Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long?
Background: Ensuring timely access to safe and affordable surgery within a travel time of a 2-h drive or 30-min walk is crucial for achieving universal health coverage, as endorsed by the Lancet Commission on Global Surgery (LCoGS). In this study, we aimed to quantify the percentage of Indonesian wo...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2024-12-01
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| Series: | Annals of Global Health |
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| Online Access: | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4598 |
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| author | Brahmana Askandar Tjokroprawiro Hanif Ardiansyah Sulistya Farizal Rizky Muharram Renata Alya Ulhaq Alifina Izza Budi Prasetyo Khoirunnisa Novitasari Budi Wiweko Pandu Hanindito Habibie Arya Ananda Indrajaya Lukmana Muhammad Muhibuddin Hilmy Asari |
| author_facet | Brahmana Askandar Tjokroprawiro Hanif Ardiansyah Sulistya Farizal Rizky Muharram Renata Alya Ulhaq Alifina Izza Budi Prasetyo Khoirunnisa Novitasari Budi Wiweko Pandu Hanindito Habibie Arya Ananda Indrajaya Lukmana Muhammad Muhibuddin Hilmy Asari |
| author_sort | Brahmana Askandar Tjokroprawiro |
| collection | DOAJ |
| description | Background: Ensuring timely access to safe and affordable surgery within a travel time of a 2-h drive or 30-min walk is crucial for achieving universal health coverage, as endorsed by the Lancet Commission on Global Surgery (LCoGS). In this study, we aimed to quantify the percentage of Indonesian women of reproductive age (WRA) who can access a hospital with emergency obstetric and gynecological services within this time frame. In addition, we aimed to identify the underserved populations. Methods: We identified hospitals across 38 provinces using the database from the Indonesian Society of Obstetricians and Gynecologists (ISOG) and the Indonesian Ministry of Health database that provide emergency obstetric services. We conducted geospatial analysis using the cost of distance and service area tools in ArcGIS Pro with WRA population data derived from Facebook’s high-resolution settlement layer (HRSL) maps. Results: Of the 3,202 recorded hospitals, 2,855 (89.2%) had an obstetric gynecologist (OBGYN). The workforce of 5,305 OBGYNs consisted of 4,857 (91.6%) actively practicing OBGYNs, of which 3,405 (64.2%) practice in hospitals only. Of the WRA population, 94.5% lived within 2 h of a facility. However, eight provinces had low timely access to these hospitals. Conclusion: Indonesia provides universal health coverage; however, stark disparities exist in the geographic access to emergency obstetric surgical care in certain provinces. Geospatial mapping and survey data work together to aid in assessing the strength of the surgical system and in identifying gaps in geographic access to timely surgery. |
| format | Article |
| id | doaj-art-b6b6056013534ddb862d49a5a61ac37c |
| institution | Kabale University |
| issn | 2214-9996 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj-art-b6b6056013534ddb862d49a5a61ac37c2025-01-08T07:52:55ZengUbiquity PressAnnals of Global Health2214-99962024-12-01901828210.5334/aogh.45984598Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long?Brahmana Askandar Tjokroprawiro0https://orcid.org/0000-0003-1658-3477Hanif Ardiansyah Sulistya1https://orcid.org/0000-0002-5032-2775Farizal Rizky Muharram2https://orcid.org/0000-0001-5353-8603Renata Alya Ulhaq3https://orcid.org/0000-0001-7660-8213Alifina Izza4https://orcid.org/0000-0002-0546-6024Budi Prasetyo5https://orcid.org/0000-0002-7237-9959Khoirunnisa Novitasari6https://orcid.org/0000-0002-7315-5180Budi Wiweko7https://orcid.org/0000-0002-5898-7034Pandu Hanindito Habibie8https://orcid.org/0009-0003-0381-4691Arya Ananda Indrajaya Lukmana9Muhammad Muhibuddin Hilmy Asari10https://orcid.org/0000-0002-5636-3906Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; Indonesian Society of Obstetricians and Gynecologists, JakartaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; ARC Institute, SurabayaARC Institute, Surabaya, Indonesia; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MADepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; ARC Institute, SurabayaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; ARC Institute, SurabayaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; Indonesian Society of Obstetricians and Gynecologists, JakartaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; Indonesian Society of Obstetricians and Gynecologists, JakartaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General Hospital, Jakarta; Indonesia Medical Education Research Institute (IMERI), Faculty of Medicine Universitas Indonesia – Jakarta; Indonesian Society of Obstetricians and Gynecologists, JakartaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya; Indonesian Society of Obstetricians and Gynecologists, JakartaIndonesian Society of Obstetricians and Gynecologists, JakartaARC Institute, Surabaya; Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, SurabayaBackground: Ensuring timely access to safe and affordable surgery within a travel time of a 2-h drive or 30-min walk is crucial for achieving universal health coverage, as endorsed by the Lancet Commission on Global Surgery (LCoGS). In this study, we aimed to quantify the percentage of Indonesian women of reproductive age (WRA) who can access a hospital with emergency obstetric and gynecological services within this time frame. In addition, we aimed to identify the underserved populations. Methods: We identified hospitals across 38 provinces using the database from the Indonesian Society of Obstetricians and Gynecologists (ISOG) and the Indonesian Ministry of Health database that provide emergency obstetric services. We conducted geospatial analysis using the cost of distance and service area tools in ArcGIS Pro with WRA population data derived from Facebook’s high-resolution settlement layer (HRSL) maps. Results: Of the 3,202 recorded hospitals, 2,855 (89.2%) had an obstetric gynecologist (OBGYN). The workforce of 5,305 OBGYNs consisted of 4,857 (91.6%) actively practicing OBGYNs, of which 3,405 (64.2%) practice in hospitals only. Of the WRA population, 94.5% lived within 2 h of a facility. However, eight provinces had low timely access to these hospitals. Conclusion: Indonesia provides universal health coverage; however, stark disparities exist in the geographic access to emergency obstetric surgical care in certain provinces. Geospatial mapping and survey data work together to aid in assessing the strength of the surgical system and in identifying gaps in geographic access to timely surgery.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4598geospatial analysisemergency obstetric surgical careglobal surgeryindonesia |
| spellingShingle | Brahmana Askandar Tjokroprawiro Hanif Ardiansyah Sulistya Farizal Rizky Muharram Renata Alya Ulhaq Alifina Izza Budi Prasetyo Khoirunnisa Novitasari Budi Wiweko Pandu Hanindito Habibie Arya Ananda Indrajaya Lukmana Muhammad Muhibuddin Hilmy Asari Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? Annals of Global Health geospatial analysis emergency obstetric surgical care global surgery indonesia |
| title | Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? |
| title_full | Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? |
| title_fullStr | Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? |
| title_full_unstemmed | Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? |
| title_short | Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long? |
| title_sort | geospatial access to emergency obstetric surgery in indonesia is travel time for access too long |
| topic | geospatial analysis emergency obstetric surgical care global surgery indonesia |
| url | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4598 |
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