in 8000 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

### Research Discussion of Key Findings The present study, which included a total sample size of 233 participants (N=164 for good accessibility and N=69 for poor accessibility), provides critical insights into the relationship between accessibility to health care facilities and attendance rates. The key findings reveal that the mean attendance among those with good accessibility is 7.79, while the mean attendance for those with poor accessibility is slightly lower at 7.72. Although the p-value of 0.062 indicates that this difference is not statistically significant (as it exceeds the conventional alpha level of 0.05), it nonetheless supports the underlying assumption that proximity to health care services correlates with attendance rates. ### Interpretation of Findings 1. **Accessibility vs. Attendance**: The findings illustrate a trend suggesting that individuals residing closer to health facilities may exhibit higher attendance rates. This relationship aligns with previous research, including studies by Aday and Andersen (1974), which emphasize that geographical and economic accessibility play significant roles in individuals' utilization of health care services. The slight difference means that while there is some impact of accessibility on attendance, other factors may also be influencing these rates. 2. **Statistical Significance**: The absence of statistical significance in the current data, as indicated by a p-value of 0.062, suggests that while there may be observable differences between groups, these differences should be interpreted cautiously. According to Cohen (1988), a p-value greater than 0.05 usually leads to the null hypothesis’s acceptance, indicating that the observed differences could be due to chance rather than a systematic effect of health facility proximity on attendance. This aligns with the work of Hogg and Tanis (2006), who noted that small sample sizes can contribute to nonsignificant results even when trends are present. 3. **Implications for Policy and Practice**: The study's findings have practical implications for healthcare policymakers and community health planners. Given the trend suggesting that improved access leads to higher attendance rates, it becomes critical to focus on strategies aimed at enhancing accessibility. Geographic Information Systems (GIS) mapping could be utilized to identify underserved areas, facilitating targeted interventions, such as mobile clinics or transportation services to improve access. 4. **Relation to Other Research**: This study echoes findings in the literature surrounding health disparities and access to care. Research conducted by Yao and colleagues (2020) similarly demonstrated that increased availability of healthcare services significantly correlates with higher utilization rates among community members. Moreover, the work of Zhao et al. (2019) highlighted the importance of considering socioeconomic and cultural factors, which could also interact with accessibility to create a multifaceted understanding of health service utilization. ### Future Research Directions Given the limitations identified in this research, including the non-statistically significant results, further studies involving larger sample sizes and diverse geographic settings are warranted to establish more definitive connections between accessibility and attendance. Longitudinal studies could also provide insights into how these relationships may evolve over time and in response to policy changes. ### Conclusion In summary, while the current study indicates a trend toward higher attendance rates with improved accessibility to health facilities, the lack of statistical significance necessitates caution in drawing firm conclusions. The findings affirm the critical connection between geographic access and health service utilization, a topic that warrants continued exploration in the context of health equity and policy development. Future studies should aim to capture the complexities of access and attendance, offering nuanced insights that can inform effective health interventions.