Makita-Ikouaya E, Mombo J B, Rudant J P, Milleliri J M
Université Omar Bongo, Ecole nationale des eaux et forêts, Libreville, Gabon.
Med Trop (Mars). 2010 Apr;70(2):123-9.
Availability and access to primary healthcare facilities is a subject of great concern in African countries south of the Sahara. Problems remain not only in the range of services but also in equality of access. By definition the public health sector has a responsibility to provide citizens with equal access to care facilities. The purpose of this study was to analyze availability and access to healthcare facilities in Libreville, the capital of Gabon, using health geography tools. These methods allowed measurement of the accessibility of public primary healthcare facilities in Libreville. Specifically the method consisted of quantitative analysis based on maps illustrating patient attraction and buffer zones. Results showed gaps in health care coverage that could lead to unequal access. The main implication of this finding is that the grid of primary healthcare facilities requires revision. A geographical approach to analyze physical geography and requirements in terms of healthcare and healthcare networks would be helpful to assist planning healthcare infrastructure in Libreville.
撒哈拉以南非洲国家的初级医疗保健设施的可及性和获取情况是一个备受关注的问题。问题不仅存在于服务范围，还存在于获取的平等性方面。根据定义，公共卫生部门有责任为公民提供平等获取医疗设施的机会。本研究的目的是使用健康地理学工具分析加蓬首都利伯维尔的医疗保健设施的可及性和获取情况。这些方法能够测量利伯维尔公共初级医疗保健设施的可达性。具体而言，该方法包括基于说明患者吸引力和缓冲区的地图进行定量分析。结果显示了医疗保健覆盖方面的差距，这可能导致获取不平等。这一发现的主要影响是初级医疗保健设施网络需要修订。采用地理学方法分析自然地理以及医疗保健和医疗保健网络方面的需求，将有助于协助规划利伯维尔的医疗基础设施。
