Indigenous communities of Peru: Level of accessibility to health facilities
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Date
2022-02-25Author(s)
Hernández-Vásquez, Akram
Bendezu-Quispe, Guido
Turpo Cayo, Efrain Y.
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Show full item recordAbstract
“Objectives: This study aimed to geospatially model the
level of geographic accessibility to health facilities among
Amazonian Indigenous communities in a region of Peru.
Methods: Spatial modeling of the physical accessibility of
the Indigenous communities to the nearest health facility
was performed through cost-distance analysis. The study
area was Loreto, the region with the largest territorial
area and number of Indigenous communities in Peru. The
time required to reach a health facility was determined by
cumulatively adding the time needed to cross the grids on
the lowest cost route from the Indigenous communities’
locations to the nearest health facility, by considering
Amazonian geographical conditions and the main types
of transport used.
Results: The median time to reach a health facility was
0.96 h (interquartile range: 0.45e2.41). Of the total
communities (n ¼ 1043), only 479 (45.93%) communities
were within 1 h from the nearest health facility, and 161
(15.44%) were more than 8 h away. The Indigenous
communities more than 8 h away from a health estab-
lishment were located in the border areas of the depart-
ment of Loreto.
Conclusion: One in two Indigenous communities is more
than 1 h from the nearest health facility.“
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- Web of Science (WOS) [236]