Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data
Background To attain universal health care, health managers need to monitor progress in service uptake, changes and geographic coverage. Although routine health management information systems are now well established in many resource-constrained countries, such data have not yet been used to examine...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2025.2513861 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849688556387172352 |
|---|---|
| author | Winfred Dotse-Gborgbortsi Kristine Nilsen Ortis Yankey Anthony Ofosu Thomas Ankomah Eric Tweneboah Ignatius Aklikpe Chrysantus Kubio Alberta Biritwum-Nyarko Andrew Tatem Jim Wright |
| author_facet | Winfred Dotse-Gborgbortsi Kristine Nilsen Ortis Yankey Anthony Ofosu Thomas Ankomah Eric Tweneboah Ignatius Aklikpe Chrysantus Kubio Alberta Biritwum-Nyarko Andrew Tatem Jim Wright |
| author_sort | Winfred Dotse-Gborgbortsi |
| collection | DOAJ |
| description | Background To attain universal health care, health managers need to monitor progress in service uptake, changes and geographic coverage. Although routine health management information systems are now well established in many resource-constrained countries, such data have not yet been used to examine geographic access trends over time. Objective This study aims to quantify changing patterns of geographic access to healthcare in the Volta Region, Ghana. Methods The repeated cross-sectional ecological spatio-temporal analysis used routine health management information systems data from 2016 to 2022, and geospatial data to examine changes in healthcare accessibility and services provided for population subgroups. Changes in healthcare provision, travel time to services and population coverage were estimated. Results Most health facilities (60.6%) provided the same range of services or added new services between 2016 and 2022. Childhood immunisation services had the highest geographic coverage within 30 min of the nearest health facility from 2016 to 2022 (minimum 97.2%), while Caesarean births had the lowest (maximum 75.2%). More health facilities provide antenatal services (2022: 59.9%) than birthing care (2022: 52.6%). Of all new health facilities, 93.2% were Community Health Planning and Services (CHPS) facilities. The majority of the population lived within 30 min of services in 2016 and 2022 for all the services studied. Conclusion The study provides a new approach to monitoring service changes through routine health data and spatial analysis. The analysis provided evidence to improve geographic accessibility, address gaps in service changes and consolidate the gains of high geographic coverage with quality care. |
| format | Article |
| id | doaj-art-e6d31a48243049609e8086bc3658eb31 |
| institution | DOAJ |
| issn | 1654-9880 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-e6d31a48243049609e8086bc3658eb312025-08-20T03:21:56ZengTaylor & Francis GroupGlobal Health Action1654-98802025-12-0118110.1080/16549716.2025.25138612513861Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility dataWinfred Dotse-Gborgbortsi0Kristine Nilsen1Ortis Yankey2Anthony Ofosu3Thomas Ankomah4Eric Tweneboah5Ignatius Aklikpe6Chrysantus Kubio7Alberta Biritwum-Nyarko8Andrew Tatem9Jim Wright10University of SouthamptonUniversity of SouthamptonUniversity of SouthamptonUHASGhana Health Service, HeadquartersUniversity of SouthamptonVolta Regional Health DirectorateVolta Regional Health DirectorateGhana Health Service, HeadquartersUniversity of SouthamptonUniversity of SouthamptonBackground To attain universal health care, health managers need to monitor progress in service uptake, changes and geographic coverage. Although routine health management information systems are now well established in many resource-constrained countries, such data have not yet been used to examine geographic access trends over time. Objective This study aims to quantify changing patterns of geographic access to healthcare in the Volta Region, Ghana. Methods The repeated cross-sectional ecological spatio-temporal analysis used routine health management information systems data from 2016 to 2022, and geospatial data to examine changes in healthcare accessibility and services provided for population subgroups. Changes in healthcare provision, travel time to services and population coverage were estimated. Results Most health facilities (60.6%) provided the same range of services or added new services between 2016 and 2022. Childhood immunisation services had the highest geographic coverage within 30 min of the nearest health facility from 2016 to 2022 (minimum 97.2%), while Caesarean births had the lowest (maximum 75.2%). More health facilities provide antenatal services (2022: 59.9%) than birthing care (2022: 52.6%). Of all new health facilities, 93.2% were Community Health Planning and Services (CHPS) facilities. The majority of the population lived within 30 min of services in 2016 and 2022 for all the services studied. Conclusion The study provides a new approach to monitoring service changes through routine health data and spatial analysis. The analysis provided evidence to improve geographic accessibility, address gaps in service changes and consolidate the gains of high geographic coverage with quality care.http://dx.doi.org/10.1080/16549716.2025.2513861stig wall |
| spellingShingle | Winfred Dotse-Gborgbortsi Kristine Nilsen Ortis Yankey Anthony Ofosu Thomas Ankomah Eric Tweneboah Ignatius Aklikpe Chrysantus Kubio Alberta Biritwum-Nyarko Andrew Tatem Jim Wright Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data Global Health Action stig wall |
| title | Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data |
| title_full | Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data |
| title_fullStr | Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data |
| title_full_unstemmed | Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data |
| title_short | Spatio-temporal patterns of health service delivery and access to maternal, child, and outpatient healthcare in Volta region, Ghana: a repeated cross-sectional ecological study using health facility data |
| title_sort | spatio temporal patterns of health service delivery and access to maternal child and outpatient healthcare in volta region ghana a repeated cross sectional ecological study using health facility data |
| topic | stig wall |
| url | http://dx.doi.org/10.1080/16549716.2025.2513861 |
| work_keys_str_mv | AT winfreddotsegborgbortsi spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT kristinenilsen spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT ortisyankey spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT anthonyofosu spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT thomasankomah spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT erictweneboah spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT ignatiusaklikpe spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT chrysantuskubio spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT albertabiritwumnyarko spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT andrewtatem spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata AT jimwright spatiotemporalpatternsofhealthservicedeliveryandaccesstomaternalchildandoutpatienthealthcareinvoltaregionghanaarepeatedcrosssectionalecologicalstudyusinghealthfacilitydata |