ArticleThe Pan African medical journal2016
Inpatient healthcare provider bypassing by women and their children in urban Bo, Sierra Leone.
Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Article
- Health care seeking in modern urban LMIC settings: evidence from Lusaka, Zambia.BMC public health · 2022Article
- The bypassing of healthcare facilities among National Health Insurance Scheme enrollees in Ibadan, Nigeria.International health · 2021Article
- Using Participatory Mapping to Diagnose Upstream Determinants of Health and Prescribe Downstream Policy-Based Interventions.Preventing chronic disease · 2020Article
- Assessment of Bypass of the Nearest Primary Health Care Facility Among Women in Ghana.JAMA network open · 2020Article
- Health system organisation and patient pathways: breast care patients' trajectories and medical doctors' practice in Mali.BMC public health · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBypassing refers to a person's decision to seek care at a healthcare facility that is not the nearest one of its type to the person's home.
methodsThis study examined inpatient care facility bypassing in urban Bo, Sierra Leone using data from 1,980 women with children 15 years of age and younger who were interviewed in 2010-2011. The locations of residential structures and hospitals were identified using a geographic information system (GIS), and the road distances from participating households to the nearest and preferred inpatient care facilities were measured.
resultsNine inpatient care facilities serve Bo residents, but more than 70% of the participating women reported that the city's main public hospital (Bo Government Hospital), located in the city center, was their preferred inpatient care provider. Participants resided within a median distance of 0.9 km (Interquartile range (IQR): 0.6, 1.8) from their closest inpatient facility, but they would travel a median distance of 2.4 km (IQR: 1.0, 3.3) to reach their preferred providers. About 87% of the women would bypass their nearest inpatient care facility to access care at a preferred provider. Bypassing rates were similar for various demographic and socioeconomic groups, but higher for women living farther from the city center.
conclusionAlthough Bo has a diverse healthcare marketplace, access to affordable advanced care options is limited. Most women in Bo would choose to bypass facilities nearer to their homes to seek the low-cost and comprehensive care offered by Bo Government Hospital.
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