Document Type : Original Article


1 Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Department of Health Education and Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran

3 Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

5 Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran


INTRODUCTION: Children are among the most vulnerable groups in society, whose health is of
prominent significance. Moreover, as a group of clients with special needs in the health care system,
they require special attention. Therefore, the present study aimed to investigate the 0–14‑year‑old
children’s access to health centers in rural areas of Kermanshah Province, Iran.
MATERIALS AND METHODS: In the present cross‑sectional study, both the latest published
demographic statistics related to the Population and Housing Census, announced by the Statistical
Center of Iran in 2011, and the information about the public and private hospitals in the province,
collected by Kermanshah University of Medical Sciences, were used as the basis for the analyses.
In addition, given the importance of the spatial nature of the research, geographic information system
was used for data analysis, and a buffer model was also applied.
RESULTS: The results revealed that out of the total population of 0–14‑year‑old children residing in
rural areas within 15,000 and 30,000‑km radii of Kermanshah Province, 87.94% and 75.11% of girls
versus 88.15% and 75.38% of boys lacked access to health centers, respectively.
CONCLUSION: It was found out that the 0–14‑year‑old children’s access to health centers was in poor
condition in rural areas of Kermanshah Province, which would endanger the health of this age group.


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