Unveiling healthcare-access inequality in Ghana using a multiscale approach

Healthcare-access inequality is shaped not only by poor local access, but also by limited connectivity to city- and regional-level services and opportunities. Conventional accessibility analysis can identify where poor access occurs, but not whether poorly served places form structurally disconnected pockets across scales.

This paper therefore builds on and extends the percolation divergence tree framework to develop a connectivity-based multiscale approach for examining healthcare-access inequality in Ghana. It combines street-level accessibility mapping with the hierarchical structure of the road network to identify the scales at which inequality coincides with connectivity breaks. The results first show substantial inequality: around one quarter of the population lives more than 5 km from the nearest healthcare facility.