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The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria
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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790442/ https://www.ncbi.nlm.nih.gov/pubmed/33411850 http://dx.doi.org/10.1371/journal.pone.0245297 |
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author | Wariri, Oghenebrume Onuwabuchi, Egwu Alhassan, Jacob Albin Korem Dase, Eseoghene Jalo, Iliya Laima, Christopher Hassan Farouk, Halima Usman El-Nafaty, Aliyu U. Okomo, Uduak Dotse-Gborgbortsi, Winfred |
author_facet | Wariri, Oghenebrume Onuwabuchi, Egwu Alhassan, Jacob Albin Korem Dase, Eseoghene Jalo, Iliya Laima, Christopher Hassan Farouk, Halima Usman El-Nafaty, Aliyu U. Okomo, Uduak Dotse-Gborgbortsi, Winfred |
author_sort | Wariri, Oghenebrume |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7790442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-77904422021-01-27 The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria Wariri, Oghenebrume Onuwabuchi, Egwu Alhassan, Jacob Albin Korem Dase, Eseoghene Jalo, Iliya Laima, Christopher Hassan Farouk, Halima Usman El-Nafaty, Aliyu U. Okomo, Uduak Dotse-Gborgbortsi, Winfred PLoS One Research Article 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. Public Library of Science 2021-01-07 /pmc/articles/PMC7790442/ /pubmed/33411850 http://dx.doi.org/10.1371/journal.pone.0245297 Text en © 2021 Wariri et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Wariri, Oghenebrume Onuwabuchi, Egwu Alhassan, Jacob Albin Korem Dase, Eseoghene Jalo, Iliya Laima, Christopher Hassan Farouk, Halima Usman El-Nafaty, Aliyu U. Okomo, Uduak Dotse-Gborgbortsi, Winfred The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria |
title | The influence of travel time to health facilities on stillbirths: A
geospatial case-control analysis of facility-based data in Gombe,
Nigeria |
title_full | The influence of travel time to health facilities on stillbirths: A
geospatial case-control analysis of facility-based data in Gombe,
Nigeria |
title_fullStr | The influence of travel time to health facilities on stillbirths: A
geospatial case-control analysis of facility-based data in Gombe,
Nigeria |
title_full_unstemmed | The influence of travel time to health facilities on stillbirths: A
geospatial case-control analysis of facility-based data in Gombe,
Nigeria |
title_short | The influence of travel time to health facilities on stillbirths: A
geospatial case-control analysis of facility-based data in Gombe,
Nigeria |
title_sort | influence of travel time to health facilities on stillbirths: a
geospatial case-control analysis of facility-based data in gombe,
nigeria |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790442/ https://www.ncbi.nlm.nih.gov/pubmed/33411850 http://dx.doi.org/10.1371/journal.pone.0245297 |
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