Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.
Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.
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DOI：
10.1136/bmjopen-2022-066792
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发表时间：
2023-01-18
期刊：
影响因子：
2.9
通讯作者：
Wright, Jim A.
中科院分区：
文献类型：
--
作者：
Dotse-Gborgbortsi, Winfred;Tatem, Andrew J.;Matthews, Zoe;Alegana, Victor A.;Ofosu, Anthony;Wright, Jim A.
调查加纳东部地区孕产妇保健服务质量和前往保健设施的旅行时间如何影响分娩服务利用率。这项研究是一个横截面的空间相互作用分析的生育服务利用模式。常规出生数据在空间上与优质护理、服务需求和旅行时间数据相关联。加纳东部地区33个区的131个保健设施（公立、私立和宗教设施）。2017年在加纳东部地区卫生机构分娩的妇女。分娩妇女的人数、分娩护理服务的质量和分娩护理服务的地理覆盖面。由于从妇女居住地到保健设施的旅行时间增加到2小时，利用率明显下降。孕产妇保健服务质量的提高对利用率的积极影响大于服务距离的远近。医院的产妇保健服务质量高于初级保健设施。大多数妇女（88.6%）通过机械化交通工具旅行，在任何分娩服务的两个小时内。大多数妇女（56.2%）超过了产科和新生儿紧急综合护理（CEmONC）服务的2小时阈值。在城市中心，CEmONC服务很少，使农村人口失去了活力。为了提高加纳分娩服务的利用率，应将更高质量的保健设施设在更靠近妇女的地方，特别是在农村地区。在加纳以外，定期收集的出生记录可用于了解服务接近程度和质量之间的相互作用。
To investigate how the quality of maternal health services and travel times to health facilities affect birthing service utilisation in Eastern Region, Ghana. The study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data. 131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana. Women who gave birth in health facilities in the Eastern Region, Ghana in 2017. The count of women giving birth, the quality of birthing care services and the geographic coverage of birthing care services. As travel time from women’s place of residence to the health facility increased up to two2 hours, the utilisation rate markedly decreased. Higher quality of maternal health services haves a larger, positive effect on utilisation rates than service proximity. The quality of maternal health services was higher in hospitals than in primary care facilities. Most women (88.6%) travelling via mechanised transport were within two2 hours of any birthing service. The majority (56.2%) of women were beyond the two2 -hour threshold of critical comprehensive emergency obstetric and newborn care (CEmONC) services. Few CEmONC services were in urban centres, disadvantaging rural populations. To increase birthing service utilisation in Ghana, higher quality health facilities should be located closer to women, particularly in rural areas. Beyond Ghana, routinely collected birth records could be used to understand the interaction of service proximity and quality.
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DOI：
10.1111/tmi.13460
发表时间：
2020-09
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Dotse-Gborgbortsi W;Tatem AJ;Alegana V;Utazi CE;Ruktanonchai CW;Wright J
通讯作者：
Wright J
影响因子：
3.7
作者：
Fries B;Guerra CA;García GA;Wu SL;Smith JM;Oyono JNM;Donfack OT;Nfumu JOO;Hay SI;Smith DL;Dolgert AJ
通讯作者：
Dolgert AJ
影响因子：
15.8
作者：
Chou, Victoria B.;Walker, Neff;Kanyangarara, Mufaro
通讯作者：
Kanyangarara, Mufaro
加纳出生时获得护理的地理通道：安全母性的障碍。
影响因子：
4.5
作者：
Gething PW;Johnson FA;Frempong-Ainguah F;Nyarko P;Baschieri A;Aboagye P;Falkingham J;Matthews Z;Atkinson PM
通讯作者：
Atkinson PM
影响因子：
15.8
作者：
Gabrysch S;Cousens S;Cox J;Campbell OM
通讯作者：
Campbell OM