Marc Levy

Background: Access to healthcare is imperative to health equity and well-being. Geographic access to healthcare can be modeled using spatial datasets on local context, together with the distribution of existing health facilities and populations. Several population datasets are currently available, but their impact on accessibility analyses is unknown. In this study, we model the geographic accessibility of public health facilities at 100-meter resolution in sub-Saharan Africa and evaluate six of the most popular gridded population datasets for their impact on coverage statistics at different administrative levels. Methods: Travel time to nearest health facilities was calculated by overlaying health facility coordinates on top of a friction raster accounting for roads, landcover, and physical barriers. We then intersected six different gridded population datasets with our travel time estimates to determine accessibility coverages within various travel time thresholds (i.e., 30, 60, 90, 120, 150, and 180-min). Results: Here we show that differences in accessibility coverage can exceed 70% at the sub-national level, based on a one-hour travel time threshold. The differences are most notable in large and sparsely populated administrative units and dramatically shape patterns of healthcare accessibility at national and sub-national levels. Conclusions: The results of this study show how valuable and critical a comparative analysis between population datasets is for the derivation of coverage statistics that inform local policies and monitor global targets. Large differences exist between the datasets and the results underscore an essential source of uncertainty in accessibility analyses that should be systematically assessed.

Access to health care is imperative to health equity and well-being. Geographic access to health care can be modelled by combining different spatial datasets, among others, on the distribution of existing health facilities and populations. Several population datasets are currently available, but their impact on accessibility analyses is unknown. In this study, we model the geographic accessibility of public health facilities at 100-meter resolution in sub-Saharan Africa and explore the effect of six among the most popular gridded population datasets on coverage statistics at different administrative levels. We found differences in accessibility coverage of more than 70% at the sub-national level, based on a one-hour travel time threshold. Differences are significant in large and sparsely populated administrative units, dramatically shaping patterns of health care accessibility at the national and sub-national level. The results underscore an essential source of uncertainty in accessibility analyses that should be systematically assessed in policy-making.

Population data represent an essential component in studies focusing on human–nature interrelationships, disaster risk assessment and environmental health. Several recent efforts have produced global- and continental-extent gridded population data which are becoming increasingly popular among various research communities. However, these data products, which are of very different characteristics and based on different modeling assumptions, have never been systematically reviewed and compared, which may impede their appropriate use. This article fills this gap and presents, compares and discusses a set of large-scale (global and continental) gridded datasets representing population counts or densities. It focuses on data properties, methodological approaches and relative quality aspects that are important to fully understand the characteristics of the data with regard to the intended uses. Written by the data producers and members of the user community, through the lens of the “fitness for use” concept, the aim of this paper is to provide potential data users with the knowledge base needed to make informed decisions about the appropriateness of the data products available in relation to the target application and for critical analysis.

Population data represent an essential component in studies focusing on human-nature interrelationships, disaster risk assessment and environmental health. Several recent efforts have produced global and continental-extent gridded population data which are becoming increasingly popular among various research communities. However, these data products, which are of very different characteristics and based on different modeling assumptions, have never been systematically reviewed and compared which may impede their appropriate use. This article fills this gap and presents, compares and discusses a set of large-scale (global and continental) gridded datasets representing population counts or densities. It focuses on data properties, methodological approaches and relative quality aspects that are important to fully understand the characteristics of the data with regard to the intended uses. Written by the data producers and members of the user community, through the lens of the “fitness for use” concept, the aim of this paper is to provide potential data users with the knowledge base needed to make informed decisions about the appropriateness of the data products available in relation to the target application and for critical analysis.

The United Nations Conference on Environment and Development (UNCED) will be the world’s most comprehensive organized response to international environmental degradation. UNCED delegates will seek to adopt conventions on greenhouse gases and biodiversity; to adopt a program of action, called Agenda 21, to implement the Earth Charter; and to develop a set of institutional and financial arrangements to support such measures. The establishment of truly effective international environmental institutions would improve the quality of the global environment. However, much of this activity is relatively new, and none of the studies on the seven issues has produced good direct data about changes in environmental quality as a result of international institutional action. International environmental institutions can be considered to be responses to problems caused by inadequate responses by governments, acting without institutional support, to environmental threats. Institutions can help create and nurture coalitions among like-minded governments, among action-oriented groups within other institutions and organizations, and among environmental protection ministries.

Remotely-sensed and bottom-up survey information were compiled on eight variables measuring the direct and indirect human pressures on the environment globally in 1993 and 2009. This represents not only the most current information of its type, but also the first temporally-consistent set of Human Footprint maps. Data on human pressures were acquired or developed for: 1) built environments, 2) population density, 3) electric infrastructure, 4) crop lands, 5) pasture lands, 6) roads, 7) railways, and 8) navigable waterways. Pressures were then overlaid to create the standardized Human Footprint maps for all non-Antarctic land areas. A validation analysis using scored pressures from 3114×1 km² random sample plots revealed strong agreement with the Human Footprint maps. We anticipate that the Human Footprint maps will find a range of uses as proxies for human disturbance of natural systems. The updated maps should provide an increased understanding of the human pressures that drive macro-ecological patterns, as well as for tracking environmental change and informing conservation science and application.

Human pressures on the environment are changing spatially and temporally, with profound implications for the planet’s biodiversity and human economies. Here we use recently available data on infrastructure, land cover and human access into natural areas to construct a globally standardized measure of the cumulative human footprint on the terrestrial environment at 1 km² resolution from 1993 to 2009. We note that while the human population has increased by 23% and the world economy has grown 153%, the human footprint has increased by just 9%. Still, 75% the planet’s land surface is experiencing measurable human pressures. Moreover, pressures are perversely intense, widespread and rapidly intensifying in places with high biodiversity. Encouragingly, we discover decreases in environmental pressures in the wealthiest countries and those with strong control of corruption. Clearly the human footprint on Earth is changing, yet there are still opportunities for conservation gains.