Title |
Health-care availability, preference, and distance for women in urban Bo, Sierra Leone
|
---|---|
Published in |
International Journal of Public Health, March 2016
|
DOI | 10.1007/s00038-016-0815-y |
Pubmed ID | |
Authors |
Lila C. Fleming, Rashid Ansumana, Alfred S. Bockarie, Joel D. Alejandre, Karen K. Owen, Umaru Bangura, David H. Jimmy, Kevin M. Curtin, David A. Stenger, Kathryn H. Jacobsen |
Abstract |
To examine the diversity of the health-care providers in urban Bo, Sierra Leone, identify the types of health-care facilities preferred by women for fevers, and analyze the road network distances from homes to preferred health-care providers. A population-based random sampling method was used to recruit 2419 women from Bo. A geographic information system was used to measure the road distance from each woman's home to her preferred provider. Preferred health-care providers for acute febrile illnesses (commonly referred to as "malaria" in the study communities) were hospitals (62.3 %), clinics (12.6 %), and pharmacies (12.4 %). Participants lived a median distance of 0.6 km from the nearest provider, but on average each woman lived 2.2 km one-way from her preferred provider. Women living farther from the city center had preferred providers significantly farther from home than women living downtown. The diverse health-care marketplace in Bo allows women to select clinical facilities from across the city. Most women prefer a malaria care provider farther from home than they could comfortably walk when ill. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 59 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 8 | 14% |
Researcher | 8 | 14% |
Student > Ph. D. Student | 5 | 8% |
Student > Bachelor | 4 | 7% |
Student > Doctoral Student | 3 | 5% |
Other | 11 | 19% |
Unknown | 20 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 20% |
Social Sciences | 6 | 10% |
Nursing and Health Professions | 4 | 7% |
Biochemistry, Genetics and Molecular Biology | 3 | 5% |
Economics, Econometrics and Finance | 3 | 5% |
Other | 10 | 17% |
Unknown | 21 | 36% |