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Background <p>While studies have investigated the availability of Medical College Hospitals (MCHs) in India, data on geographic accessibility are limited. Our study examines current geographic accessibility to these MCHs across 36 states and union territories and 735 districts.</p> Methods <p>We validated MCH data from the National Health Profile 2022, using travel-time rasters from the Malaria Atlas Project (2019) and population data from WorldPop (2020). We examined the density of MCHs per million population and the median travel time to the nearest MCH. We assessed the Access Population Coverage (APC), defined as the proportion of the population within 30, 60, 90, and 120&#xa0;min by motorized transport, and within 30 and 60&#xa0;min by walking, to the nearest MCH.</p> Results <p>In 2022, India had an average density of 0.47 MCHs per million. The median travel time to the nearest MCH was 67.94&#xa0;min by motorized transport and 589.82&#xa0;min by walking. 71.76% of the population could access the nearest MCH within 60&#xa0;min by motorized transport. The APC was 64.20% within 60&#xa0;min by motorized transport in rural areas vs. 92.34% in urban areas. The APC within 60&#xa0;min by motorized transport for public MCHs was 63.62%, while that for private was 45.95%.</p> Conclusions <p>Median travel time and APC help assess geographic accessibility. Our study found wide disparities in MCH access across Indian states and rural vs. urban areas. These analyses can guide the optimal placement of new MCHs.</p>

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Geospatial modeling study assessing population level accessibility to medical college hospitals in India

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月7日

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  • Harsh Thakkar,
  • Chaitanya Reddy,
  • Varun Raj Passi,
  • Aamir Miyajiwala,
  • Sahil Kale,
  • Ankit Raj,
  • Siddhesh Zadey

摘要

Background

While studies have investigated the availability of Medical College Hospitals (MCHs) in India, data on geographic accessibility are limited. Our study examines current geographic accessibility to these MCHs across 36 states and union territories and 735 districts.

Methods

We validated MCH data from the National Health Profile 2022, using travel-time rasters from the Malaria Atlas Project (2019) and population data from WorldPop (2020). We examined the density of MCHs per million population and the median travel time to the nearest MCH. We assessed the Access Population Coverage (APC), defined as the proportion of the population within 30, 60, 90, and 120 min by motorized transport, and within 30 and 60 min by walking, to the nearest MCH.

Results

In 2022, India had an average density of 0.47 MCHs per million. The median travel time to the nearest MCH was 67.94 min by motorized transport and 589.82 min by walking. 71.76% of the population could access the nearest MCH within 60 min by motorized transport. The APC was 64.20% within 60 min by motorized transport in rural areas vs. 92.34% in urban areas. The APC within 60 min by motorized transport for public MCHs was 63.62%, while that for private was 45.95%.

Conclusions

Median travel time and APC help assess geographic accessibility. Our study found wide disparities in MCH access across Indian states and rural vs. urban areas. These analyses can guide the optimal placement of new MCHs.