تحلیل فضایی و زمانی دسترسی به خدمات آموزشی و بهداشتی در مناطق روستایی (مطالعه‌‌ی موردی: بخش مرکزی شهرستان تبریز)

نویسندگان

دانشگاه تبریز

چکیده

بیش از 20 میلیون نفر جمعیت در روستاهای کشور زندگی می­کنند که اکثریت قریب به نزدیک آن‌ها به حداقل خدمات بهداشتی و آموزشی جهت رفع نیازهای خود دسترسی ندارند. حتی در مکان­هایی که چنین خدماتی وجود دارد، سطح خدمات­دهی آن­قدر ضعیف است که نمی­توان گفت نیازهای دسترسی آن‌ها به این خدمات برآورده شده است. در سطح روستاهای شهرستان تبریز نیز ضعف دسترسی به خدمات آموزشی و بهداشتی مشکلاتی را برای مردم ایجاد کرده و ضمن طولانی کردن سفرها و افزایش زمان آن‌ها، هزینه­ی افراد را نیز افزایش داده است. این تحقیق به منظور بررسی دسترسی فضایی و زمانی به خدمات بهداشتی و آموزشی در روستاهای بخش مرکزی شهرستان تبریز صورت گرفته است. روش مطالعه از نوع توصیفی-تحلیلی است که بر اساس آن، پس از تشکیل بانک اطلاعات مکانی از فضاهای درمانی و آموزشی در نرم­افزار ArcGIS و با بهره­گیری از مدل­های برآورد دسترسی، وضعیت شاخص­های دسترسی دهستان­های بخش مرکزی شهرستان تبریز به هر یک از خدمات تعیین شد. نتیجه­ی تحلیل بیانگر عدم انطباق بین توزیع جمعیت و پراکنش خدمات آموزشی و بهداشتی است. به‌عبارتی‌دیگر، روستاهای مرکزی و بزرگ دارای دسترسی بهتری نسبت به نواحی پیرامونی هستند اما به دلیل نبود خدمات کافی سطح پوشش ضعیفی دارند.

کلیدواژه‌ها


عنوان مقاله [English]

Spatial and Temporal Analysis of Access to Educational and Health Services in Rural Areas Case Study: Central Part of Tabriz County

نویسندگان [English]

  • Hossein Karimzadeh
  • nahid rahimzadeh
  • zahra shokati
چکیده [English]

Problem definition: More than 20 million people now lives in the country, most of them do not have access to minimum health and education services to meet their needs. Even in places where such services exist, the level of service provision is so low that it cannot be said that their access needs are met. At the level of villages in Tabriz, lack of access to educational and health services has caused people problems and, while prolonging travel and increasing their time, has increased the cost of individuals.
Purpose: This research is designed to answer this question, using descriptive-analytical methods, based on secondary data analysis. Required information was extracted based on library studies and statistical publications of the Statistical Center of Iran, then statistical analysis has been performed.
Methodology: that based on this, after creating a spatial database of therapeutic and educational spaces in ArcGIS software and using estimation models Access, status of access indicators of rural districts in Central Part of Tabriz County was determined for each service. Then the Lorenz curve was used to show the distribution of services in the villages.
Innovation: The innovation of this paper is in the spatial analysis of access to services in the villages and the computation time of their travel time. so far, this study has been done mostly in cities and there is no research in the villages of Iran.
Results: The result of this analysis is the lack of consistency between the distribution of population and the distribution of educational and health services. In other words, the central and large villages have better access to the periphery, but because of lack of adequate services, they have poor coverage.

