The effect of distance to health facility on neonatal mortality in Ethiopia.
- Publisher:
- BMC
- Publication Type:
- Journal Article
- Citation:
- BMC Health Serv Res, 2023, 23, (1), pp. 114
- Issue Date:
- 2023-02-03
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Field | Value | Language |
---|---|---|
dc.contributor.author | Kibret, GD | |
dc.contributor.author |
Demant, D https://orcid.org/0000-0003-3330-2972 |
|
dc.contributor.author |
Hayen, A https://orcid.org/0000-0003-4046-8030 |
|
dc.date.accessioned | 2023-11-08T03:42:49Z | |
dc.date.available | 2023-01-16 | |
dc.date.available | 2023-11-08T03:42:49Z | |
dc.date.issued | 2023-02-03 | |
dc.identifier.citation | BMC Health Serv Res, 2023, 23, (1), pp. 114 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | http://hdl.handle.net/10453/173228 | |
dc.description.abstract | INTRODUCTION: In Ethiopia, more than half of newborn babies do not have access to Emergency Obstetric and Neonatal Care (EmONC) services. Understanding the effect of distance to health facilities on service use and neonatal survival is crucial to recommend policymakers and improving resource distribution. We aimed to investigate the effect of distance to health services on maternal service use and neonatal mortality. METHODS: We implemented a data integration method based on geographic coordinates. We calculated straight-line (Euclidean) distances from the Ethiopian 2016 demographic and health survey (EDHS) clusters to the closest health facility. We computed the distance in ESRI ArcGIS Version 10.3 using the geographic coordinates of DHS clusters and health facilities. Generalised Structural Equation Modelling (GSEM) was used to estimate the effect of distance on neonatal mortality. RESULTS: Poor geographic accessibility to health facilities affects maternal service usage and increases the risk of newborn mortality. For every ten kilometres (km) increase in distance to a health facility, the odds of neonatal mortality increased by 1.33% (95% CI: 1.06% to 1.67%). Distance also negatively affected antenatal care, facility delivery and postnatal counselling service use. CONCLUSIONS: A lack of geographical access to health facilities decreases the likelihood of newborns surviving their first month of life and affects health services use during pregnancy and immediately after birth. The study also showed that antenatal care use was positively associated with facility delivery service use and that both positively influenced postnatal care use, demonstrating the interconnectedness of the components of continuum of care for maternal and neonatal care services. Policymakers can leverage the findings from this study to improve accessibility barriers to health services. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BMC | |
dc.relation.ispartof | BMC Health Serv Res | |
dc.relation.isbasedon | 10.1186/s12913-023-09070-x | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of thislicence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |
dc.subject | 0807 Library and Information Studies, 1110 Nursing, 1117 Public Health and Health Services | |
dc.subject.classification | Health Policy & Services | |
dc.subject.classification | 4203 Health services and systems | |
dc.subject.classification | 4205 Nursing | |
dc.subject.classification | 4206 Public health | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Health Services Accessibility | |
dc.subject.mesh | Ethiopia | |
dc.subject.mesh | Infant Mortality | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Delivery, Obstetric | |
dc.subject.mesh | Maternal Health Services | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Delivery, Obstetric | |
dc.subject.mesh | Infant Mortality | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Maternal Health Services | |
dc.subject.mesh | Health Services Accessibility | |
dc.subject.mesh | Ethiopia | |
dc.subject.mesh | Female | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Health Services Accessibility | |
dc.subject.mesh | Ethiopia | |
dc.subject.mesh | Infant Mortality | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Delivery, Obstetric | |
dc.subject.mesh | Maternal Health Services | |
dc.title | The effect of distance to health facility on neonatal mortality in Ethiopia. | |
dc.type | Journal Article | |
utslib.citation.volume | 23 | |
utslib.location.activity | England | |
utslib.for | 0807 Library and Information Studies | |
utslib.for | 1110 Nursing | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2023-11-08T03:42:47Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 23 | |
utslib.citation.issue | 1 |
Abstract:
INTRODUCTION: In Ethiopia, more than half of newborn babies do not have access to Emergency Obstetric and Neonatal Care (EmONC) services. Understanding the effect of distance to health facilities on service use and neonatal survival is crucial to recommend policymakers and improving resource distribution. We aimed to investigate the effect of distance to health services on maternal service use and neonatal mortality. METHODS: We implemented a data integration method based on geographic coordinates. We calculated straight-line (Euclidean) distances from the Ethiopian 2016 demographic and health survey (EDHS) clusters to the closest health facility. We computed the distance in ESRI ArcGIS Version 10.3 using the geographic coordinates of DHS clusters and health facilities. Generalised Structural Equation Modelling (GSEM) was used to estimate the effect of distance on neonatal mortality. RESULTS: Poor geographic accessibility to health facilities affects maternal service usage and increases the risk of newborn mortality. For every ten kilometres (km) increase in distance to a health facility, the odds of neonatal mortality increased by 1.33% (95% CI: 1.06% to 1.67%). Distance also negatively affected antenatal care, facility delivery and postnatal counselling service use. CONCLUSIONS: A lack of geographical access to health facilities decreases the likelihood of newborns surviving their first month of life and affects health services use during pregnancy and immediately after birth. The study also showed that antenatal care use was positively associated with facility delivery service use and that both positively influenced postnatal care use, demonstrating the interconnectedness of the components of continuum of care for maternal and neonatal care services. Policymakers can leverage the findings from this study to improve accessibility barriers to health services.
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