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dc.contributor.authorCaulfield, Brianen
dc.date.accessioned2020-01-23T11:48:58Z
dc.date.available2020-01-23T11:48:58Z
dc.date.issued2019en
dc.date.submitted2019en
dc.identifier.citationBenevenuto, R., Azevedo, I. C.C., Caulfield, B, Assessing the spatial burden in health care accessibility of low-income families in Rural Northeast Brazil, Journal of Transport and Health, 14, 2019, 100595en
dc.identifier.otherYen
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S2214140519300210
dc.identifier.urihttp://hdl.handle.net/2262/91368
dc.descriptionPUBLISHEDen
dc.description.abstractIntroduction: This paper explores the spatial burden in healthcare accessibility of low-income families in rural Northeast Brazil. The Northeast region accounts alone for more than half (63%) of the population living in extreme poverty in Brazil and the majority of these people (57%) live in rural areas. To overcome the scarcity of geospatial data in such context, this study proposes an innovative proxy for tracking the location of the rural low-income households. Methods: A dataset composed of the location of almost half a million cisterns provided by the Federal Government to low-income households of this region is evaluated in terms of accuracy and Euclidean distance to healthcare centres (Primary care, Emergency Care and Hospitals) by means of statistical and GIS tools. Results: Evidence shows that such dataset, beyond having an inaccuracy of less than 105 m, is also substantially representative. The findings on healthcare accessibility show that 53.5% of the rural low-income population in Northeast Brazil are living farther than 5 km from the nearest Primary care centre and over 60% are at a distance greater than 10 km from the closest higher complexity healthcare centre (Hospitals and Emergency care units). Conclusions: These results emphasise that the majority of this rural low-income population, who mostly live in a walking world (Porter, 2002), experience an insurmountable spatial burden preventing them from accessing public health services. It is argued that the availability of geo-location of low-income households registered in Social Programs (like the Cisterns Program) would enable a significant step forward in the Brazilian Transport and Public health planning. This study not only calls attention to the major hurdle faced by low-income families in Northeast Brazil but also offers a direction to where and for whom new transport and health interventions are particularly needed in the Latin American context.en
dc.format.extent100595en
dc.language.isoenen
dc.relation.ispartofseriesJournal of Transport and Healthen
dc.relation.ispartofseries14en
dc.rightsYen
dc.subjectHealthcare accessibilityen
dc.subjectSpatial analysisen
dc.subjectLow-incomeen
dc.subjectNortheast Brazilen
dc.titleAssessing the spatial burden in health care accessibility of low-income families in Rural Northeast Brazilen
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/caulfiben
dc.identifier.rssinternalid210534en
dc.identifier.doihttps://doi.org/10.1016/j.jth.2019.100595
dc.rights.ecaccessrightsopenAccess
dc.subject.TCDThemeInclusive Societyen
dc.subject.TCDThemeSmart & Sustainable Planeten
dc.identifier.orcid_id0000-0003-3877-475Xen
dc.subject.darat_thematicPolicyen
dc.subject.darat_thematicPovertyen
dc.subject.darat_thematicTransporten
dc.status.accessibleNen


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