Purpose: Spatial accessibility to health-care is a critical factor in ensuring equitable health outcomes. While studies on a global, continental, and national level exist, our understanding of intra-urban differences, particularly between formal and informal areas within cities in sub-Saharan Africa, remains limited.
Methods: This study integrates openly available datasets on land use in 19 sub-Saharan cities, health-care facilities in the region, and street networks from OpenStreetMap. Using these datasets, we calculate service areas around hospitals, considering travel times ranging from 1 to 180 minutes with walking as the mode of travel. The resulting service areas are then merged with population data from WorldPop, allowing us to assess the proportion of the population with specific travel times for different land uses.
Results: Our analysis reveals that 43% of the urban population can reach hospitals within 15 minutes, 69% within 30 minutes, and 85% within 60 minutes. Importantly, we observe significant differences between formal and informal areas, with informal areas experiencing a disadvantage in terms of spatial accessibility to health-care facilities.
Conclusion: This study sheds light on the spatial accessibility landscape of health-care facilities in sub-Saharan African cities, emphasizing the need to consider intra-urban disparities, particularly in informal areas. The findings underscore the importance of targeted interventions and urban planning strategies to address these disparities and ensure that health-care services are accessible to all segments of the urban population.