Geospatial assessment of healthcare distribution and population density in Sri Aman, Sarawak, Malaysia

Luqman Haqim Bismelah, Tarmiji Masron, Azizul Ahmad, Asykal Syakinah Mohd Ali, Daniel Ugih Echoh

Abstract


In Malaysia, particularly in Sarawak, rural areas face significant obstacles in accessing quality healthcare, necessitating oversight and targeted interventions to ensure rural populations receive medical attention comparable to urban areas. Thus, this study focuses on the Sri Aman Division to address healthcare disparities and promote balanced policy implementation in Sarawak. Geographical discrepancy in healthcare access exists within the rural areas, making it difficult for the residents to access healthcare services, particularly if they live in remote areas. This study aims to provide visual definitions of access to healthcare services that has been hampered by the distance between healthcare institutions and rural areas. Hence, the interpretation of distribution and density was conducted with a spatial analysis method. Using the spatial analysis tool, Geographic Information System (GIS), the regions where healthcare services are lacking accessibility can be identified, and the existing data of Sri Aman Land Use will be utilized and explored in the analysis tool. The findings reveal significant disparities in healthcare service distribution, with remote areas suffering from limited access and only being able to support minor ailments. Critical areas requiring urgent interventions were identified, such as those served by Ng. Patoh, Stamang, and Ng. Delok clinics. Large facilities like Sri Aman Health Clinic play a crucial role in serving the largest populations within a 10KM radius. These insights highlight the need for targeted interventions and resource distribution adjustments to reduce healthcare service management risks in Sarawak, including exploring telehealth, innovative delivery models, financial support, policy reforms, and workforce development.

 

Keywords: Geographic Information System, healthcare distribution, population, spatial analysis


Keywords


Geographic Information System, healthcare distribution, population, spatial analysis

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References


Ab Hamid, J., Juni, M. H., Manaf, R. A., Ismail, S. N. S., & Lim, P. Y. (2021). Spatial accessibility to primary care in dual public-private health system in Malaysia: A case study in rural Selangor. Research Square, 1-13.

Allen-Meares, P., Lowry, B., Estrella, M. L., & Mansuri, S. (2020). Health literacy barriers in the health care system: Barriers and opportunities for the profession. Health & Social Work, 45(1), 62-64.

Allred, S., Harris, R., Zaman, T., Kulathuramaiyer, N., & Jengan, G. (2022). Cultural Resilience in the Face of globalization: Lessons from the Penan of Borneo. Human Ecology, 50(3), 447-462.

Bennett, K. J., Borders, T. F., Holmes, G. M., Kozhimannil, K. B., & Ziller, E. (2019). What is rural? Challenges and implications of definitions that inadequately encompass rural people and places. Health Affairs, 38(12), 1985-1992.

Bezbaruah, S., Wallace, P., Zakoji, M., Perera, W. L. P., & Kato, M. (2021). Roles of community health workers in advancing health security and resilient health systems: Emerging lessons from the COVID-19 response in the South-East Asia Region. WHO South-East Asia Journal of Public Health, 10(Suppl 1), S41-S48.

Biswas, R. K., & Kabir, E. (2017). Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh. PloS ONE, 12(5), e0177027.

Bown, C. P. (2020). COVID-19: Demand spikes, export restrictions, and quality concerns imperil poor country access to medical supplies. In Baldwin, R., & Evenett, S. J. (eds.) COVID-19 and trade policy: Why turning inward won’t work. CEPR Press.

Butkus, R., Rapp, K., Cooney, T. G., Engel, L. S., & Health and Public Policy Committee of the American College of Physicians. (2020). Envisioning a better US health care system for all: reducing barriers to care and addressing social determinants of health. Annals of internal medicine, 172(2_Supplement), S50-S59.

Caballero-Anthony, M., Cook, A. D., Amul, G. G. H., & Sharma, A. (2022). Health governance and dengue in Southeast Asia (pp. 1-8). S. Rajaratnam School of International Studies.

Chuah, F. L. H., Tan, S. T., Yeo, J., & Legido-Quigley, H. (2019). Health system responses to the health needs of refugees and asylum-seekers in Malaysia: A qualitative study. International Journal of Environmental Research and Public Health, 16(9), 1584.

Daud, F., Abd Ghani, N. F., & Zahid, S. N. A. (2022). Job satisfaction among specialist in Ministry of Health Malaysia and its associated factors. Malaysian Journal of Public Health Medicine, 22(3), 1-8.

Department of Statistics Malaysia. (2010). Number of living quarters and households by state and administrative district 1991, 2000 and 2010.

