshah city, Iran.
Materials and Methods: In this applied study, the research approach was descriptive-analytic using quantitative models in Geographic information system (GIS) environment. The statistical population was the whole population of young girls aged 0-14 years old in Kermanshah, Iran. Moreover, to evaluate the spatial deployment pattern of health services and the correct and true access of this groupto such services, all data and information were collected through the Iranian Statistics Center and evaluated using the Arc-GIS Software. The latest published population statistics on the Population and Housing Census in 2011 were considered the basis for the analyses.
Results: The results of the present study demonstrated that more than 40% and 60% of the young girls aged 0-14 years old in Kermanshah were deprived of proper access to health centers and clinical laboratories, respectively. In terms of the status of children’s access in the Second Scenario (access to health services by vehicles) and during 5, 10, and 15 minutes, about 5.53%, 93.1% and 15.1% lacked access to health centers, respectively. In addition, in terms of the status of children’s access to clinical laboratories during 5, 10, and 15 minutes, 17.26%, 65.4% and 51% lacked access to clinical laboratories, respectively.
Conclusion: The access of young girls aged 0-14 years old to health services in Kermanshah was undesirable in the access to health services through walking. Additionally, the access of this groupto health services in the access to health services by vehicles was far better than the first one.

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