Evidence map›Paper›PMID 35064429›Full record

ArticleMaternal and child health journal2022

Geographic Access and Maternal Health Services Utilization in Sélingué Health District, Mali.

Moctar Tounkara, Oumar Sangho, Madeleine Beebe, Lillian Joyce Whiting-Collins, Rebecca R Goins, Hannah C Marker, Peter J Winch, Seydou Doumbia

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In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Moctar TounkaraDepartment of Public Health, Faculty of Medicine and Dentistry, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali. moctartounkara5@gmail.com.ORCID http://orcid.org/0000-0001-6443-8691
Oumar SanghoDepartment of Public Health, Faculty of Medicine and Dentistry, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.
Madeleine BeebeMUSO NGO, San Francisco, USA.
Lillian Joyce Whiting-CollinsMUSO NGO, San Francisco, USA.
Rebecca R GoinsMUSO NGO, San Francisco, USA.
Hannah C MarkerMUSO NGO, San Francisco, USA.
Peter J WinchDepartment of International Health, Social and Behavioral Interventions Program, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Seydou DoumbiaDepartment of Public Health, Faculty of Medicine and Dentistry, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.

Funding

Training Program on Operational and Health Services Research for Malaria in MaliD43TW008652 · FIC · UNIV OF SCIENCES, TECH & TECH OF BAMAKO · PI SEYDOU DOUMBIA, Alexandre Delamou · 2010 to 2026
$3.1M
Virtual community health services - for equity and quality in health care in MaliR21TW009885 · FIC · JOHNS HOPKINS UNIVERSITY · PI WINCH, PETER J · 2014 to 2015
$360k
FIC NIH HHS D43 TW008652FIC NIH HHS Grant No. 118584 IO No. 90060398 NIH/Sponsor No. R21TW009885FIC NIH HHS R21 TW009885
6 · The paper itself

Abstract

introductionMaternal mortality is one of the main causes of death for women of childbearing age in Mali, and improving this outcome is slow, even in regions with relatively good geographic access to care. Disparities in maternal health services utilization can constitute a major obstacle in the reduction of maternal mortality in Mali and indicates a lack of equity in the Malian health system. Literature on maternal health inequity has explored structural and individual factors influencing outcomes but has not examined inequities in health facility distribution within districts with moderate geographic access. The purpose of this article is to examine disparities in education and geographic distance and how they affect utilization of maternal care within the Sélingué health district, a district with moderate geographic access to care, near Bamako, Mali.

methodsWe conducted a cross sectional survey with cluster sampling in the Sélingué health district. Maternal health services characteristics and indicators were described. Association between dependent and independent variables was verified using Kendall's tau-b correlation, Chi square, logistic regression with odds ratio and 95% confidence interval. Gini index and concentration curve were used to measure inequity.

resultsMost respondents were 20 to 24 years old. Over 31% of our sample had some education, 65% completed at least four ANC visits, and 60.8% delivered at a health facility. Despite this evidence of healthcare access in Sélingué, disparities within the health district contribute to inadequate utilization among approximately 40% of the women in our sample. The concentration index demonstrated the impact of inequity in geographic access, comparing women residing near and far from the referral care facility.

conclusionMaternal health services underutilization, within a district with moderate geographic access, indicates that deliberate attention should be paid to addressing geographic access even in such a district.

Indexed as

Maternal Health ServicesAdultCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaliPatient Acceptance of Health CarePregnancyPrenatal CareYoung AdultAntenatal careCaesarian sectionGeographic accessInequity

Identifiers

PMID35064429
PMCPMC8782685

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.