Makita-Ikouaya E
Université Omar Bongo, BP 3350 Libreville, Gabon.
Med Sante Trop. 2016 Aug 1;26(3):326-331. doi: 10.1684/mst.2016.0600.
Libreville, capital of the Gabonese Republic takes, is part of the worldwide urban planning movement that has recently reached the emerging nations. In this context of increasing urbanization, the health coverage of the population is an important issue. We conducted a field study of the health facilities of all sectors to collect geographical coordinates to map them in 2014. Overall, we mapped 447 medical facilities. Then, in March 2014 we selected 300 households for an investigation in 3 districts (Nkembo, Nzeng Ayong, and Melen) of Libreville. The objective of the investigation was to collect the households' opinions about the geographical accessibility of these facilities. The results enabled us to map these facilities and showed a gradient. Assessment of the distance between these facilities according to district showed that the central district of Nkembo is closer to them than were the pericentral and peripheral neighborhoods. These results tend to show spatial disparities in the supply of health care. At the same time, the assessment of the geographical distance between these facilities and users' homes varies according to the type of district. These results raise the issue of urban planning and healthcare supply in Libreville.
加蓬共和国首都利伯维尔是全球城市规划运动的一部分，该运动最近已波及新兴国家。在城市化进程不断加快的背景下，人口的医疗覆盖范围是一个重要问题。2014年，我们对所有区域的卫生设施进行了实地研究，收集地理坐标以绘制地图。总体而言，我们绘制了447个医疗设施的地图。然后，2014年3月，我们在利伯维尔的3个区（恩肯博、恩泽恩阿永、梅伦）挑选了300户家庭进行调查。调查目的是收集这些家庭对这些设施地理可达性的意见。结果使我们能够绘制这些设施的地图，并显示出一种梯度。根据区域对这些设施之间的距离进行评估表明，恩肯博中心区比周边和外围社区离这些设施更近。这些结果往往表明医疗供应存在空间差异。与此同时，根据区域类型的不同，对这些设施与用户家庭之间地理距离的评估也有所不同。这些结果引发了利伯维尔城市规划和医疗供应的问题。
