Options for Optimal Coverage of Free C-Section Services for Poor Mothers in Indian State of Gujarat: Location Allocation Analysis Using GIS

PloS One
Kranti S VoraD V Mavalankar

Abstract

Gujarat, a western state of India, has seen a steep rise in the proportion of institutional deliveries over the last decade. However, there has been a limited access to cesarean section (C-Section) deliveries for complicated obstetric cases especially for poor rural women. C-section is a lifesaving intervention that can prevent both maternal and perinatal mortality. Poor women bear a disproportionate burden of maternal mortality, and lack of access to C-section, especially for these women, is an important contributor for high maternal and perinatal mortality in resource limited settings. To improve access for this underserved population in the context of inadequate public provision of emergency obstetric services, the state government of Gujarat initiated a public private partnership program called "Chiranjeevi Yojana" (CY) in 2005 to increase the number of facilities providing free C-section services. This study aimed to analyze the current availability of these services in three districts of Gujarat and to identify the best locations for additional service centres to optimize access to free C-section services using Geographic Information System technology. Supply and demand for obstetric care were calculated using secondary d...Continue Reading

References

Jan 1, 1982·Social Science & Medicine·V L BennettR L Church
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Oct 19, 2006·Lancet·Marge KoblinskyUNKNOWN Lancet Maternal Survival Series steering group
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Feb 23, 2011·Health Promotion International·J Jones, M M Barry

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Citations

Jan 24, 2016·International Journal of Health Geographics·Soichi KoikeHideo Yasunaga

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Methods Mentioned

BETA
cesareans

Software Mentioned

SOI
GIS
ArcGIS
Google Earth
Open Street Map
Google Earth imagery
ERDAS
GARMIN
Dahod
Google Imagery and Maps

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