rdf-syntax-grammar
mods:
  schema location: http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
  title info:
    title: Mapping physical access to health care for older adults in sub-Saharan Africa and implications for the COVID-19 response
    sub title: a cross-sectional analysis
  name:
    name part: Geldsetzer, Pascal
    role:
      role term: creator
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Maurer, Marcel
    name part: 1993-
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Ouma, Paul O.
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Lautenbach, Sven
    name part: 1969-
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Okiro, Emelda A.
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Bärnighausen, Till
    name part: 1969-
    role:
      role term: VerfasserIn
    role:
      role term: aut
  name:
    name part: Zipf, Alexander
    name part: 1971-
    role:
      role term: VerfasserIn
    role:
      role term: aut
  type of resource: text
  origin info:
    place:
      place term: xx
    date issued: 2020
    issuance: monographic
  language:
    language term: eng
  physical description:
    form: remote
    extent: 11
  abstract: Summary Background Severe acute respiratory syndrome coronavirus 2, the virus causing COVID-19, is rapidly spreading across sub-Saharan Africa. Hospital-based care for COVID-19 is often needed, particularly among older adults. However, a key barrier to accessing hospital care in sub-Saharan Africa is travel time to the nearest health-care facility. To inform the geographical targeting of additional health-care resources, we aimed to estimate travel time at a 1 km × 1 km resolution to the nearest hospital and to the nearest health-care facility of any type for adults aged 60 years and older in sub-Saharan Africa. Methods We assembled a dataset on the geolocation of health-care facilities, separately for hospitals and any type of health-care facility and including both private-sector and public-sector facilities, using data from the OpenStreetMap project and the Kenya Medical Research Institute-Wellcome Trust Programme. Population data at a 1 km × 1 km resolution were obtained from WorldPop. We estimated travel time to the nearest health-care facility for each 1 km × 1 km grid using a cost-distance algorithm. Findings 9·6% (95% CI 5·2-16·9) of adults aged 60 years or older across sub-Saharan Africa had an estimated travel time to the nearest hospital of 6 h or longer, varying from 0·0% (0·0-3·7) in Burundi and The Gambia to 40·9% (31·8-50·7) in Sudan. For the nearest health-care facility of any type (whether primary, secondary, or tertiary care), 15·9% (95% CI 10·1-24·4) of adults aged 60 years or older across sub-Saharan Africa had an estimated travel time of 2 h or longer, ranging from 0·4% (0·0-4·4) in Burundi to 59·4% (50·1-69·0) in Sudan. Most countries in sub-Saharan Africa contained populated areas in which adults aged 60 years and older had a travel time to the nearest hospital of 12 h or longer and to the nearest health-care facility of any type of 6 h or longer. The median travel time to the nearest hospital for the fifth of adults aged 60 years or older wit…
  note: Pascal Geldsetzer, Marcel Reinmuth, Paul O Ouma, Sven Lautenbach, Emelda A Okiro, Till Bärnighausen, Alexander Zipf
  note: Gesehen am 07.01.2021
  classification: 61
  related item:
    title info:
      title: Mapping physical access to healthcare for older adults in sub-Saharan Africa [data]
    name:
      name part: Geldsetzer, Pascal
    origin info:
      publisher: Heidelberg : Universität, 2020
    physical description:
      extent: 1 Online-Ressource (4 Files)
    identifier: (DE-627)1743819676
  related item:
    title info:
      title: The lancet. Healthy longevity
    name:
      name part: Mapping physical access to health care for older adults in sub-Saharan Africa and implications for the COVID-19 response a cross-sectional analysis
    origin info:
      publisher: London : Elsevier, 2020
    physical description:
      extent: Online-Ressource
    identifier: 2666-7568
    identifier: (DE-627)1744195684
    identifier: (DE-600)3049841-7
    part:
      text: 1(2020), 1, Seite e32-e42
  related item:
    name:
      name part: Mapping physical access to health care for older adults in sub-Saharan Africa and implications for the COVID-19 response a cross-sectional analysis
    part:
      text: volume:1
    part:
      text: year:2020
    part:
      text: number:1
    part:
      text: pages:e32-e42
    part:
      text: extent:11
  identifier: https://doi.org/10.1016/S2666-7568(20)30010-6
  identifier: https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(20)30010-6/abstract
  record info:
    record content source: DE-627
    record creation date: 210107
    record change date: 20230428055558.0
    record identifier: 174420053X
    language of cataloging:
      language term: ger