Distance as a barrier to obstetric care among indigenous women in Panama: a cross-sectional study.

BMJ Open
Paloma AcevedoSolis Winters

Abstract

We assess the relationship between distance to a woman's assigned health clinic and obstetric care utilisation. We employ a cross-sectional study design using baseline data from the evaluation of a conditional cash transfer programme to promote greater utilisation of maternal and infant health services. Data were collected between December 2016 and January 2017. The study is conducted in Ngäbe Buglé, the largest of Panama's three indigenous territories, where maternal mortality is three times the national average. We analyse a representative sample of 1336 indigenous women with a birth in the 12 months prior to the survey. Primary outcomes include obstetric care utilisation measures for prenatal, childbirth and postpartum events. Secondary outcomes include reasons for not receiving prenatal care, alarming symptoms, child weight at birth and stillbirths or miscarriages. Compared with women in closest geographic proximity to a health centre (top quintile, Q1), women who lived farthest from a health centre (bottom quintile, Q5) had significantly lower obstetric care utilisation outcomes for critical prenatal, childbirth and postpartum events. Mothers in Q5 were 36 percentage points less likely to have had at least one prenatal car...Continue Reading

References

Sep 1, 1986·International Journal of Epidemiology·A A Abbas, G J Walker
Jan 1, 1983·Social Science & Medicine·R Stock
Jan 20, 2004·The International Journal of Health Planning and Management·Daniel Buor
Apr 22, 2006·Bulletin of the World Health Organization·Natalia A GurinaJohanne Sundby
Nov 22, 2008·Tropical Medicine & International Health : TM & IH·Daniel R FeikinKim A Lindblade
May 18, 2010·American Journal of Obstetrics and Gynecology·Katherine E DebiecJane E Hitti
Mar 24, 2017·Health Policy and Planning·Bernardo HernandezAli H Mokdad
May 18, 2017·Revista latino-americana de enfermagem·Silvia Helena De Bortoli CassianiNathaly Rozo Gutierrez

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Methods Mentioned

BETA
contraception

Software Mentioned

QGIS
Open
Quantum Geographic Information System ( QGIS )
QGIS Python Application Programming Interface ( PyQGIS )
Stata

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