ArticleReproductive health2021
The effects of geographical accessibility to health facilities on antenatal care and delivery services utilization in Benin: a cross-sectional study.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 50 citations in OpenAlex.
- Trial
- Maternal health service utilization in the Jimma Zone, Ethiopia: results from a baseline study for mobile phone messaging interventions.BMC pregnancy and childbirth · 2024Trial
- Infertility service availability, geographic accessibility, and use: results from linked facility-female cross-sectional data in Burkina Faso, Côte d'Ivoire, Niger, and Uganda.BMC health services research · 2026Article
- Correlates of antenatal care visits among expectant mothers in Malawi: application of generalised estimating equations and likelihood-based poisson and negative binomial mixed models.Reproductive health · 2026Article
- Modelling spatial heterogeneity in exposure buffers and risk: a hierarchical Bayesian approach.Journal of the Royal Statistical Society. Series C, Applied statistics · 2026Article
- Geospatial analysis of primary healthcare accessibility and qualitative assessment of affordability in rural communities of Twifo Ati-Morkwaa District, Ghana.BMC primary care · 2026Article
- Regional disparities in access to coordinated health care in Poland: development and application of an accessibility index.BMC health services research · 2026Article
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Compliance with WHO-recommended ≥8 antenatal contacts and associated factors among women at primary health facilities in Mbarara district, Uganda.SAGE open medicine · 2026Article
- A high-resolution geospatial analysis of radiation therapy access in the Philippines.Ecancermedicalscience · 2026Article
- Determinants of maternity services utilisation among women of reproductive age across sub-Saharan Africa.PloS one · 2026Article
- Trends and inequalities in health facility deliveries among women of reproductive age in Ghana, 1993-2022.Frontiers in reproductive health · 2026Article
- Persistence of geographic barriers to maternal care services following a health system strengthening initiative in rural Madagascar.BMC pregnancy and childbirth · 2025Article
- Inequalities in effective coverage of the maternal healthcare continuum in Cameroon: a cascade analysis from service contact to input-adjusted coverage.BMC health services research · 2025Article
- Propensity score matching analysis of the effect of four or more antenatal care visits on basic childhood immunization in Ethiopia.Scientific reports · 2025Article
- Modeling Geographical Accessibility and Inequalities to Childbirth Services in the Grand Nokoué Metropolitan Area, Benin.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Application of machine learning algorithms and SHAP explanations to predict fertility preference among reproductive women in Somalia.Scientific reports · 2025Article
- Inequalities and Determinants of Quality Antenatal Care Coverage Among Women of Reproductive Age (15-49) in Tanzania: A Cross-Sectional Analysis of National Data.Health science reports · 2025Article
- Application of the random forest algorithm to predict skilled birth attendance and identify determinants among reproductive-age women in 27 Sub-Saharan African countries; machine learning analysis.BMC public health · 2025Article
- Health Kiosks in Market: A qualitative study of factors influencing the transferability of the program to a target context in Kenya.PloS one · 2025Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe world is making progress toward achieving maternal and child health (MCH) related components of the Sustainable Development Goals. Nevertheless, the progress of many countries in Sub-Saharan Africa is lagging. Geographical accessibility from residence to health facilities is considered a major obstacle hampering the use of appropriate MCH services. Benin, a country where the southern and northern parts belong to different geographical zones, has among the highest maternal mortality rate in the world. Adequate use of MCH care is important to save lives of women and their babies. This study assessed the effect of geographical accessibility to health facilities on antenatal care and delivery services utilization in Benin, with an emphasis on geographical zones.
methodsWe pooled two rounds of Benin Demographic and Health Surveys (BDHS). The sample included 18,105 women aged 15-49 years (9111 from BDHS-2011/2012 and 8994 from BDHS-2017/2018) who had live births within five years preceding the surveys. We measured the distance and travel time from residential areas to the closest health center by merging the BDHS datasets with Benin's geographic information system data. Multivariate logistic regression analysis was performed to estimate the effect of geographical access on pregnancy and delivery services utilization. We conducted a propensity score-matching analysis to check for robustness.
resultsRegression results showed that the distance to the closest health center had adverse effects on the likelihood of a woman receiving appropriate maternal healthcare. The estimates showed that one km increase in straight-line distance to the closest health center reduces the odds of the woman receiving at least one antenatal care by 0.042, delivering in facility by 0.092, and delivering her baby with assistance of skilled birth attendants by 0.118. We also confirmed the negative effects of travel time and altitude of women's residence on healthcare utilization. Nonetheless, these effects were mainly seen in the northern part of Benin.
conclusionsGeographical accessibility to health facilities is critically important for the utilization of antenatal care and delivery services, particularly in the northern part of Benin. Improving geographical accessibility, especially in rural areas, is significant for further use of maternal health care in Benin.
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