The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria

Autor: Uduak Okomo, Eseoghene Dase, Aliyu U. El-Nafaty, Iliya Jalo, Winfred Dotse-Gborgbortsi, Christopher Hassan Laima, Jacob Albin Korem Alhassan, Oghenebrume Wariri, Halima Usman Farouk, Egwu Onuwabuchi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Maternal Health
Social Sciences
Transportation
Health Services Accessibility
Tertiary Care Centers
Labor and Delivery
0302 clinical medicine
Health facility
Obstetrics and gynaecology
Pregnancy
Medicine and Health Sciences
Towns
030212 general & internal medicine
Travel
030219 obstetrics & reproductive medicine
Multidisciplinary
Geography
Obstetrics and Gynecology
Stillbirth
Transportation Infrastructure
Travel time
Medicine
Engineering and Technology
Female
Live birth
Stillbirths
Research Article
Adult
Referral
Science
Nigeria
Human Geography
Civil Engineering
Urban Geography
03 medical and health sciences
Spatio-Temporal Analysis
medicine
Humans
business.industry
Significant difference
medicine.disease
Roads
Health Care
Health Care Facilities
Birth
Earth Sciences
Case control analysis
Women's Health
business
Demography
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 1, p e0245297 (2021)
ISSN: 1932-6203
Popis: Access to quality emergency obstetric and newborn care (EmONC); having a skilled attendant at birth (SBA); adequate antenatal care; and efficient referral systems are considered the most effective interventions in preventing stillbirths. We determined the influence of travel time from mother’s area of residence to a tertiary health facility where women sought care on the likelihood of delivering a stillbirth. We carried out a prospective matched case-control study between 1st January 2019 and 31st December 2019 at the Federal Teaching Hospital Gombe (FTHG), Nigeria. All women who experienced a stillbirth after hospital admission during the study period were included as cases while controls were consecutive age-matched (ratio 1:1) women who experienced a live birth. We modelled travel time to health facilities. To determine how travel time to the nearest health facility and the FTHG were predictive of the likelihood of stillbirths, we fitted a conditional logistic regression model. A total of 318 women, including 159 who had stillborn babies (cases) and 159 age-matched women who had live births (controls) were included. We did not observe any significant difference in the mean travel time to the nearest government health facility for women who had experienced a stillbirth compared to those who had a live birth [9.3 mins (SD 7.3, 11.2) vs 6.9 mins (SD 5.1, 8.7) respectively, p = 0.077]. However, women who experienced a stillbirth had twice the mean travel time of women who had a live birth (26.3 vs 14.5 mins) when measured from their area of residence to the FTHG where deliveries occurred. Women who lived farther than 60 minutes were 12 times more likely of having a stillborn [OR = 12 (1.8, 24.3), p = 0.011] compared to those who lived within 15 minutes travel time to the FTHG. We have shown for the first time, the influence of travel time to a major tertiary referral health facility on the occurrence of stillbirths in an urban city in, northeast Nigeria.
Databáze: OpenAIRE
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