African Journal of Nephrology | 17 March 2012
Geographic Accessibility and Healthcare Utilization Trends among Migrant Workers in Casablanca, Morocco: An Analysis
A, h, m, e, d, E, l, M, a, n, s, o, u, r, ,, F, a, t, i, m, a, Z, o, h, r, a, M, o, k, h, t, a, r, ,, K, h, a, d, i, j, a, A, l, a, m, i, ,, A, b, d, e, l, l, a, t, i, f, O, u, l, d, A, h, m, e, d
Abstract
Casablanca is a major economic hub in Morocco with significant migrant worker populations from various countries. Geographic Information Systems (GIS) were used to map healthcare facilities and migration patterns. A logistic regression model was applied to predict the likelihood of utilising healthcare services based on distance from facilities and income levels. Migrant workers living within a one-hour drive had a higher utilization rate of primary healthcare services compared to those more than two hours away, with an odds ratio (OR) of 1.50 (95% CI: 1.23-1.82). Geographic accessibility significantly impacts the healthcare utilization patterns of migrant workers in Casablanca. Healthcare facilities should be strategically placed closer to migrant worker settlements and income-based health insurance schemes should be implemented to improve coverage. Migrant Workers, Healthcare Utilization, Geographic Accessibility, Logistic Regression Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.