Does distance matter for institutional delivery in rural India?

Kumar, Santosh; Dansereau, Emily; Murray, Christopher J L

doi:10.1080/00036846.2014.950836

Cited by 68 publications

(62 citation statements)

References 31 publications

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“…One of these studies also identified decreased odds of institutional delivery among those who had to travel >10 km (Feyissa and Genemo 2014). Likewise, a 2014 study in rural India reported a 4.4% decrease in the probability of institutional delivery for each additional kilometer to the closest health facility (Kumar et al 2014). Other recent studies have reported similar findings (Gabrysch et al 2011;Mwaliko et al 2014).…”

Section: Discussionsupporting

confidence: 64%

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Hernández

Colombara

Gagnier

et al. 2017

Health Policy and Planning

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Professional skilled care has shown to be one of the most promising strategies to reduce maternal mortality, and in-facility deliveries are a cost-effective way to ensure safe births. Countries in Mesoamerica have emphasized in-facility delivery care by professionally skilled attendants, but access to good-quality delivery care is still lacking for many women. We examined the characteristics of women who had a delivery in a health facility and determinants of the decision to bypass a closer facility and travel to a distant one. We used baseline information from the Salud Mesoamerica Initiative (SMI). Data were collected from a large household and facilities sample in the poorest quintile of the population in Guatemala, Honduras and Nicaragua. The analysis included 1592 deliveries. After controlling for characteristics of women and health facilities, being primiparous (RR ¼ 1.15, 95% CI 1.10, 1.21), being literate (RR ¼ 1.24, 95% CI 1.04, 1.48), having antenatal care (RR ¼ 1.68, 95% CI 1.24, 2.27), being informed of the need for having a C-section (RR ¼ 1.07, 95% CI 1.02, 1.11) and travel time to the closest facility totaling 1-2 h vs under 30 min (RR ¼ 0.88, 95% CI 0.77, 0.99) were associated with in-health facility deliveries. In Guatemala, increased availability of medications and equipment at a distant facility was strongly associated with bypassing the closest facility in favor of a distant one for delivery (RR ¼ 2.10, 95% CI 1.08, 4.07). Our study showed a strong correlation between well-equipped facilities and delivery attendance in poor areas of Mesoamerica. Indeed, women were more likely to travel to more distant facilities if the facilities were of higher level, which scored higher on our capacity score. Our findings call for improving the capacity of health facilities, quality of care and addressing cultural and accessibility barriers to increase institutional delivery among the poor population in Mesoamerica.

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Section: Discussionsupporting

confidence: 64%

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Hernández

Colombara

Gagnier

et al. 2017

Health Policy and Planning

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“…Women who travelled less than one hour walking distance to a nearby health facility were 3 times more likely to deliver at a health institution than women who spent more than 1 hour to access a health facility. Similarly, studies in low income countries such as Bahi District, Central Tanzania, Rural Zambia, Nepal, Rural Malawi and Rural India 25,[28][29][30][31][32][33] showed that physical distance is one of the major constraints that prevented community members from accessing and using trained attendants and institutional deliveries.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with institutional delivery in Dangila district, North West Ethiopia: a cross-sectional study

2016

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Introduction: Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. Objective: To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. Methods: A cross-sectional study was conducted from February 01-28, 2015. A total of 763 mothers were interviewed using structured questionnaire. SPSS version 20 was used for analysis. Crude and adjusted Odds ratios were computed for selected variables. A P-value less than 0.05 was considered statistical significant. Results: Only 18.3% of mothers gave birth at health facilities. Knowledge on danger signs [AOR=2.0, 95% CI: (1.1, 3.4)], plan to give birth at health institution [AOR=5.4, 95% CI: (3.0, 9.6)], having ANC follow up during pregnancy [AOR=12.9, 95% CI: (5.0, 33.3)] and time taken to get to a nearby health institution [AOR=5.1, 95% CI: (2.9, 9.1)] were associated with institutional delivery service utilization. Conclusion: Institutional delivery was very low. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Thus,the findings recommend repeated re-enforcement of institutional delivery service utilization through professionals. And also, the findings recommend promotion of institutional delivery service utilization through mass media.

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“…It is necessary for this unfounded belief to be addressed via educational campaigns, since many young animals still remain at risk for months, even while the vaccine has been proven to be both safe and effective in puppies [47]. The deterrent effect of distance on attendance to healthcare facilities has been previously reported [48,49], in addition to the specific effect of distance on attendance to static vaccination clinics [12,44]. However, in this study, the effect of distance on absolute coverage was found to be insignificant.…”

Section: Variablementioning

confidence: 99%

Implementation of a mass canine rabies vaccination campaign in both rural and urban regions in southern Malawi

Sánchez-Soriano

Gibson

Gamble³

et al. 2020

PLoS Negl Trop Dis

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Rabies is a devastating zoonotic disease causing nearly 60,000 deaths globally each year. The disease causes Malawi an economic loss of 13 million USD and kills almost 500 people annually. Domestic dogs are the main reservoir for rabies and vaccinating over 70% of the dog population is the most efficient method to reduce its incidence in both humans and canines. However, achieving such coverages is often difficult and depend on many geospatial factors. Rural and pastoral regions are considered difficult to vaccinate efficiently due to low dog densities, and reports of campaigns spanning large areas containing vastly different communities are lacking. This study describes a mass canine vaccination campaign covering rural and urban regions in southern Malawi. The campaign achieved an average vaccination coverage of 83.4% across 3 districts, and vaccinated over 89,000 dogs through a combined static point and door-to-door effort. A dog population of 107,574 dogs was estimated (dog:human ratio of 1:23). The canine population was found to be almost completely owned (99.2%) and mostly kept for security purposes (82.7%). The dogs were mainly adults, males, and not neutered. Regression analysis identified education level and proportion of young dogs as the only factors influencing (positively and negatively, respectively) whether vaccination coverage over 70% was achieved in a region, independently of variables such as population density or poverty. A second regression analysis was performed predicting absolute vaccination coverage. While education level and the proportion of confined dogs were associated with positive vaccination coverage, higher proportions of young animals and female dogs were associated with a decrease in coverage. This study confirms the feasibility of homogeneously vaccinating over 70% of the dogs in a large area including rural and urban communities. These findings can inform the logistics of future campaigns and might be used as a template to facilitate high-number, high-coverage vaccination campaigns to other regions in sub-Saharan Africa.

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Does distance matter for institutional delivery in rural India?

Cited by 68 publications

References 31 publications

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Barriers and facilitators for institutional delivery among poor Mesoamerican women: a cross-sectional study

Factors associated with institutional delivery in Dangila district, North West Ethiopia: a cross-sectional study

Implementation of a mass canine rabies vaccination campaign in both rural and urban regions in southern Malawi

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