Applying the Global Positioning System and Google Earth to Evaluate the Accessibility of Birth Services for Pregnant Women in Northern Malawi
Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. Methods: We used GPS and Google Earth to identify 5 major health care fa...
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Published in | Journal of midwifery & women's health Vol. 56; no. 1; pp. 68 - 74 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Malden, USA
Blackwell Publishing Inc
01.01.2011
Wiley Subscription Services, Inc |
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Abstract | Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi.
Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self‐report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities.
Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs.
Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care.
Use of the Global Positioning System and Google Earth helps evaluate the accessibility of birth services for pregnant women in northern Malawi |
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AbstractList | The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self-report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self‐report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. Use of the Global Positioning System and Google Earth helps evaluate the accessibility of birth services for pregnant women in northern Malawi Research in Malawi into the validity of the combined use of the Global Positioning System (GPS) and Google Earth to measure the accessibility of health care services for pregnant women. The time and distance required for traditional birth attendants to reach healthcare facilities were assessed by GPS and self-report. Interviews with pregnant women were conducted to identify preferences and accessibility. [(BNI unique abstract)] 31 references Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self-report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. [Copyright Elsevier B.V.] Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self‐report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 ( P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. Use of the Global Positioning System and Google Earth helps evaluate the accessibility of birth services for pregnant women in northern Malawi INTRODUCTIONThe objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi.METHODSWe used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self-report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities.RESULTSThe correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs.DISCUSSIONCombined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. Methods: We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self‐report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. Results: The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Discussion: Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health care facilities for pregnant women in northern Malawi. We used GPS and Google Earth to identify 5 major health care facilities in Mzuzu (Malawi) and the homes of 79 traditional birth attendants (TBAs). The distance and time required for each TBA to reach the nearest health care facility were measured by both GPS and by self-report of the TBAs. A convenience sample of 1138 pregnant women was interviewed about their choices of birth sites for current and previous pregnancies and the time and cost required to access health care facilities. The correlation coefficient between the objective measurements by GPS and subjective reports by TBAs for time required from their homes to health care facilities was 0.654 (P < .001). Among pregnant women, 45.6% reported that they could reach a health care facility within 2 hours; 23.8% reported paying more than $1 for transportation to health care facilities. For the current study, 82.6% of women intended to give birth at a health care facility. However, only 48.7% of women actually gave birth in a health care facility in a previous pregnancy, and 32.6% were assisted by TBAs. Combined GPS and Google Earth can be useful in the evaluation of accessibility of health care facilities, especially for emergency obstetric care. |
Author | Chan, Chang-Chuan Kolola-Dzimadzi, Rose Chen, Solomon Chih-Cheng Yu, Joseph Kwong-Leung RN, Tzu-Yi Chiang Nyasulu, Yohane M. Z. Wang, Jung-Der RN, Hsiu-Hung Wang |
Author_xml | – sequence: 1 givenname: Solomon Chih-Cheng surname: Chen fullname: Chen, Solomon Chih-Cheng – sequence: 2 givenname: Jung-Der surname: Wang fullname: Wang, Jung-Der – sequence: 3 givenname: Joseph Kwong-Leung surname: Yu fullname: Yu, Joseph Kwong-Leung – sequence: 4 givenname: Tzu-Yi Chiang surname: RN fullname: RN, Tzu-Yi Chiang – sequence: 5 givenname: Chang-Chuan surname: Chan fullname: Chan, Chang-Chuan – sequence: 6 givenname: Hsiu-Hung Wang surname: RN fullname: RN, Hsiu-Hung Wang – sequence: 7 givenname: Yohane M. Z. surname: Nyasulu fullname: Nyasulu, Yohane M. Z. – sequence: 8 givenname: Rose surname: Kolola-Dzimadzi fullname: Kolola-Dzimadzi, Rose |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21323853$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1186_1478_7954_11_14 crossref_primary_10_1371_journal_pone_0184432 crossref_primary_10_1016_S0968_8080_12_39601_8 crossref_primary_10_1080_01621424_2013_779354 crossref_primary_10_1371_journal_pone_0219860 crossref_primary_10_1002_ijgo_12196 crossref_primary_10_1186_s12936_016_1235_4 crossref_primary_10_1016_j_ijgo_2011_09_004 crossref_primary_10_2185_jjrm_62_598 crossref_primary_10_1136_bmjgh_2020_004318 crossref_primary_10_12968_ajmw_2016_10_1_42 crossref_primary_10_13181_mji_v23i2_651 |
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Snippet | Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the... The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the accessibility of health... Introduction: The objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the... INTRODUCTIONThe objective of this study was to validate the combined use of the Global Positioning System (GPS) and Google Earth for measuring the... Research in Malawi into the validity of the combined use of the Global Positioning System (GPS) and Google Earth to measure the accessibility of health care... |
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SubjectTerms | Access Accessibility birth Birthing Centers - statistics & numerical data Childbirth Childbirth & labor delivery Developing countries Female Geographic Information Systems Global Positioning System (GPS) Global positioning systems GPS Health care Health care access Health care expenditures Health Services Accessibility Health services utilization Humans LDCs Malawi Maternal Health Services - statistics & numerical data Nursing Poverty Pregnancy Pregnant women Traditional birth attendants Transportation Travel Validation studies Women Womens health |
Title | Applying the Global Positioning System and Google Earth to Evaluate the Accessibility of Birth Services for Pregnant Women in Northern Malawi |
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