The role of transportation to access maternal care services for women in rural Bangladesh and Burkina Faso: A mixed methods study

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• 作者：Nazmul Alam^a ; ^b ; ^{nazmul.alam@umontreal.ca" class="auth_mail" title="E-mail the corresponding author} ; Mahbub Elahi Chowdhury^c ; Seni Kouanda^d ; ^e ; ^f ; Mathieu Seppey^a ; ^b ; Anadil Alam^c ; Justin Ragnessi Savadogo^e ; Drissa Sia^g ; Pierre Fournier^a ; ^b
• 关键词：Accessibility ; Bangladesh ; Burkina Faso ; Emergency Obstetric Care ; Facility Delivery ; Transport ; Rural areas
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：135
• 期：supp_S1
• 页码：S45-S50
• 全文大小：401 K

文摘

To understand the role of transportation in accessing health care during pregnancy, delivery, and the postpartum period among women in rural Bangladesh and Burkina Faso.

Methods

An exploratory mixed methods study was conducted in Mymensingh district in Bangladesh and Kaya district in Burkina Faso. We recruited 300 women from Bangladesh and 340 from Burkina Faso with a delivery outcome within one year of interview. Key informant interviews were conducted with 19 participants and 12 focus group discussions took place with attendees in selected community clinics.

Results

Of the interviewees, 45.7% in Bangladesh and 73.2% in Burkina Faso reported having had health complications during their last pregnancy, delivery, or postpartum period. Of all women, 42.7% in Bangladesh and 67.4% in Burkina Faso sought facility care for their complications. Facility-based delivery was much higher in Burkina Faso (87.7%) than Bangladesh (38.2%). Literacy, transport availability, transportation costs, and travel time were associated with care seeking behavior.

Conclusion

Lack of reliable transportation was reported as a significant barrier to accessing care during pregnancy, delivery, and postpartum by women in Bangladesh and Burkina Faso. Effort should be made to improve access to emergency obstetric care, and transport intervention should be strengthened.