ArticleBMC pregnancy and childbirth2020
Geographical accessibility in assessing bypassing behaviour for inpatient neonatal care, Bungoma County-Kenya.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Spatial analysis of cross-boundary hospitalizations of very low birth weight infants in Japan.Pediatric research · 2026Article
- Bypassing primary healthcare facilities for maternal and child health services in low- and middle-income countries: a scoping review.Reproductive health · 2026Article
- Geospatial analysis of COVID-19 vaccine access in Kenya: the interplay of travel time, perceived availability, and vaccine uptake.Journal of global health · 2026Article
- "If they were telling us to go, we will go": factors associated with effective postnatal care coverage before and after discharge - a mixed-methods study in rural western Kenya.BMJ global health · 2026Article
- Big data in modelling geographical accessibility to healthcare: a scoping review protocol.BMJ open · 2025Article
- Paediatric anaemia in rural Kenya and the role of travel time to emergency care services.Frontiers in epidemiology · 2025Article
- Optimization of the emergency obstetric and neonatal care network in Benin through expert-based sub-national prioritizations.Frontiers in global women's health · 2024Article
- A geospatial database of close-to-reality travel times to obstetric emergency care in 15 Nigerian conurbations.Scientific data · 2023Article
- A multi-scale approach mapping spatial equality of urban public facilities for urban design.Heliyon · 2023Article
- Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya.International journal of health geographics · 2023Article
- Present and Future Drinking Water Security and Its Impacts on Maternities: A Multi-Scale Assessment of Sudan.International journal of environmental research and public health · 2023Article
- Difference in bypass for inpatient care and its determinants between rural and urban residents in China.International journal for equity in health · 2022Article
- Health care seeking in modern urban LMIC settings: evidence from Lusaka, Zambia.BMC public health · 2022Article
- Optimising scale and deployment of community health workers in Sierra Leone: a geospatial analysis.BMJ global health · 2022Article
- Improving the efficiency of scale-up and deployment of community health workers in Mali: A geospatial analysis.PLOS global public health · 2022Article
- Geographic accessibility to public and private health facilities in Kenya in 2021: An updated geocoded inventory and spatial analysis.Frontiers in public health · 2022Article
- Geospatial mapping of timely access to inpatient neonatal care and its relationship to neonatal mortality in Kenya.PLOS global public health · 2022Article
- Defining service catchment areas in low-resource settings.BMJ global health · 2021Article
- Optimising geographical accessibility to primary health care: a geospatial analysis of community health posts and community health workers in Niger.BMJ global health · 2021Article
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6 authors.
Funding
Abstract
backgroundNeonatal mortality rate in Kenya continues to be unacceptably high. In reducing newborn deaths, inequality in access to care and quality care have been identified as current barriers. Contributing to these barriers are the bypassing behaviour and geographical access which leads to delay in seeking newborn care. This study (i) measured geographical accessibility of inpatient newborn care, and (ii), characterized bypassing behaviour using the geographical accessibility of the inpatient newborn care seekers.
methodsGeographical accessibility to the inpatient newborn units was modelled based on travel time to the units across Bungoma County. Data was then collected from 8 inpatient newborn units and 395 mothers whose newborns were admitted in the units were interviewed. Their spatial residence locations were geo-referenced and were used against the modelled travel time to define bypassing behaviour.
resultsApproximately 90% of the sick newborn population have access to nearest newborn units (< 2 h). However, 36% of the mothers bypassed their nearest inpatient newborn facility, with lack of diagnostic services (28%) and distrust of health personnel (37%) being the major determinants for bypassing. Approximately 75% of the care seekers preferred to use the higher tier facilities for both maternal and neonatal care in comparison to sub-county facilities which mostly were bypassed and remained underutilised.
conclusionOur findings suggest that though majority of the population have access to care, sub-county inpatient newborn facilities have high risk of being bypassed. There is need to improve quality of care in maternal care, to reduce bypassing behaviour and improving neonatal outcome.
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