Featured Research

from universities, journals, and other organizations

Emergency care for childbirth complications: Out of reach for rural women in Zambia?

Date:
January 25, 2011
Source:
Public Library of Science
Summary:
Most women in rural Zambia deliver their babies at home without skilled care because of the long distances involved in reaching emergency obstetric care, so it is crucial to address the geographic and quality barriers to health care use.

Most women in rural Zambia deliver their babies at home without skilled care because of the long distances involved in reaching emergency obstetric care, so it is crucial to address the geographic and quality barriers to health care use. These are the key findings from a study by Sabine Gabrysch from Ruprecht-Karls-Universitδt, Heidelberg, Germany and colleagues at the London School of Hygiene & Tropical Medicine published in PLoS Medicine.

In sub-Saharan Africa, a woman's lifetime risk of dying during or following pregnancy is as high as 1 in 31 (compared to 1 in 4,300 in the developed world). Most maternal and newborn deaths in low-income countries could be prevented if all women delivered their babies in settings where skilled birth attendants (such as midwives) were available to provide emergency obstetric care to both mothers and babies if complications arise. Yet every year, roughly 50 million women worldwide give birth at home without a skilled attendant. Although poor geographic access to quality health care is likely to be a key issue for women, it has not received much attention so far.

The authors used a geographic information system and linked national household data with national health facility data to calculate straight-line distances between women's villages and health facilities. They found that only a third of births in rural Zambia occurred at a health facility, and half of all mothers lived more than 25 km from a health facility that provided basic emergency obstetric care. As distance to the closest delivery facility doubled, the odds of a woman giving birth in a health facility decreased by 29%. The level of care at the facility also had a strong influence: If the closest facility provided basic emergency obstetric care as opposed to substandard services, the odds of facility delivery were 1.5 times higher and if it provided comprehensive emergency obstetric care, they were 2.5 times higher.

The authors say: "This study clearly shows that it is important to consider the health service environment when studying use of delivery services, as both distance to services and their quality are important determinants. Ignoring these influential factors can lead to an incomplete picture and invalid conclusions." They add: "Our innovative approach of linking large-scale datasets using geographic coordinates could be applied beneficially also in other settings and fields."


Story Source:

The above story is based on materials provided by Public Library of Science. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sabine Gabrysch, Simon Cousens, Jonathan Cox, Oona M. R. Campbell. The Influence of Distance and Level of Care on Delivery Place in Rural Zambia: A Study of Linked National Data in a Geographic Information System. PLoS Medicine, 2011; 8 (1): e1000394 DOI: 10.1371/journal.pmed.1000394

Cite This Page:

Public Library of Science. "Emergency care for childbirth complications: Out of reach for rural women in Zambia?." ScienceDaily. ScienceDaily, 25 January 2011. <www.sciencedaily.com/releases/2011/01/110125172321.htm>.
Public Library of Science. (2011, January 25). Emergency care for childbirth complications: Out of reach for rural women in Zambia?. ScienceDaily. Retrieved September 24, 2014 from www.sciencedaily.com/releases/2011/01/110125172321.htm
Public Library of Science. "Emergency care for childbirth complications: Out of reach for rural women in Zambia?." ScienceDaily. www.sciencedaily.com/releases/2011/01/110125172321.htm (accessed September 24, 2014).

Share This



More Health & Medicine News

Wednesday, September 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Costs Keep Mounting

Ebola Costs Keep Mounting

Reuters - Business Video Online (Sep. 23, 2014) — The WHO has warned up to 20,000 people could be infected with Ebola over the next few weeks. As Sonia Legg reports, the implications for the West African countries suffering from the disease are huge. Video provided by Reuters
Powered by NewsLook.com
Ebola Cases Could Reach 1.4 Million Within 4 Months

Ebola Cases Could Reach 1.4 Million Within 4 Months

Newsy (Sep. 23, 2014) — Health officials warn that without further intervention, the number of Ebola cases in Liberia and Sierra Leone could reach 1.4 million by January. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Cases to Triple in Weeks Without Drastic Action

WHO: Ebola Cases to Triple in Weeks Without Drastic Action

AFP (Sep. 23, 2014) — The number of Ebola infections will triple to 20,000 by November, soaring by thousands every week if efforts to stop the outbreak are not stepped up radically, the WHO warned in a study on Tuesday. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
5 Ways Men Can Prevent Most Heart Attacks

5 Ways Men Can Prevent Most Heart Attacks

Newsy (Sep. 23, 2014) — No surprise here: A recent study says men can reduce their risk of heart attack by maintaining a healthy lifestyle, which includes daily exercise. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins