ArticlePloS one2021
The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of travel time to health facilities on perinatal outcomes: a systematic review with narrative synthesis and meta-analysis.Journal of global health · 2026Pooled it
- Beyond proximity: an observational study of stillbirth rates and emergency obstetric and newborn care accessibility in The Gambia.BMJ global health · 2025Observational
- Pooled prevalence and multilevel determinants of stillbirths in sub-Saharan African countries: implications for achieving sustainable development goal.Global health research and policy · 2025Article
- Observational
- Assessing the Link between Maternal Transport Modes and Childhood Mortality in Nigeria.Maternal and child health journal · 2024Article
- Choosing a maternity hospital: a matter of travel distance or quality of care?Research in health services & regions · 2024Article
- Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará.Revista da Escola de Enfermagem da U S P · 2024Article
- Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia.PloS one · 2023Article
- Distance is "a big problem": a geographic analysis of reported and modelled proximity to maternal health services in Ghana.BMC pregnancy and childbirth · 2022Article
- rspatialdata: a collection of data sources and tutorials on downloading and visualising spatial data using R.F1000Research · 2022Article
- Determinants of stillbirth among reviewed perinatal deaths in Ethiopia.Frontiers in pediatrics · 2022Article
- Travel scenario workshops for geographical accessibility modeling of health services: A transdisciplinary evaluation study.Frontiers in public health · 2022Article
- Use of motorised transport and pathways to childbirth care in health facilities: Evidence from the 2018 Nigeria Demographic and Health Survey.PLOS global public health · 2022Article
- Association between ambulance prehospital time and maternal and perinatal outcomes in Sierra Leone: a countrywide study.BMJ global health · 2021Article
- Influence of travel time and distance to the hospital of care on stillbirths: a retrospective facility-based cross-sectional study in Lagos, Nigeria.BMJ global health · 2021Article
- Determinants of adverse birth outcome in Sub-Saharan Africa: analysis of recent demographic and health surveys.BMC public health · 2021Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Access to quality emergency obstetric and newborn care (EmONC); having a skilled attendant at birth (SBA); adequate antenatal care; and efficient referral systems are considered the most effective interventions in preventing stillbirths. We determined the influence of travel time from mother's area of residence to a tertiary health facility where women sought care on the likelihood of delivering a stillbirth. We carried out a prospective matched case-control study between 1st January 2019 and 31st December 2019 at the Federal Teaching Hospital Gombe (FTHG), Nigeria. All women who experienced a stillbirth after hospital admission during the study period were included as cases while controls were consecutive age-matched (ratio 1:1) women who experienced a live birth. We modelled travel time to health facilities. To determine how travel time to the nearest health facility and the FTHG were predictive of the likelihood of stillbirths, we fitted a conditional logistic regression model. A total of 318 women, including 159 who had stillborn babies (cases) and 159 age-matched women who had live births (controls) were included. We did not observe any significant difference in the mean travel time to the nearest government health facility for women who had experienced a stillbirth compared to those who had a live birth [9.3 mins (SD 7.3, 11.2) vs 6.9 mins (SD 5.1, 8.7) respectively, p = 0.077]. However, women who experienced a stillbirth had twice the mean travel time of women who had a live birth (26.3 vs 14.5 mins) when measured from their area of residence to the FTHG where deliveries occurred. Women who lived farther than 60 minutes were 12 times more likely of having a stillborn [OR = 12 (1.8, 24.3), p = 0.011] compared to those who lived within 15 minutes travel time to the FTHG. We have shown for the first time, the influence of travel time to a major tertiary referral health facility on the occurrence of stillbirths in an urban city in, northeast Nigeria.
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