Trial reportScientific reports2016
The influence of distance and quality of care on place of delivery in rural Ghana.
Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed.
- Trial
- Challenges of home visit practice and perceived solutions for improvement in Ghanaian context: perspectives of healthcare professional and community informants.Health research policy and systems · 2026Article
- Determining factors of birthplace choice among women in Ghana: evidence from the 2022 nationally representative data.BMC pregnancy and childbirth · 2026Article
- Evaluating the effects of the free healthcare policy on clinical visits and malaria among children in Burkina Faso: a modeling study of past trends and future forecasts.Global health research and policy · 2025Article
- Identifying Predictors of Utilization of Skilled Birth Attendance in Uganda Through Interpretable Machine Learning.International journal of environmental research and public health · 2025Article
- Institutional delivery and its determinants among reproductive-age women in Mozambique: A geographic weighted regression.PLOS global public health · 2025Article
- Completion of maternal and child health continuum of care and associated factors in West Gondar Zone, North West Ethiopia, 2023: a community based cross sectional study.BMC pregnancy and childbirth · 2024Article
- A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis.PLOS global public health · 2024Article
- Article
- Has the Gratuité policy reduced inequities in geographic access to antenatal care in Burkina Faso? Evidence from facility-based data from 2014 to 2022.Frontiers in global women's health · 2024Article
- Voting with their feet: Primary care provider choice and its implications for public sector primary care services in India.Social science & medicine (1982) · 2024Article
- Individual, Community, and Health Facility Predictors of Postnatal Care Utilization in Rural Tanzania: A Multilevel Analysis.Global health, science and practice · 2023Article
- Determinants of timing, adequacy and quality of antenatal care in Rwanda: a cross-sectional study using demographic and health surveys data.BMC health services research · 2023Article
- The effect of distance to health facility on neonatal mortality in Ethiopia.BMC health services research · 2023Article
- Article
- Article
- Distance is "a big problem": a geographic analysis of reported and modelled proximity to maternal health services in Ghana.BMC pregnancy and childbirth · 2022Article
- Delineating natural catchment health districts with routinely collected health data from women's travel to give birth in Ghana.BMC health services research · 2022Article
- Travel time, availability of emergency obstetric care, and perceived quality of care associated with maternal healthcare utilisation in Afghanistan: A multilevel analysis.Global public health · 2022Article
- Enhancing Public Participation in Public Health Offerings: Patient Preferences for Facilities in the Western Cape Province Using a Discrete Choice Experiment.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Facility delivery is an important aspect of the strategy to reduce maternal and newborn mortality. Geographic access to care is a strong determinant of facility delivery, but few studies have simultaneously considered the influence of facility quality, with inconsistent findings. In rural Brong Ahafo region in Ghana, we combined surveillance data on 11,274 deliveries with quality of care data from all 64 delivery facilities in the study area. We used multivariable multilevel logistic regression to assess the influence of distance and several quality dimensions on place of delivery. Women lived a median of 3.3 km from the closest delivery facility, and 58% delivered in a facility. The probability of facility delivery ranged from 68% among women living 1 km from their closest facility to 22% among those living 25 km away, adjusted for confounders. Measured quality of care at the closest facility was not associated with use, except that facility delivery was lower when the closest facility provided substandard care on the EmOC dimension. These results do not imply, however, that we should increase geographic accessibility of care without improving facility quality. While this may be successful in increasing facility deliveries, such care cannot be expected to reduce maternal and neonatal mortality.
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