Applying the Global Positioning System and Google Earth to Evaluate the Accessibility of Birth Services for Pregnant Women in Northern Malawi
Applying the Global Positioning System and Google Earth to Evaluate the Accessibility of Birth Services for Pregnant Women in Northern Malawi
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DOI：
10.1111/j.1542-2011.2010.00005.x
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发表时间：
2011-01-01
影响因子：
2.7
通讯作者：
Kolola-Dzimadzi, Rose
中科院分区：
文献类型：
--
作者：
Chen, Solomon Chih-Cheng;Wang, Jung-Der;Kolola-Dzimadzi, Rose
简介：本研究的目的是验证结合使用全球定位系统（GPS）和谷歌地球测量孕妇在北方Malawi.Methods的医疗保健设施的可及性：我们使用GPS和谷歌地球，以确定5个主要的医疗保健设施在姆祖祖（马拉维）和家庭的79个传统的助产士（TBA）。每个传统助产士到达最近的医疗机构所需的距离和时间由全球定位系统和传统助产士的自我报告来测量。一个方便的样本1138名孕妇接受采访，他们的选择的出生地点为当前和以前的怀孕和所需的时间和费用访问医疗保健facility.Results：客观测量GPS和主观报告的TBA从他们的家到医疗保健设施所需的时间之间的相关系数为0.654（P < .001）。在孕妇中，45.6%的人报告说，她们可以在2小时内到达保健设施; 23.8%的人报告说，前往保健设施的交通费超过1美元。在目前的研究中，82.6%的妇女打算在卫生保健机构分娩。然而，只有48.7%的妇女实际上在医疗保健设施分娩在以前的怀孕，32.6%是由TBAs.Discussion协助：结合GPS和谷歌地球可以是有用的，在评估的医疗保健设施的可访问性，特别是紧急产科护理。J Midwifery Womens Health 2011;56：68-74（C）2011由美国护士助产士学院出版。
Introduction: The objective of this study was to validate the combined use of the Global Positioning System(GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi.Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self-report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities.Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs.Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. J Midwifery Womens Health 2011;56:68-74 (C) 2011 by the American College of Nurse-Midwives.