Reducing the disparities in healthcare access is one of the important goals in healthcare services and is significant for national health. However, measuring the complexity of access in truly underserved areas is the critical step in designing and implementing healthcare policy to improve those services and to provide additional support. Even though there are methods and tools for modeling healthcare accessibility, the context of data is challenging to interpret at the local level for targeted program implementation due to its complexity. Therefore, the purpose of this study is to develop a concise and context-specific methodology for assessing disparities for a remote province in Thailand to assist in the development and expansion of the efficient use of additional mobile health clinics. We applied the geographic information system (GIS) methodology with the travel time-based approach to visualize and analyze the concealed information of spatial data in the finer analysis resolution of the study area, which was located in the border region of the country, Ubon Ratchathani, to identify the regional differences in healthcare allocation. Our results highlight the significantly inadequate level of accessibility to healthcare services in the regions. We found that over 253,000 of the population lived more than half an hour away from a hospital. Moreover, the relationships of the vulnerable residents and underserved regions across the province are underlined in the study and substantially discussed in terms of expansion of mobile health delivery to embrace the barrier of travel duration to reach healthcare facilities. Accordingly, this research study addresses regional disparities and provides valuable references for governmental authorities and health planners in healthcare strategy design and intervention to minimize the inequalities in healthcare services.

Evacuation shelters are the most important means for safeguarding people in hazardous areas and situations, and thus minimizing losses, particularly those due to a disaster. Therefore, evacuation shelter assignment and evacuation planning are some of the critical factors for reducing vulnerability and increasing resilience in disaster risk reduction. However, an imbalance of shelter distribution and spatial heterogeneity of a population are the critical issues limiting the accessibility of evacuation shelters in real situations. In this study, we propose a methodology for spatial assessment to reduce vulnerability and evaluate the spatial distribution of both shelter demand and resources, considering spatial accessibility. The method was applied to the case study of Mabi, in the context of a disaster caused by the 2018 flooding. We applied this approach to evaluate the area and identified the vulnerability of the evacuation shelters and the residents. The proposed method revealed that 54.55% of the designated evacuation shelters and 59% of the total population were physically vulnerable to the flood. The results highlight, using GIS maps, that the total shelter capacity was significantly decreased to 43.86%. The outcome assessment addressed specific vulnerable shelters and the imbalance between the demand for and resources of each shelter. Accordingly, this study provides practical information and a valuable reference for supporting local governments and stakeholders to improve future disaster planning, prevention, and preparedness.

Globally, rapid economic growth has contributed to an overall increase in the incidence of childhood obesity. Although the prevalence of obesity has been well recognized, the disparities related to a region’s socioeconomic environment in terms of the incidence of obesity are still less understood. Therefore, the purpose of this study was to examine the spatial pattern of childhood obesity and identify the potential associations between childhood obesity and socioeconomic environment in the northeastern region of Thailand, Isaan. Using nationally collected obesity data from children aged 0–5 years in 2019, we employed a geographic information system (GIS) to perform obesity cluster analysis at the smaller regional level, investigating a total of 322 districts in study area. Global and local statistical approaches were applied to calculate spatial associations between the socioeconomic status of neighborhoods and childhood obesity. The study revealed that 12.42% of the total area showed significant clusters at the district level, with high values observed in the western and northeastern areas. The results of the spatial statistical model revealed that childhood obesity was significantly positively associated with areas exhibiting high levels of socioeconomic environment factors. Identifying the associated factors and highlighting geographic regions with significant spatial clusters is a powerful approach towards understanding the role of location and expanding the knowledge on the factors contributing to childhood obesity. Our findings, as a first step, offer valuable references that could support policy-makers and local authorities in enhancing policy development with the aim of reducing childhood obesity and improving public health.

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In the medical laboratory, equipment and material management is well real-ized as one of the high-priority tasks in handling of information about the periodic quality inspection and maintenance of test equipment and other in-strument monitoring in the laboratory. Lack of managing and neglecting the equipment can result into malfunction that ends up costing more time and resources. This paper proposed a designed web-based information system in order to address the issues of managing the expensive medical equipment (ME) and various consumable medical materials (CMM) in the laboratories. In regard to data administration improvement of medical laboratories' day-to-day operations, the objective of this study is to design to complete the func-tionality and evaluate the information system based on the user specifica-tion. More than 200 initiate materials list and 50 medical equipment records were collected and transferred into the system. Three independent laborato-ries utilized the developed ME/CMM information system to evaluate its per-formance compared to the traditional system. The t-test statistical analysis was used to assess feedback surveys. The finding shows that the system pro-vides users convenience and effectiveness in handling ME and CMM; thus, our system significantly reduces the workload of staffs and inefficient costs.