Berhan, Getachew (PhD)Fantaye, Yetnayet2020-11-172023-11-092020-11-172023-11-092014-05-05http://10.90.10.223:4000/handle/123456789/23350Population of Ethiopia is still facing higher rate of morbidity and mortality. Majority of population lives in rural areas where healthcare service is very poor. Physical accessibility to healthcare measures interms of travel time, and distance to the nearest health facilities from people‟s residential areas. From these measurement options, this study used traveling time to reach health facilities from patients home. The central aim of the study is to assess physical accessibility to health facility within an hour travel time both by walking and vehicles in North Shewa Zone. To achieve this objective the study depends on AccessMod 4.0 model and incorporates population, land use, road network, digital terrain model, location of health care facilities and travelling time scenarios. Population distribution data is prepared by interpolating population at kebele level. Land cover data for the study area is prepared from Landsat enhanced thematic mapper plus satellite images and classified into five land cover types by using supervised method of image classification. Classified land cover types are assigned traveling speed per hour in the traveling scenario table. Results obtained from the model provide hospitals serving about 72937(4%) and health centers 240,473(13%) out of the whole population in an hour travel time both by walking and vehicles, and covers 4,167 km2 and 704.91 km2 area, respectively. Hence, priority must be given to areas with higher health facility population ratio and areas where there are access limitations to these facilities within the defined scenario.enAccessibilityGisHealth FacilityTravelling ScenarioThesis