Characterizing the geography of potential healthcare accessibility in informal settlements in the Greater Kumasi area of Ghana

摘要

Characterizing accessibility to healthcare is complex, requiring the consideration of geography, socioeconomic and cultural factors. The Three-Step Floating Catchment Area (3SFCA) was used to account for population demand, the capacity of health facilities, and the geographic separations between locations of demand and supply in the Greater Kumasi, Ghana. The results show that accessibility to healthcare is low, about 2.34 physicians per 10,000 persons. The facilities have favorable geography: high number, detailed coverage, and proximity, but plagued with low numbers of physicians and high demand. The study synthesized analytical results with questionnaire survey to better characterize accessibility to healthcare by geography.