The effect of distance to health-care facilities on childhood mortality in rural Burkina Faso. Furthermore, the recent proliferation of binational projects promoted and financed by international organizations is tending to set the framework for a new era of cross-border cooperation [ 41 ] in different fields, including health issues. For the supply side: Binational cooperation in health The Haitian health master plan — considers reinforcing coordination with the Dominican Republic in order to reduce health issues in the epidemiological field in the borderland ly. Legislation Dominican Republic Lexadin The aim of this paper is to evaluate the spatial accessibility of health care services for Haitians living along the Haitian-Dominican border, and to measure the impact of this border on their health care access using the well-known E2SFCA method.
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A Bayesian Model Averaging Approach. Legislation Dominican Republic Lexadin These scenarios are hypothetical, since the level of control is not the same along the border or at the informal crossing points or entry points. Measures of spatial accessibility to health care in a GIS environment: But the intensity and importance of the commercial exchanges for both countries, at different levels, may act as a leverage for conflict settlement.
From tothe border was closed a number of times for varying numbers of hours or days. On the other hand, few studies [ ] have indicated that the ratio of foreigners using health care facilities is higher in the Dominican borderland region compared with the rest of the country. Methods To measure the impact of the opening of the border on the spatial access to health care, we consider different scenarios with varying border crossing time impedance: A three-step floating catchment area method for analyzing spatial access to health services.
This is a MUST. Closed border With the border closed, the results show the potential spatial accessibility health care facilities in each country Fig.
The authors are grateful for the financial support provided by the Canada Research Chair in Environmental Equity. The areas with the highest level of accessibility are those where hospitals with a larger number of health professionals are located. The red ones are those gaining better access when the border is closed.
Geographic constraints as well as road conditions can trigger low access to health care impact the use of health care facilities, with important repercussions for health outcomes and public health. Various mechanisms are in place in the Dominican Republic to regulate such flows illegality of the Haitian work force, massive deportations, etc. The geographic locations of public health facilities in each country have been collected leu the websites of the health secretaries of Haiti and the Dominican Republic.
The neighbourhood was the finest spatial unit available. The spatial Durbin matrix exponential model has theoretical and computational advantages over the spatial autoregressive specification due to the ease of inversion, differentiation and integration of the matrix exponential. The pey population is for the SDE and for the Barrio. Cross-border spatial accessibility of health care in the North-East Department of Haiti Since the area studied includes rural areas, the catchment area within a min driving, motorbiking and walking time has been divided into four travel time zones, as proposed by some authors [ ]: Funding The authors are grateful for the financial support provided by the Canada Research Chair in Environmental Equity.
Bookmarks Bookmarks Digg del. It is worth noticing that the challenges for both countries regarding those issues are high even more when considering the results of the potential spatial accessibility model.
Their comments are in line with evidence from other studies addressing cross-border health care mobility in different contexts [ ]. There are also coordinated vaccination campaigns in the borderland regions. I am American and live in the DR about half the year. The approach expands on the work by LeSage and Fischer by reducing the computational costs through the use of Bayesian information criterion model weights and a matrix exponential specification of the SDM model.
Two of these dimensions are spatial: The Haitian health master plan — considers reinforcing coordination with the Dominican Republic in order to reduce health issues in the epidemiological field in the borderland regions.
Cross-border movements from both sides have existed since lley colonial period, but Haitian labour flows started in the early twentieth century with the North American occupation of both countries [ — 48 ]. The cross-border metropolis in a global age: Two features stand out. TOP Related Posts.
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Kazrashura All papers reproduced by permission. It is also fragmented, with a supply offered by many institutions public and private and facilities that are not well integrated into the health care network [ 52 ]. Environ Plan B Plan Des. In this article, we focus on potential spatial accessibility in a borderland context. To facilitate the comparison between the four scenarios, a quantile classification with five classes has been used and mapped Fig.
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