Inequalities in geographic access to health care result from the configuration of facilities, population distribution, and the transportation infrastructure. In recent accessibility studies, the traditional distance measure (Euclidean) has been replaced with more plausible measures such as travel distance or time. Both network and raster-based methods are often utilized for estimating travel time in a Geographic Information System. Therefore, exploring the differences in the underlying data models and associated methods and their impact on geographic accessibility estimates is warranted.

Roemer’s Law, a widely cited principle in health care policy, states that hospital beds that are built tend to be used. This simple but powerful expression has been invoked to justify Certificate of Need regulation of hospital beds in an effort to contain health care costs. Despite its influence, a surprisingly small body of empirical evidence supports its content. Furthermore, known geographic factors influencing health services use and the spatial structure of the relationship between hospital bed availability and hospitalization rates have not been sufficiently explored in past examinations of Roemer’s Law. We pose the question, “Accounting for space in health care access and use, is there an observable association between the availability of hospital beds and hospital utilization?” We employ an ecological research design based upon the Anderson behavioral model of health care utilization. This conceptual model is implemented in an explicitly spatial context. The effect of hospital bed availability on the utilization of hospital services is evaluated, accounting for spatial structure and controlling for other known determinants of hospital utilization. The stability of this relationship is explored by testing across numerous geographic scales of analysis. The case study comprises an entire state system of hospitals and population, evaluating over one million inpatient admissions. We find compelling evidence that a positive, statistically significant relationship exists between hospital bed availability and inpatient hospitalization rates. Additionally, the observed relationship is invariant with changes in the geographic scale of analysis. This study provides evidence for the effects of Roemer’s Law, thus suggesting that variations in hospitalization rates have origins in the availability of hospital beds. This relationship is found to be robust across geographic scales of analysis. These findings suggest continued regulation of hospital bed supply to assist in controlling hospital utilization is justified.

The spatio-temporal characteristics of remote sensing are considered to be the primary advantage in environmental studies. With long-term and frequent satellite observations, it is possible to monitor changes in key biophysical attributes such as phenological characteristics, and relate them to climate change by examining their correlations. Although a number of remote sensing methods have been developed to quantify vegetation seasonal cycles using time-series of vegetation indices, there is limited effort to explore and monitor changes and trends of vegetation phenology in the Monsoon Southeast Asia, which is adversely affected by changes in the Asian monsoon climate. In this study, MODIS EVI and TRMM time series data, along with field survey data, were analyzed to quantify phenological patterns and trends in the Monsoon Southeast Asia during 2001-2010 period and assess their relationship with climate change in the region. The results revealed a great regional variability and inter-annual fluctuation in vegetation phenology. The phenological patterns varied spatially across the region and they were strongly correlated with climate variations and land use patterns. The overall phenological trends appeared to shift towards a later and slightly longer growing season up to 14 days from 2001 to 2010. Interestingly, the corresponding rainy season seemed to have started earlier and ended later, resulting in a slightly longer wet season extending up to 7 days, while the total amount of rainfall in the region decreased during the same time period. The phenological shifts and changes in vegetation growth appeared to be associated with climate events such as EL Niño in 2005. Furthermore, rainfall seemed to be the dominant force driving the phenological changes in naturally vegetated areas and rainfed croplands, whereas land use management was the key factor in irrigated agricultural areas.

The sustainable intensification of African agriculture is gaining momentum with the compelling need to increase food and agricultural production. In Southern Africa, smallholder farming systems are predominately maize-based and subject to erratic climatic conditions. Farmer crop and soil management decisions are influenced by a plethora of complex factors such as market access resource availability, social relations, environment and various messages on sustainable farming practices. Such factors pose barriers to increasing sustainable intensification in Africa. This paper characterizes smallholder farming practices in Central Malawi, at Africa Research in Sustainable Intensification for the Next Generation (Africa RISING) project sites. We present findings from a survey of 324 farmers, located within four Africa RISING sites selected in a stratified random manner to represent (1) low agricultural potential (high evapotranspiration, variable rainfall), (2) medium agricultural potential (two sites), and (3) high agricultural potential (well distributed rainfall). Soil fertility was low overall, and certain farming practices appeared to limit the sustainability of agricultural production. Nearly half of farmers did not value legume residues as a high nutrient value resource for soil amelioration, as legume residues were removed (17.9%) or burned (21.4%). Conversely, maize residues were rarely removed (4.5%) or burned (10.4%). We found that farmers do not allocate soil amendment resources to legume fields (zero instances of mineral fertilizer or manure application to legumes compared to 88% and 22% of maize systems, respectively). Policy makers in Malawi have led initiatives to intensify agricultural systems through subsidizing farmer access to mineral fertilizer as well as maize hybrid seed, and only rarely to improved legume seed. In this survey, farmers allocate mineral fertilizer to maize systems and not legume systems. There is urgent need to invest in education on sustainable reinvestment in natural resources through complementary practices, such as maximization of biological nitrogen fixation through improved legume agronomy and better organic resource and crop residue management. Recent efforts by Malawi agricultural services to promote doubled up legumes as a sustainable intensification technology are encouraging, but benefits will not accrue unless equal attention is given to an extension campaign on management of organic resources such as crop residues.

(2008). Land use change: complexity and comparisons. Journal of Land Use Science: Vol. 3, No. 1, pp. 1-10.