دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria.
المؤلفون: Wariri O; Vaccines and Immunity Theme, MRC Unit The Gambia at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.; African Population and Health Policy Initiative, Gombe, Gombe State, Nigeria., Onuwabuchi E; African Population and Health Policy Initiative, Gombe, Gombe State, Nigeria.; Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe, Gombe, Nigeria., Alhassan JAK; African Population and Health Policy Initiative, Gombe, Gombe State, Nigeria.; Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Canada., Dase E; African Population and Health Policy Initiative, Gombe, Gombe State, Nigeria.; Department of Obstetrics and Gynaecology, Cedarcrest Hospital, Abuja, Nigeria., Jalo I; Department of Paediatrics, Federal Teaching Hospital Gombe, Gombe, Nigeria., Laima CH; Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe, Gombe, Nigeria., Farouk HU; Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe, Gombe, Nigeria., El-Nafaty AU; Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe, Gombe, Nigeria., Okomo U; Vaccines and Immunity Theme, MRC Unit The Gambia at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia., Dotse-Gborgbortsi W; School of Geography and Environmental Science, University of Southampton, Southampton, United Kingdom.; WorldPop Research Group, School of Geography and Environmental Science, University of Southampton, Southampton, United Kingdom.
المصدر: PloS one [PLoS One] 2021 Jan 07; Vol. 16 (1), pp. e0245297. Date of Electronic Publication: 2021 Jan 07 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Health Services Accessibility/*statistics & numerical data , Stillbirth/*epidemiology, Adult ; Female ; Humans ; Nigeria ; Spatio-Temporal Analysis ; Tertiary Care Centers/statistics & numerical data ; Travel/statistics & numerical data
مستخلص: 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.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20210107 Date Completed: 20210513 Latest Revision: 20230919
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC7790442
DOI: 10.1371/journal.pone.0245297
PMID: 33411850
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0245297