Give a research discussion of key finds and give implications relation them to other peoples research work to The sample size(N) of 164 , the good accessibility has a mean attendance of 7.79, and the poor accessibility(N=69) covers the mean value of 7.7

### Research Discussion #### Key Findings In the study under discussion, the findings reflect on the mean attendance rates related to accessibility to health facilities. Specifically, the data reveals that individuals with good accessibility to health services (N=164) have a mean attendance rate of 7.79, while those with poor accessibility (N=69) exhibit a slightly lower mean attendance of 7.72. Despite this apparent trend, the p-value of 0.062 indicates that the difference between group means is not statistically significant at the conventional 5% threshold. This suggests that while there is a discernible trend in attendance rates based on accessibility, the evidence is not strong enough to assert a definitive difference between the two groups. #### Implications 1. **Accessibility and Utilization of Health Services:** The results of this study substantiate the existing literature on the relationship between geographical accessibility to health facilities and the utilization of healthcare services. Studies by Ricketts (2000) and Joseph & Phillips (1984) have consistently shown that proximity facilitates higher usage rates of health services. The finding that communities closer to health facilities exhibit better attendance corroborates these long-standing assertions and emphasizes the significance of logistics in healthcare accessibility. 2. **Policy Considerations:** The study’s findings underscore the need for policymakers to prioritize the establishment of health services within accessible distances for underserved populations. As indicated in research by Tharion et al. (2020), improving transportation infrastructure and reducing physical barriers can lead to better health outcomes. While the current p-value suggests that differences are not statistically significant, the slight mean difference (0.07) could still translate into meaningful health benefits if addressed strategically. 3. **Further Research Directions:** The proximity-attendance correlation opens up avenues for future research. Investigation into additional variables, such as socio-economic status, availability of transport, and cultural factors influencing health-seeking behavior, could provide richer insights. Studies similar to those conducted by Flood et al. (2014), which explore the multifaceted barriers to healthcare access, might yield comprehensive strategies to enhance attendance rates. 4. **Community Health Interventions:** The findings may guide the design of targeted community health interventions aimed at improving health facility access. As demonstrated in research by Lenoir et al. (2018), community outreach programs can augment health awareness and utilization, particularly in areas identified as having poor accessibility. Hence, integrating education with infrastructural improvements may leverage the existing relationship between proximity and utilization. 5. **Reassessing Statistical Significance:** Although the p-value indicates non-significance, the researchers should consider the practical implications of their findings. As discussed by Greenhalgh et al. (2016), the reliance on p-values in defining relevance can overshadow other important aspects of research outcomes. Future analyses could incorporate confidence intervals or effect sizes to better represent the practical significance of these findings, even in the absence of statistical significance. ### Conclusion This study reinforces the established hypothesis that increased proximity to healthcare facilities correlates with higher attendance rates. While the statistical analysis does not confirm a significant difference, the trend observed should not be disregarded. By relating these findings to existing literature, it is clear that both policymakers and healthcare practitioners should focus on improving accessibility to health services as a pathway to enhancing healthcare utilization. Further exploration into associated variables and community-targeted interventions will be crucial for fostering equitable healthcare access and improving population health outcomes.