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Proposing Standardised Geographical Indicators of Physical Access to Emergency Obstetric and Newborn Care in Low-Income and Middle Income Countries

This paper proposes three additional emergency obstetric and newborn care (EmONC) indicators to the standard set for monitoring EmONC; two consider physical accessibility and a third addresses referral time from basic to comprehensive EmONC services. We provide examples to illustrate how the AccessMod tool can be used to measure these indicators, analyse service utilisation and […]

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Using Spatial Analysis and GIS to Improve Planning and Resource Allocation in a Rural District of Bangladesh

The application of a geographic information system (GIS) in public health is relatively common in Bangladesh. However, the use of GIS for planning, monitoring and decision-making by local-level managers has not been well documented. This assessment explored how effectively local government health managers used maps with spatial data for planning, resource allocation and programme monitoring. […]

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How Accurate are Modelled Birth and Pregnancy Estimates? Comparison of Four Models Using High Resolution Maternal Health Census Data in Southern Mozambique

Existence of inequalities in quality and access to healthcare services at subnational levels has been identified despite a decline in maternal and perinatal mortality rates at national levels, leading to the need to investigate such conditions using geographical analysis. The need to assess the accuracy of global demographic distribution datasets at all subnational levels arises […]

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Geographic Access to Emergency Obstetric Services: A Model Incorporating Patient Bypassing Using Data from Mozambique

Targeted approaches to further reduce maternal mortality require thorough understanding of the geographic barriers that women face when seeking care. Common measures of geographic access do not account for the time needed to reach services, despite substantial evidence that links proximity with greater use of facility services. Further, methods for measuring access often ignore the […]

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Provider Perspectives of Monitoring Women’s Postpartum Contraceptive Decision-Making and Uptake in Ethiopia

Pregnancy intervals less than 24 months are associated with adverse maternal, infant, and child health outcomes. However, 47% of all nonfirst births in Ethiopia are spaced less than the World Health Organization-recommended 24-month interpregnancy interval. Prospective analysis of unmet need for family planning (FP) reveals that although 94% of women did not wish to become […]

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Maternal and Child Survival Program