Spatial accessibility to health care services among children with cerebral palsy in Johor, Peninsular Malaysia

Submitted: 8 February 2021
Accepted: 18 May 2021
Published: 19 October 2021
Abstract Views: 2019
PDF: 668
HTML: 115
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Cerebral palsy (CP) is one of the most common causes of disability in childhood, leading to functional limitations and poor nutritional status. Families with CP children face challenges in providing proper care. Thus, accessibility of CP patients to health facilities is important to ensure that they can maintain regular visits to health facilities for proper treatment and care. The current study aimed to map the spatial distribution of CP in Johor, Malaysia and measure the accessibility of CP patients to nearby hospitals, health clinics and community-based rehabilitation centres. The study is based on CP cases in 2017 obtained from the Department of Social Welfare, Malaysia and analysed using the average nearest neighbour, buffer analysis and Kernel Density Estimation. Results indicate that there is generally good access to health care services for many of the CP children in Johor, but for 25% of those living more than 10 km away from the health clinics or community-based rehabilitation centres, regular visits can be a problem. This information should be used for targeted intervention and planning for health care strategies. Furthermore, information on hospital accessibility of CP children would allow for planning of proper and regular treatment for these patients. The study has shown that it is possible to improve the understanding of the distribution of CP cases by integrating spatial analysis using geographical information systems without relying on official information about the density of populations.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Ali TS, Krantz G, Gul R, Asad N, Johansson E, Mogren I. 2011. Gender roles and their influence on life prospects for women in urban Karachi, Pakistan: a qualitative study. Glob Health Action 4:7448. DOI: https://doi.org/10.3402/gha.v4i0.7448
Asera-Akuffo F, Twumasi-Boakye R, Appiah-Opoku S, Sabanjo OJ, 2020. Spatial accessibility to hospital facilities: the case of Kumasi, Ghana. Afr Geogr Rev 39:120-33. DOI: https://doi.org/10.1080/19376812.2019.1636667
Azimi A, Bagheri N, Mostafavi SM, Furst MA, Hashtarkhani S, Amin FH, Eslami S, Kiani F, VafaeiNazhad R, Akbari T, Golabpour A, Kiani B. 2021. Spatial-time analysis of cardiovascular emergency medical request: enlightening policy and practice. BMC Pub Heath 21:1-12. DOI: https://doi.org/10.1186/s12889-020-10064-1
Casas I, Delmelle E, Delmelle EC. 2017. Potential versus revealed access to care during a dengue fever outbreak. J Transp Health 4:18-29. DOI: https://doi.org/10.1016/j.jth.2016.08.001
Department of Social Walfare, 2018. Available from: http://www.jkm.gov.my/ Accessed: May 12, 2020.
Department of Statistics Malaysia, 2017. Available from: https://www.dosm.gov.my/v1_/ Accessed: May 12, 2020.
Department of Statistics Malaysia, 2018. Available from: https://www.dosm.gov.my/v1_/ Accessed: May 12, 2020.
Department of Statistics Malaysia, 2020. Available from: https://www.dosm.gov.my/v1_/ Accessed: May 12, 2020.
ESRI, 2015. Spatial analysis tool. Available from: https://pro.arcgis.com/en/pro-app/tool reference/spatialanalyst/htm Accessed: April 24, 2019.
Dimitrijeric L, Jakubi BJ. 2005. The importance of early diagnosis and early physical treatment of cerebral palsy. FU Med Biol 12:199-22.
Hare TS, Barcus HR, 2007. Geographical accessibility and Kentucky’sheart-related hospital services. Appl Geogr 27:181-205. DOI: https://doi.org/10.1016/j.apgeog.2007.07.004
Hashtarkhani S, Kiani B, Bergquist R, Bagheri N, VafaeiNejad R, Tara M. 2019. An age-integrated approach to improve measurement of potential spatial accessibility to emergency medical services for urban areas. Int J Health Plan Manag 35:788-98. DOI: https://doi.org/10.1002/hpm.2960
Hazrin M, Hiong GH, Jai N, Yeop N, Hatta M, Paiwai F, Joanita S, Warijo O. 2016. Spatial distribution of dengue incidence: a case study in Putrajaya. Int J Geogr Inf Syst 8:89-97. DOI: https://doi.org/10.4236/jgis.2016.81009
Himmelmann K, Uvebrant, P. 2014. The panorama of cerebral palsy in Sweden. XI. Changing patterns in the birthâ€year period 2003-2006. Foundation Act Paediat 103:618-24. DOI: https://doi.org/10.1111/apa.12614
Holmes JL, Joshi A, Lorenz Z, Miller F, Dabney K, Connor J, Karatas AF, 2013. Pediatric cerebral palsy life expectancy: Has survival improved over time? Pediatr Ther 3:6-11.
