Distance to HIV and Antenatal Care: A Geospatial Analysis in Siaya County, Kenya

被引：6

作者：

Kohler, Pamela K. ^{[1
,2
]}

Akullian, Adam ^{[1
]}

Okanda, John ^{[3
]}

Otieno, George ^{[3
]}

Kinuthia, John ^{[4
]}

Voss, Joachim ^{[5
]}

Zierler, Brenda ^{[6
]}

John-Stewart, Grace ^{[1
,7
,8
,9
]}

机构：

[1] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[2] Univ Washington, Dept Psychosocial & Community Hlth, Seattle, WA 98195 USA

[3] KEMRI & CDC Res & Publ Hlth Collaborat, Kisumu, Kenya

[4] Kenyatta Natl Hosp, Res & Programs, Nairobi, Kenya

[5] Case Western Reserve Univ, Frances Payne Bolton Sch Nursing, Cleveland, OH 44106 USA

[6] Univ Washington, Dept Biobehav Nursing & Hlth Informat, Seattle, WA 98195 USA

[7] Univ Washington, Dept Med, Seattle, WA USA

[8] Univ Washington, Dept Pediat, Seattle, WA 98195 USA

[9] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

来源：

JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2019年 / 30卷 / 05期

基金：

美国国家卫生研究院;

关键词：

antenatal care; distance; health systems; HIV; prevention of mother-to-child transmission; TO-CHILD TRANSMISSION; PREVENTION; HEALTH; SERVICES; BARRIERS; PMTCT; ACHIEVEMENT; REGIMENS; LOCATION; ACCESS;

D O I：

10.1097/JNC.0000000000000050

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：548 / 555

页数：8

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