Department of Statistics Malaysia. (2020). The population of Sri Aman division, Sarawak, Malaysia.

Department of Statistics Malaysia. (2023). The population of Malaysia. https://open.dosm.gov.my/dashboard/population

Dhanaraj, K., & Angadi, D. P. (2021). A GIS based interpretation of the historical evolution of urban settlements in Mangalore City, India. Spatial Information Research, 29, 615-629.

Fadzil, M. M., Wan Puteh, S. E., Aizuddin, A. N., & Ahmed, Z. (2022). Specialists’ dual practice within public hospital setting: Evidence from Malaysia. Healthcare, 10(10), 2097.

Falcon, D. J. (2019). The healthcare gap in rural Malaysia. The New Malaysia, 37, 27-36.

Gereffi, G. (2020). What does the COVID-19 pandemic teach us about global value chains? The case of medical supplies. Journal of International Business Policy, 3(3), 287-301.

Gong, S., Gao, Y., Zhang, F., Mu, L., Kang, C., & Liu, Y. (2021). Evaluating healthcare resource inequality in Beijing, China based on an improved spatial accessibility measurement. Transactions in GIS, 25(3), 1504-1521.

He, A. J., & Tang, V. F. (2021). Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia. Health Policy, 125(3), 351-362.

HIM, N. A. S. B. N. (2021). A study on ambulance response time in three selected hospitals in malaysia: do we really need a dedicated pre hospital paramedic? Malaysian Journal of Emergency Medicine, 5(2).

Hj Nuruddin, N. A. H. (2021). Kajian masa depan mengenai matlamat kependudukan 70 juta dan hubungannya dengan pembangunan umat digital di Malaysia. Journal of Education and Social Sciences, 18(3), 84-90.

Horn, C., Gifford, S. M., & Ting, C. Y. (2021). Informal, essential and embedded: Transport strategies in remote Sarawak. Journal of Transport Geography, 96, 103181.

Islam, M. R. (2015). Rights of the people with disabilities and social exclusion in Malaysia. International Journal of Social Science and Humanity, 5(2), 171-177.

Khashoggi, B. F., & Murad, A. (2020). Issues of healthcare planning and GIS: A review. ISPRS International Journal of Geo-Information, 9(6), 352.

Khaw, W. F., Chan, Y. M., Nasaruddin, N. H., Alias, N., Tan, L., & Ganapathy, S. S. (2023). Malaysian burden of disease: years of life lost due to premature deaths. BMC public health, 23(1), 1383.

Lim, H. M., Teo, C. H., Ng, C. J., Chiew, T. K., Ng, W. L., Abdullah, A., Abdul Hadi, H., Liew, C. S., & Chan, C. S. (2021). An automated patient self-monitoring system to reduce health care system burden during the COVID-19 pandemic in Malaysia: Development and implementation study. JMIR medical informatics, 9(2), e23427.

Lim, K. K., Sivasampu, S., & Mahmud, F. (2017). Equity in access to healthcare in a rural population in Malaysia: A cross‐sectional study. Australian Journal of Rural Health, 25(2), 102-109.

Liu, O. P., Ong, P. H., Selvadurai, S., Radzi, M. M., & Saibeh, B. (2014). The making of Malaysian solidarity: A historical look at education and social cohesion in Sarawak. Geografia-Malaysian Journal of Society and Space, 10(1), 36-48.

Mahendradhata, Y., Andayani, N. L. P. E., Hasri, E. T., Arifi, M. D., Siahaan, R. G. M., Solikha, D. A., & Ali, P. B. (2021). The capacity of the Indonesian healthcare system to respond to COVID-19. Frontiers in public health, 7(9), 649819.

Mahmud, A., & Aljunid, S. M. (2018). Availability and accessibility of subsidized mammogram screening program in Peninsular Malaysia: A preliminary study using travel impedance approach. PLoS One, 13(2), e0191764.

Manggat, I., Zain, R., & Jamaluddin, Z. (2018). The impact of infrastructure development on rural communities: A literature review. International Journal of Academic Research in Business and Social Sciences, 8(1), 637–648.

Masron, T., & Osman, M. A. (2015). Spatial Information in Local Knowledge. Penerbit USM.

Masron, T., Ismail, N., & Marzuki, A. (2016). The conceptual design and application of web-based tourism decision support systems. Theoretical and Empirical Researches in Urban Management, 11(2), 64-75.

McMahon, A., Mihretie, A., Lake, M., Awoke, W., & Wimberly, M C. (2021). Remote sensing of environmental risk factors for malaria in different geographic contexts. International Journal of Health Geographics, 20(28), 1-15.