Institute of Medicine (US) Committee on Monitoring Access to Personal Health Care Services, 1993. Millman M, editor. Access to health care in America. National Academies Press (US), Washington, DC, USA. Available from: https://www.ncbi.nlm.nih.gov/ Accessed: February 9, 2020.
Johns ML, 2002. Health information management technology: an applied approach. American Health Information Management, Etats-Unis, Association, Chicago, IL, USA, 250 pp.
Jordan H, Roderick P, Martin D, Barnett S, 2004. Distance, rurality and the need for health care: Access to health services in Southwest England. Int J Health Geogr 3:21. DOI: https://doi.org/10.1186/1476-072X-3-21
Khakh AK, Fast V, Shahid R. 2019. Spatial accessibility to primary healthcare services by multimodal mean of travel: synthesis and case study in the city of Calgary. Int J Environ Res Public Health 16:170. DOI: https://doi.org/10.3390/ijerph16020170
Kiani B, Bagheri N, Tara A, Hoseini B, Tabesh H, Tara M, 2017. Revealed access to haemodialysis facilities in northeastern Iran: Factors that mateer in rural and urban areas. Geospat Health 12:237-44. DOI: https://doi.org/10.4081/gh.2017.584
Kiani B, Bagheri N, Tara A, Hoseini B, Hashtarkhani S, Tara M, 2018. Comparing potential spatial access with self-reported travel times and cost analysis to haemodialysis facilities in North-eastern Iran. Geospat Health 13:240-6. DOI: https://doi.org/10.4081/gh.2018.703
Levesque, J-F, Harris MF, Russell G. 2013. Patient-centred access to health care: Conceptualising access at the interface of health systems and populations. Int J Equity Health 12:18. DOI: https://doi.org/10.1186/1475-9276-12-18
Majrooh MAS, Hasnain J, Akram A, Siddiqui A, Shah F, Memon ZA. 2013. Accessibility of antenatal services at primary healthcare facilities in Punjab, Pakistan. J Pak Med Assoc 63:60-6.
Malik SM, Ashraf N, 2016. Equity in the use of public services for mother and newborn child health care in Pakistan: a utilization incidence analysis. Int J Equity Health 15:1-12. DOI: https://doi.org/10.1186/s12939-016-0405-x
Mateen ABT, Shaikh, Kumar R. 2013. Emergency obstetrics care services in District Neelum, Azad Jammu and Kashmir. J Ayub Med Coll Abbottabad 25:194-7.
McGrail MR, Humphreys, JS. 2014. Measuring spatial accessibility to primary health care services: utilising dynamic catchment sizes. Appl Geogr 54:182-8. DOI: https://doi.org/10.1016/j.apgeog.2014.08.005
McGrail MR, 2012. Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements. Int J Health Geogr 2012:11:50-61. DOI: https://doi.org/10.1186/1476-072X-11-50
McNeil A, Evans Sue M, Clissold B, Cameron P, 2009. Guidelines for the establishment and management of clinical registries. Proceedings of the Australian Commission on Safety and Quality in Health Care.
Munoz UH, Kallestal C. 2012. Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. Int J Health Geogr 11:40. DOI: https://doi.org/10.1186/1476-072X-11-40
Murad A, 2018. Using GIS for determining variations in health access in Jeddah City, Saudi Arabia. Int J Geo-Inf 7:254-65. DOI: https://doi.org/10.3390/ijgi7070254
Novak I, 2014. Evidence-based diagnosis, health care, and rehabilitation for children with cerebral palsy. J Child Neurol 29:1141-56. DOI: https://doi.org/10.1177/0883073814535503
Paez A, Mercado RG, Farber S, Morency C, Roorda M, 2010. Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents. Int J Health Geogr 9:52. DOI: https://doi.org/10.1186/1476-072X-9-52
Panezai S, Ahmad MM, Saqib SE, 2017. Factors affecting access to primary health care services in Pakistan: a gender-based analysis. Dev Pract 27:813-27. DOI: https://doi.org/10.1080/09614524.2017.1344188
Papavasileiou A, Petra M, 2020. Risk factors for developing cerebral palsy. In: Miller F, Bachrach S, Lennon N, O’Neil ME (Eds.), Cerebral palsy. Springer, Cham. DOI: https://doi.org/10.1007/978-3-319-74558-9_219
Penchansky R, Thomas JW, 1981. The concept of access: definition and relation to consumer satisfaction. Med Care 19:127-40. DOI: https://doi.org/10.1097/00005650-198102000-00001
Qureshi RN, Sheikh S, Khowaja AR, Hoodbhoy Z, Zaidi S, Sawchuck D, von Dadeslzen P, 2016. Relationship of family formation characteristics with unsafe abortion: is it confounded by women’s socio-economic status - a case control study from Sri Lanka. J Reprod Health 13:1-9. DOI: https://doi.org/10.1186/s12978-016-0173-5
Rahimi F, Rezaee R, Goli A. 2018. Spatial assessment of accessibility to public healthcare services: a case study on accessibility to hospital in Shiraz. J Health Manag Info 5:104-10.
