The role of transportation to access maternal care services for women in rural Bangladesh and Burkina Faso: A mixed methods study

被引：23

作者：

Alam, Nazmul ^{[1
,2
]}

Chowdhury, Mahbub Elahi ^{[3
]}

Kouanda, Seni ^{[4
,5
,6
]}

Seppey, Mathieu ^{[1
,2
]}

Alam, Anadil ^{[3
]}

Savadogo, Justin Ragnessi ^{[5
]}

Sia, Drissa ^{[7
]}

Fournier, Pierre ^{[1
,2
]}

机构：

[1] Univ Montreal Hosp Res Ctr, Montreal, PQ, Canada

[2] Univ Montreal, Sch Publ Hlth, Montreal, PQ, Canada

[3] Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh

[4] Res Inst Hlth Sci, Ouagadougou, Burkina Faso

[5] African Inst Publ Hlth, Ouagadougou, Burkina Faso

[6] Kaya Hlth & Demog Surveillance Syst, Kaya, Burkina Faso

[7] Univ Quebec Outaouais, Dept Nursing Sci, Gatineau, PQ, Canada

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2016年 / 135卷

关键词：

Accessibility; Bangladesh; Burkina Faso; Emergency Obstetric Care; Facility Delivery; Transport; Rural areas; HEALTH-SERVICES; MORTALITY; SEEKING; COMMUNICATION; DISTRICT; ILLNESS; NEEDS;

D O I：

10.1016/j.ijgo.2016.09.003

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To understand the role of transportation in accessing health care during pregnancy, delivery, and the postpartum period among women in rural Bangladesh and Burkina Faso. Methods: An exploratory mixed methods study was conducted in Mymensingh district in Bangladesh and Kaya district in Burkina Faso. We recruited 300 women from Bangladesh and 340 from Burkina Faso with a delivery outcome within one year of interview. Key informant interviews were conducted with 19 participants and 12 focus group discussions took place with attendees in selected community clinics. Results: Of the interviewees, 45.7% in Bangladesh and 73.2% in Burkina Faso reported having had health complications during their last pregnancy, delivery, or postpartum period. Of all women, 42.7% in Bangladesh and 67.4% in Burkina Faso sought facility care for their complications. Facility-based delivery was much higher in Burkina Faso (87.7%) than Bangladesh (38.2%). Literacy, transport availability, transportation costs, and travel time were associated with care seeking behavior. Conclusion: Lack of reliable transportation was reported as a significant barrier to accessing care during pregnancy, delivery, and postpartum by women in Bangladesh and Burkina Faso. Effort should be made to improve access to emergency obstetric care, and transport intervention should be strengthened. (C) 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：S45 / S50

页数：6

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