Mirza, N. A., & Hulko, W. (2022). The complex nature of transportation as a key determinant of health in primary and community care restructuring initiatives in rural Canada. Journal of Aging Studies, 60, 101002.

Neil, E., & Greengrass, E. (2021). Illegal settlement in the Babile Elephant Sanctuary is threatening the resident elephant population. Oryx-The International Journal of Conservation, 56(3), 457-464.

Pál, V., Lados, G., Ilcsikné Makra, Z., Boros, L., Uzzoli, A., & Fabula, S. (2021). Concentration and inequality in the geographic distribution of physicians in the European Union, 2006–2018. Regional Statistics, 11(3), 3-28.

Panting, A. J., Hasim, M. S., & Ninggal, M. T. M. (2023). A qualitative study on health information needs on non-communicable diseases among rural communities in Sarawak, Malaysia. International Journal of Social Policy and Society (IJSPS), 19, 83-100.

Péron, G. (2019). Modified home range kernel density estimators that take environmental interactions into account. Movement ecology, 7, 1-8.

Planey, A. M. (2020). Hearing health care in the United States: A multi-scale spatial & political economic analysis of health care policy and access to audiology services [Doctoral dissertation, University of Illinois at Urbana-Champaign].

Saliman, L., Swee-Kiong, W., Abdullah, M. H., Awang, N. H., & Noor, M. (2023). The impact of Livelihood Asset Accumulation on the Well-being and Psychology of Iban Rural Households in Sarawak. Journal for ReAttach Therapy and Developmental Diversities, 6(9s (2)), 790-800.

Sánchez-Mateos, H. M., & Pulpón, A. R. (2021). Closeness is not accessibility: Isolation and depopulated rural areas in the proximity of metropolitan urban areas, a case-study in inland Spain. European Countryside, 13(2), 410-435.

Sanggin, S. E., Mersat, N. I., Wong, S. K., Suhaidi, S. M., Mohd. Azizul, H. J., & Sarok, A. (2015). Natural resources and indigenous people's livelihood subsistence: a case study of human communities in the headwaters of Engkari river, Sri Aman, Sarawak, Malaysia. Journal of Business and Economics, 7(2), 243-249.

Santos, T. M., Cata-Preta, B. O., Mengistu, T., Victora, C. G., Hogan, D. R., & Barros, A. J. (2021). Assessing the overlap between immunization and other essential health interventions in 92 low-and middle-income countries using household surveys: opportunities for expanding immunization and primary healthcare. EClinicalMedicine, 42, 101196.

Sheng, G. C., & Potter, L. (2023). Transforming Borneo: From land exploitation to Sustainable Development. ISEAS-Yusof Ishak Institute.

Songan, P. (1992). Perceived motivations and deterrents associated with participation of peasants in rural development programs in Sarawak, Malaysia. Cornell University.

Sri Aman Master Plan. (2021). Final report Sri Aman Master Plan 2020-2023.

Strasser, R., Kam, S. M., & Regalado, S. M. (2016). Rural health care access and policy in developing countries. Annual Review of Public Health, 37, 395-412.

Tuah, M. A. E., Tedong, P. A., & Dali, M. M. (2022). The challenges in rural infrastructure planning governance in Sarawak. Planning Malaysia: Journal of the Malaysian Institute of Planners, 20(5), 391-403.

Wan Puteh, S. E., Siwar, C., Zaidi, M. A. S., & Abdul Kadir, H. (2019). Health related quality of life (HRQOL) among low socioeconomic population in Malaysia. BMC Public Health, 19(Suppl 4), 551.

Wang, F. (2020). Why public health needs GIS: A methodological overview. Annals of GIS, 26(1), 1-12.

Węglarczyk, S. (2018). Kernel density estimation and its application. ITM web of conferences, 23, 00037.

Xiong, X., Li, V. J., Huang, B., & Huo, Z. (2022). Equality and social determinants of spatial accessibility, availability, and affordability to primary health care in Hong Kong, a descriptive study from the perspective of spatial analysis. BMC health services research, 22, 1364.

Yadav, H. (2017). The health care system in Malaysia. In Aspalter, C., Pribadi, K. T., & Gauld, R (eds). Health Care Systems in Developing Countries in Asia (pp. 110-130). Routledge.

Yin, C., He, Q., Liu, Y., Chen, W., & Gao, Y. (2018). Inequality of public health and its role in spatial accessibility to medical facilities in China. Applied Geography, 92, 50-62.


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