کلیدواژه‌ها [English]

  • spatial access
  • educational and health services
  • rural in Tabriz County
Agbenyo. F, Nunbogu. A. M, Dongzagla. A(2017). Accessibility mapping of health facilities in rural Ghana, Journal of trasport and health, V(8). Pp. 73-83. Ajiboye. O, Afollayan. O, Wokili. H. (2015). A77 Analysis of transportation and accessibility of rural dwellers in utilizing primary health services in Nigeria, Journal of Transport & Health, 2, 5-63. Arentze, T.A. and Timmermans, H. J. P. (2004). A learning-based transportation oriented simulation system", Transportation Research Part B, 38, 613- 633. Bateman IJ, Garrod GD, Brainard JS, Lovett AA. (1996). Measurement, valuation and estimation issues in the travel cost method: A geographical information systems approach. Journal of Agricultural Economics. 47:191–205. Christie S, Fone D.(2003). Equity of access to tertiary hospitals in Wales: a travel time analysis. Journal of Public Health. 25:244–350. Campaigns. P. (2004),” Accessibility and sustainable local urban communities, Communication Manager Departement for Transport guidance on accessibility planning; No. 12, pp. 22-40. Donnges, C. (2005). Improving access in rural areas, International Labour Organization, 3(15). 100-113. Ellis. D. (1998). Key issues in rural transport in developing coutries, Transport Research Laboratory, 3(10). 202-230. Farrington, J. (2005). Rural accessibility, social inclusion and social justice: towards conceptualization, Journal of Transport Geography, 5(13). 1-12. Getis, A. and Ord, J.K. (2005). The analysis of spatial association by use of distance statistics, Geographical Analysis, 3(24). 189-206. Gilbert, A. and Chakraborty, j. (2011). "Using geographically weighted regression for environmental justice analysis: Cumulative cancer risks from air toxics in Florida", Social Science Research, 273- 286. Guagliardo, M. F. (2004). Spatial Accessibility of Primary Care: Concepts, Methods and Challenges, International Journal of Health Geographics, 3(3). 190-203. Higgs G. (2004). A literature review of the use of GIS-based measures of access to health care services. Health Services & Outcomes Research Methodology. 5:119–139. Higgs G, White S. (2000). Alternatives to census-based indicators of social disadvantage in rural communities. Progress in Planning. 53:1–81. Levinson. K. (2006). Nice work if you can get it: Achieving a sustainable Solution to how pay and in – working poverty, Institute for Public policy research, London, 1-12. Lin. J, Huang. Y, Ho. C. (2014). School accessibility and academic achivement in rural area of Taiwan, Chideren of Geographies, 12(2). Lorestani, A., Yaghoubpour, Z., & Shirzadian, R.(2016). Analysis of spatial distribution of Tehran Metropolis urban services using models of urban planning. Int. J. Hum. Capital Urban Manage., 1(2): 83-92. Martin D, Wrigley H, Barnett S, Roderick P. (2002). Increasing the sophistication of access measurement in a rural healthcare study. Health and Place. 8:3–13. Nutley. S. (2005). Monitoring rural travel behaviour: a longitudinal study in Northen Ireland 1979-2001, Journal of Transport Geography, 3(13), 247-263. Reggiani, A., Bucci, P., & Russo, G. (2010a). Accessibility and impedance forms: empirical applications to the German commuting network, International Regional Science Review, 34(2), 230- 252. Penchansky, R., Thomas, J.W. (1981). The Concept of Access: Definition and Relationship to Consumer Satisfaction, Medical Care, 19(2), 127-140. Pucher. J & Renne. j. (2005). Rural mobility and mode choice: Evidence from the 20001 National Household Travel Survey, Transportation, 32(10), 165- 186. Sarkar. A. (2005). Integrated Rural accessibility planning: Application in Rajasthan (India). ILO, Journal of Health Care Poor Underserv. 18(3), 567- 589. Sarkar. A, Mashiri, M. (2001). Quantification of accessibility levels of rural areas: A case study in the northern province south Africa. Journal of Indian roads, 2(62): 347-376. Shergold. J, Parkhust. G,(2010). The case of transport policy for older citizens in rural areas, Journal of Transport Geography, 18(2), 336-339. Universal Health Coverage and Universal Access, Bulletin of the World Health Organization 2013; 91: 546-546A. Wang, F. & Luo, W.(2005). Assessing Spatial and Non-spatial Factors for Healthcare Access: towards an Integrated Approach to Defining Health Professional Shortage Areas, Journal of Health & Place, 11(2), 46-131.