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- W2610040271 abstract "Abstract Objective To use a geographic information system ( GIS ) to determine accessibility to health facilities for emergency obstetric and newborn care (Em ONC ) and compare coverage with that stipulated by UN guidelines (5 Em ONC facilities per 500 000 individuals, ≥1 comprehensive). Methods A cross‐sectional study was undertaken of all public facilities providing Em ONC in 24 districts of Bangladesh from March to October 2012. Accessibility to each facility was assessed by applying GIS to estimate the proportion of catchment population (comprehensive 500 000; basic 100 000) able to reach the nearest facility within 2 hours and 1 hour of travel time, respectively, by existing road networks. Results The minimum number of public facilities providing comprehensive and basic Em ONC services (1 and 5 per 500 000 individuals, respectively) was reached in 16 and 3 districts, respectively. However, after applying GIS , in no district did 100% of the catchment population have access to these services. A minimum of 75% and 50% of the population had accessibility to comprehensive services in 11 and 5 districts, respectively. For basic services, accessibility was much lower. Conclusion Assessing only the number of Em ONC facilities does not ensure universal coverage; accessibility should be assessed when planning health systems." @default.
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- W2610040271 date "2017-05-23" @default.
- W2610040271 modified "2023-10-18" @default.
- W2610040271 title "Use of a geographic information system to assess accessibility to health facilities providing emergency obstetric and newborn care in Bangladesh" @default.
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- W2610040271 doi "https://doi.org/10.1002/ijgo.12196" @default.
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