Is the closest health facility the one used in pregnancy care-seeking? A cross-sectional comparative analysis of self-reported and modelled geographical access to maternal care in Mozambique, India and Pakistan.
Liberty MakachaPrestige Tatenda MakangaYolisa Prudence DubeJeffrey BoneKhátia MunguambeGeetanjali KatageriSumedha SharmaMarianne VidlerEsperança SeveneUmesh RamadurgUmesh CharantimathAmit RevankarPeter von DadelszenPublished in: International journal of health geographics (2020)
Modelling access successfully predict potential vulnerability in populations. Differences between modelled (P) and self-reported travel times (R) are partially a result of women not seeking care at their closest facilities. Modelling access should not be viewed through a geographically static lens. Modelling assumptions are likely modified by spatio-temporal and/or socio-cultural settings. Geographical stratification of access reveals disproportionate variations in differences emphasizing the varied nature of assumptions across spatial settings. Trial registration ClinicalTrials.gov, NCT01911494. Registered 30 July 2013, https://clinicaltrials.gov/ct2/show/NCT01911494.
Keyphrases
- healthcare
- palliative care
- mental health
- quality improvement
- pregnancy outcomes
- public health
- affordable care act
- clinical trial
- pain management
- body mass index
- magnetic resonance
- climate change
- metabolic syndrome
- magnetic resonance imaging
- type diabetes
- polycystic ovary syndrome
- skeletal muscle
- health information
- chronic pain
- human health
- open label
- positron emission tomography
- health insurance
- image quality
- dual energy