A geographical perspective on access to sexual and reproductive health care for women in rural Africa

Jing Yao, Alan T. Murray, Victor Agadjanian

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Utilization of sexual and reproductive health (SRH) services can significantly impact health outcomes, such as pregnancy and birth, prenatal and neonatal mortality, maternal morbidity and mortality, and vertical transmission of infectious diseases like HIV/AIDS. It has long been recognized that access to SRH services is essential to positive health outcomes, especially in rural areas of developing countries, where long distances as well as poor transportation conditions, can be potential barriers to health care acquisition. Improving accessibility of health services for target populations is therefore critical for specialized healthcare programs. Thus, understanding and evaluation of current access to health care is crucial. Combining spatial information using geographical information system (GIS) with population survey data, this study details a gravity model-based method to measure and evaluate access to SRH services in rural Mozambique, and analyzes potential geographic access to such services, using family planning as an example. Access is found to be a significant factor in reported behavior, superior to traditional distance-based indicators. Spatial disparities in geographic access among different population groups also appear to exist, likely affecting overall program success.

Original languageEnglish (US)
Pages (from-to)60-68
Number of pages9
JournalSocial Science and Medicine
Volume96
DOIs
StatePublished - Nov 2013

Fingerprint

Reproductive Health Services
Reproductive Health
health service
Health Services Accessibility
health care
Delivery of Health Care
Vertical Infectious Disease Transmission
Mozambique
Geographic Information Systems
Maternal Mortality
Health Services Needs and Demand
Health
Family Planning Services
Gravitation
Infant Mortality
Population Groups
maternal mortality
Developing Countries
population group
Acquired Immunodeficiency Syndrome

Keywords

  • Geographic access
  • GIS
  • Health care
  • Mozambique

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science
  • Medicine(all)

Cite this

A geographical perspective on access to sexual and reproductive health care for women in rural Africa. / Yao, Jing; Murray, Alan T.; Agadjanian, Victor.

In: Social Science and Medicine, Vol. 96, 11.2013, p. 60-68.

Research output: Contribution to journalArticle

Yao, Jing ; Murray, Alan T. ; Agadjanian, Victor. / A geographical perspective on access to sexual and reproductive health care for women in rural Africa. In: Social Science and Medicine. 2013 ; Vol. 96. pp. 60-68.
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