How is access calculated?

The district colours on the map are not based on the question "how many centres are there" but on the **two-step floating catchment area** measure (E2SFCA). This page explains the method in plain terms.

The calculation in three steps

  1. Demand: for each centre, the population of the surrounding districts is summed up weighted by distance. Nearby population counts for more.
  2. Supply ratio: the capacity of the centre is divided by this demand (capacity / demand). Until capacity data is available, every centre counts equally (1).
  3. Access: for a district, the supply ratios of the surrounding centres are summed up weighted by distance. The resulting raw value is scaled to the range 0-100; 100 is the best-served district.

The weight starts at 1 at the centre's location and falls to zero at 60 km. Distances are estimated as straight-line distance × 1.25 (road factor).

What do the colours say?

  • High access: districts whose index lies in the top quartile of scored districts. The threshold is derived from the data anew on every calculation (current highest score: 100.0/100).
  • Medium access: districts that have a score but do not reach the top quartile.
  • No access: districts with known population but no published centre within 60 km — currently 484 districts. This is not a data gap but a finding: there is no access to GETAT in that district. The colour is based on the **number** of centres in the district; an invented score is not recorded.

Currently 488 / 972 districts with a score · last calculation 2026-10-09 · population data 2022 (ADNKS 2022 ilçe nüfusları (06.02.2023 yayımı))

Example calculation

Menemen (İzmir) · population 193,229 · access index 7.5/100

Centre District Distance Weight
Özel Ege Wellness Polikliniği Karşıyaka, İzmir 17.9 km 0.701
Ege Üniversitesi GETAT Merkezi Bornova, İzmir 24.5 km 0.592
İzmir Tepecik Eğitim ve Araştırma Hastanesi GETAT Kliniği Konak, İzmir 26.5 km 0.558
T.C. Sağlık Bakanlığı İzmir Atatürk Eğitim ve Araştırma Hastanesi Göztepe Semt Polikliniği Buca, İzmir 31.6 km 0.474
Dokuz Eylül Üniversitesi Tıp Fakültesi Hastanesi Buca, İzmir 31.6 km 0.474
Manisa Şehir Hastanesi GETAT Ünitesi Yunusemre, Manisa 37.1 km 0.382

Weight = 1 − (distance ÷ 60 km). The further away a centre is, the smaller its contribution; at 60 km it becomes zero.

For another district: via the search you can open a district and use the "how is access calculated?" link.

What it does not show

  • Not capacity but accessibility is shown: data on doctors, equipment or beds of the centres is not available yet; every centre counts equally.
  • Not the real travel time but an estimate of distance is used; in mountainous provinces the deviation can grow.
  • Not the centre itself but the district is scored. The distribution within a district (town centre–rural) can also vary.
  • A district with a very small population but a centre nearby can receive a high score; population size should also be taken into account when reading the score.

The detailed assumptions of the method are documented in the repository (doc/e2sfca.md). What GETAT is can be read on this page, the values at district level can be seen on the map, and districts can be reached via the search.