Rekha RS, Wajid S, Radhakrishnan N, Methew S. 2017. Accessibility analysis of health care facility using geospatial techniques accessibility analysis of health care facility using geospatial techniques. Transp Res Pro 27:1163-70. DOI: https://doi.org/10.1016/j.trpro.2017.12.078
Samat N, Jambi D, Musa NS, Manan AAB, Sulaiman Y, 2010. Using a geographic information system (GIS) in evaluating the accessibility of health facilities for breast cancer patients in Penang State, Malaysia. Kajian Malaysia 28:103-22.
Samat N, Shattar AKA, 2013. Spatial accessibility of cancer patients to health care facilities in Kelantan State: a study on medical geography. In: Samat N, Rahaman AZ, Dawood SRS, Ismail, WR, Rainis R (Eds.), Selected issues on health and environment. Universiti Pendidikan Sultan Idris, Perak, Malaysia.
Sankar C, Mundkur N. 2005. Cerebral palsy-definition, classification, etiology and early diagnosis. Indian J Pediatr 72:865-8. DOI: https://doi.org/10.1007/BF02731117
Silverman BW, 1986. Density estimation for statistics and data analysis. Chapman and Hall, New York, NY, USA.
Smiley MJ, Diez Roux AV, Brines SJ, 2010. A spatial analysis of health-related resources in three diverse metropolitan areas. Health Place 16:85-92. DOI: https://doi.org/10.1016/j.healthplace.2010.04.014
Soleimani F, Vameghi R, Rassafiani M, Akbar FN, Nobakht Z, 2011. Cerebral palsy: motor types, gross motor function and associated disorders. Iran Rehabil J 11:21-31.
Stavsky M, Mor O, Mastrolia SA, Greenbaum S, Than NG, Erez O, 2017. Cerebral palsy-trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention. Front Pediatr 5:1-10. DOI: https://doi.org/10.3389/fped.2017.00021
Trabacca A, Vespino T, Di Liddo A, Russo L. 2016. Multidisciplinary rehabilitation for patients with cerebral palsy: Improving long-term care. J Multidiscip Healthc 9:455-62. DOI: https://doi.org/10.2147/JMDH.S88782
World Health Organization, 2015. Barriers and facilitating factors in access to health services in Greece. Available from: http://www.euro.who.int/pubrequest Accessed: May 8, 2020.
Yin C, He Q, Liu Y, Chen W, Gao Y. 2018. Inequality of public health and its role in spatial accessibility to medical facilities in China. App Geogr 92:50-62. DOI: https://doi.org/10.1016/j.apgeog.2018.01.011
Zheng Z, Xia H, Ambinakudige S, Qin Y, Li Y, Xie Z, Zhang L, Gu H. 2019. Spatial accessibility to hospital based on web mapping API: an empirical study in Kaifeng, China. Sustainability 11:1160. DOI: https://doi.org/10.3390/su11041160
Zhu L, Zhong S, Tu W, Zheng J, He S, Bao J, Huang C. 2019. Assessing spatial accessibility to medical resources at the community level in Shenzhen, China. Int J Environ Res Public Health 16:242. DOI: https://doi.org/10.3390/ijerph16020242

How to Cite

Abu Bakar, M. A., Samat, N. ., & Yaacob, N. S. (2021). Spatial accessibility to health care services among children with cerebral palsy in Johor, Peninsular Malaysia. Geospatial Health, 16(2). https://doi.org/10.4081/gh.2021.987