Table 4. Estimated Current PHC Service Capacity of CHCs and AHACs by Geo Clusters
Urban Urban Extended Rural/Southern Remote Southern Northern Rural Northern/Remote Total
Total Population 2009 Estimates (Not Needs-Adj.) 9066839 178732 1096938 460733 547806 142952 1309400
Total CHC and AHAC 331545 79542 39468 32112 21694 13592 517952
% of Total Population Served 3.7% 4.5% 3.6% 7.0% 4.0% 9.5% 4.0%
Target Population 1,739,657 295,696 207,695 208,386 177,963 90,326 2,719,723
% of Target Pop. served by CHCs & AHACs 19.1% 26.9% 19.0% 15.4% 12.2% 15.0% 19.0%
5.2 Calculating Service Gaps Table 5 shows the summary of the calculated total service gap and the targeted equity service gap that emerged from this study and the service equity targets set to act as a guide for initial expansion. Table 5 Summary of Service Gaps†A. Priority Population Aboriginal Francophone Other Total â€
B. Clients
304,390 61,340 316,555 47,092 2,098,777 409,519 2,719,723 517,953
C. Total % Served B/A) 20.1% 14.9% 19.5% 19.0%
D.* Service Equity Targets
(Based on Geo Types)
121,014 87,384 546,236 754,634
E.** Calculated Service Gap (sum of subLHINs) 73,280 49,700 246,556 369,536
F. Total % Served After Levelling up (D/B) 39.8% 27.6% 26.0% 27.7%
Table 5 includes information summarized in previous tables. The sums are calculated for each subLHIN and population groups separately. This is because the expansion is about levelling up towards equity not shifting resources from subLHINs that have already achieved the minimum service equity targets to those below these targets. * The service equity targets are set individually for each population group and each subLHIN based on geographic type (i.e. higher for remote areas where other service options are more limited). Column D represents the sum of all populations groups in all subLHINs. ** The calculated service gap (Column E) is the calculated target population for each population group in each subLHIN minus the calculated number of clients served in that population group in the subLHIN.
The calculated service gap based on sum of subLHINs is different than a simple subtraction of the clients (A) from the total Priority Population (B) because existing service levels vary widely with some subLHINs already having service levels above 25%, 33.3% or 50% served. Our study is based on levelling up to meet a minimum service level for the priority populations, not redistributing existing CHC and AHAC resources so the sum of each subLHIN provides the accurate summary of the service gap. Table 6 which shows the service equity targets and the calculated total service gap that emerged from this study summarized according to population groups and geographic area type. The sums are calculated for each subLHIN and population groups separately. No resources are shifted from a subLHIN that has achieved the service Towards Equity in Access to Community-based Primary Health Care
24