Evidence map›Paper›PMID 39472903›Full record

ArticleBMC health services research2024

Women living in the region under an emergency command post are experiencing delays in reaching health facilities: a multi-center cross-sectional study.

Besfat Berihun Erega, Abebaye Adigo Zeru, Begizew Yimenu Mekuriaw, Rahel Birhanu Arage, Yitayal Ayalew Goshu, Wassie Yazie Ferede, Mulat Ayele, Gizachew Yilak, Befkad Derese Tilahun, Habtam Desse Alemayehu and 1 more

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Besfat Berihun EregaDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. berihunbesfat@gmail.com.
Abebaye Adigo ZeruDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Begizew Yimenu MekuriawDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Rahel Birhanu ArageDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Yitayal Ayalew GoshuDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Wassie Yazie FeredeDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Mulat AyeleDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Gizachew YilakDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Befkad Derese TilahunDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Habtam Desse AlemayehuDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Eyob Shitie LakeDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe time between seeking emergency care and receiving the first healthcare service is referred to as delays in reaching health facilities. Delay in reaching health facilities had three main sub-themes in different studies. These include (i). Availability of transportation and infrastructure, (ii). Distance from health facilities and (iii). Lack of finance for transportation. Although there are plenty of findings about maternal delays in reaching health facilities, studies do not address the delay situation of women in conflict zones all over the world. In Ethiopia, specifically, we saw women delayed in healthcare service due to restricted movement and closure of roads, even for ambulances, at night time.

methodsA multi-center cross-sectional study was conducted among mothers attending public health facilities in the south Gondar zone, Ethiopia from September 01/2023 to April 30/2024. The data was collected by four BSc degree-holder midwives, using structured questionnaires after training was given for a day in each hospital. A pretest using 5% of the sample size was conducted. Descriptive statistics, and multivariable logistic regression analyses were used to identify factors associated with delays in reaching health facilities. Variables having p-value ≤ 0.2 in the bi-variable analysis were fitted into multiple logistic regression models.

resultThe prevalence of delay in reaching health facilities among women who are living in the region of emergency command post was 54.9% CI (42.04-59.87%). Living in rural areas, non-availability of public transport during the armed conflict, labor onset at nighttime, road closures by the armed forces, and non-availability of ambulances were the factors that contributed to the delay during the emergency command post.

conclusionThe magnitude of delay in reaching health facilities among women who are living in the region of emergency command post was high.

Indexed as

Health Services AccessibilityAdolescentAdultCross-Sectional StudiesEthiopiaFemaleHealth FacilitiesHumansPatient Acceptance of Health CarePregnancySurveys and QuestionnairesYoung AdultCommand-postConflictDelayEthiopiaWomen

Identifiers

PMID39472903
PMCPMC11520897

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.