GeoSpatial Analysis of Health-Oriented Justice in Tartu, Estonia

This study investigates the role of modern small-scale cities in addressing public health challenges through the lens of spatial justice, using the city of Tartu, Estonia, as a case study. Tartu has been recognized for its progressive public health initiatives, including the Tartu Health Care College, Mental Health Centre, Smoke-Free Tartu campaign, Health Trail network, Healthy School Program, and an expanding smart bike-sharing system. By employing Geographic Information Systems (GIS), we map and analyze the spatial distribution and accessibility of health-promoting infrastructure, such as healthcare facilities, green and blue spaces, health trails, and mobility services, across the urban landscape. A population-weighted accessibility assessment indicates that, although Tartu’s central districts (e.g., Kesklinn (HRI: 0.972)) are well-served, peripheral and densely populated districts such as Annelinn (HRI: 0.351) and Ropka (HRI: 0.377) exhibit notable deficits in health-related infrastructure. However, access to green infrastructure and mobility services is more evenly distributed citywide, reflecting a relatively equitable provision of non-clinical health assets. These findings highlight both the strengths and spatial gaps in Tartu’s health-oriented urban design, emphasizing the need for targeted investment in underserved areas. The study contributes to emerging studies on health-justice planning in small-scale urban contexts and demonstrates how spatial analytics can be guided to advance distributional justice in the provision of public health infrastructure. Ultimately, this research indicates the essential role of spatial analysis in guiding inclusive and data-informed health planning in urban environments.