Space-time constrains for access to services of child care in Montevideo: transport, urban form and service quality

Authors: Diego Hernandez*, Universidad Catolica del Uruguay, Cecilia Rossel, Universidad Catolica del Uruguay
Topics: Transportation Geography, Urban Geography, Latin America
Keywords: Accessibility, urban mobility, space-time constrains, health child-care, Latin America
Session Type: Paper
Day: 4/5/2019
Start / End Time: 3:05 PM / 4:45 PM
Room: Directors Room, Omni, West
Presentation File: No File Uploaded


Placing service infrastructure and displaying a dense network of health services in the territory is not always enough to guarantee that they are actually accessed by their potential beneficiaries. Even with adequate infrastructure, access cannot be taken for granted, because this would mean to leave aside a key element: the space-time costs families have to face in order to use the services might not be socially acceptable. The paper addresses the case of child regular pediatric controls in Montevideo, the capital of Uruguay. This activity is mandatory for every household with 0 to 3 years children, so it is key that all families have adequate access to them. The data was collected through a user’s survey in which transport and activities related information was gathered as well as spatial information on service provision and organization (e.g. pediatrician’s schedules). The empirical objective of the paper is to describe space time child health service provision. To do so, it assesses the impact of space time constraints due to fixed activities (job and school pick up), authority constraints (service provision hours, insurance provider) and of transport mode. To do so, it computes cumulative opportunities measures under different scenarios that are defined by these variables. The papers finds that time anchors’ have the potential to significantly reduce access to services. If they do not, it is because families individually assume the costs of access. In addition, provider restrictions greatly reduce access, suggesting that a national insurance system would enhance space-time accessibility.

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