The influence of distance and quality on utilisation of birthing services at health facilities in Eastern Region, Ghana

BMJ Global Health
Winfred Dotse-GborgbortsiJim Wright

Abstract

Skilled birth attendance is the single most important intervention to reduce maternal mortality. However, studies have not used routinely collected health service birth data at named health facilities to understand the influence of distance and quality of care on childbirth service utilisation. Thus, this paper aims to quantify the influence of distance and quality of healthcare on utilisation of birthing services using routine health data in Eastern Region, Ghana. We used a spatial interaction model (a model that predicts movement from one place to another) drawing on routine birth data, emergency obstetric care surveys, gridded estimates of number of pregnancies and health facility location. We compared travel distances by sociodemographic characteristics and mapped movement patterns. A kilometre increase in distance significantly reduced the prevalence rate of the number of women giving birth in health facilities by 6.7%. Although quality care increased the number of women giving birth in health facilities, its association was insignificant. Women travelled further than expected to give birth at facilities, on average journeying 4.7 km beyond the nearest facility with a recorded birth. Women in rural areas travelled 4 km mor...Continue Reading

References

May 1, 1982·Journal of Regional Science·R Flowerdew, M Aitkin
Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
Mar 22, 2007·Social Science & Medicine·Louise Anne HultonRobert William Stones
Feb 7, 2009·Bulletin of the World Health Organization·Pierre FournierSékou Dramé
Mar 24, 2009·Health Policy and Planning·Margaret E KrukSandro Galea
Mar 27, 2009·Neuroscience Research·G de MarcoP Berquin
Aug 13, 2009·BMC Pregnancy and Childbirth·Sabine Gabrysch, Oona M R Campbell
Jul 17, 2013·BMC Health Services Research·Wilbroad MutaleUNKNOWN Population Health Implementation and Training – Africa Health Initiative Data Collaborative
Aug 3, 2013·Social Science & Medicine·Samuel H MastersMichael Hanlon
Jan 7, 2014·International Journal of Health Geographics·Andrew J TatemZoë Matthews
Jun 27, 2014·International Journal of Health Geographics·Robin C NesbittChris Grundy
Nov 21, 2015·Lancet·Leontine AlkemaUNKNOWN United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group
Jan 3, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Louise HultonWilliam Stones
Aug 11, 2016·Scientific Reports·Robin C NesbittSabine Gabrysch

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Citations

Aug 28, 2020·Transactions of the Royal Society of Tropical Medicine and Hygiene·Laud A Boateng, UNKNOWN Ghana Southampton Scabies Research Partnership
Jul 8, 2020·Tropical Medicine & International Health : TM & IH·Winfred Dotse-GborgbortsiJim Wright
Jan 9, 2021·BMC Pregnancy and Childbirth·Francis AppiahEdward Kwabena Ameyaw
Feb 25, 2021·BMC Pregnancy and Childbirth·Edward Kwabena AmeyawKenneth Setorwu Adde

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