Distance to HIV and Antenatal Care: A Geospatial Analysis in Siaya County, Kenya.
Adult
Ambulatory Care Facilities
Community-Based Participatory Research
Cross-Sectional Studies
Delivery of Health Care
Female
Geographic Information Systems
HIV Infections
/ drug therapy
Health Services Accessibility
/ statistics & numerical data
Humans
Infectious Disease Transmission, Vertical
/ prevention & control
Kenya
/ epidemiology
Mothers
/ psychology
Prenatal Care
/ statistics & numerical data
Journal
The Journal of the Association of Nurses in AIDS Care : JANAC
ISSN: 1552-6917
Titre abrégé: J Assoc Nurses AIDS Care
Pays: United States
ID NLM: 9111870
Informations de publication
Date de publication:
Historique:
pubmed:
30
1
2019
medline:
17
9
2020
entrez:
30
1
2019
Statut:
ppublish
Résumé
As maternal child health (MCH) programs expand in the setting of HIV, health systems are challenged to reach those most vulnerable and at the greatest need. Cross-sectional surveys of MCH clinics and recent mothers in the Siaya Health Demographic Surveillance System were conducted to assess correlates of accessing antenatal care and facility delivery. Of 376 recent mothers, 93.4% accessed antenatal care and 41.2% accessed facility delivery. Per-kilometer distance between maternal residence and the nearest facility offering delivery services was associated with 7% decreased probability of uptake of facility delivery. Compared with a reference of less than 1 km between home and clinic, a distance of more than 3 km to the nearest facility was associated with 25% decreased probability of uptake of facility delivery. Distance to care was a factor in accessing facility delivery services. Decentralization or transportation considerations may be useful to optimize MCH and HIV service impact in high-prevalence regions.
Identifiants
pubmed: 30694879
doi: 10.1097/JNC.0000000000000050
pmc: PMC6675674
mid: NIHMS1026605
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
548-555Subventions
Organisme : NICHD NIH HHS
ID : K24 HD054314
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI027757
Pays : United States
Organisme : NICHD NIH HHS
ID : R24 HD056799
Pays : United States
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