Abstract：
:In Afghanistan, the risk of maternal death is among the highest in the world, with wide variation across the country. One explanation may be wide geographic disparities in access and use of maternal health care services. This study describes the spatial distribution of public facilities providing maternal health care in Afghanistan, specifically emergency obstetric care (EmOC), and the differences in travel time estimates using different transportation modes from 2010 to 2015 at the national and subnational levels. We conducted mapping and spatial analyses to measure the proportion of pregnant women able to access any EmOC health facility within 2 h by foot, animal, motor vehicle and a combination of transport modes. In 2015, adequate coverage of active public health facilities within 2 h of travel time was 36.6% by foot and 71.2% by a combination of transport modes. We found an 8.3% and 63.2% increase in access to EmOC facilities within 2 h of travel time by a combination of transport modes and by foot only, respectively, by 2015. Access to a combination of transportation options such as motor vehicles and animals may benefit pregnant women in reaching health facilities efficiently. Afghanistan made impressive gains in maternal healthcare access; despite these improvements, large disparities remain in geographic access by province and overall access to facilities is still poor.
journal_name
Health Placejournal_title
Health & placeauthors
Kim C,Tappis H,McDaniel P,Soroush MS,Fried B,Weinberger M,Trogdon JG,Kristen Hassmiller Lich,Delamater PLdoi
10.1016/j.healthplace.2020.102452subject
Has Abstractpub_date
2020-11-01 00:00:00pages
102452eissn
1353-8292issn
1873-2054pii
S1353-8292(20)30594-3journal_volume
66pub_type
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