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Health-care availability, preference, and distance for women in urban Bo, Sierra Leone

Listed author(s):
  • Lila C. Fleming

    ()

    (George Mason University)

  • Rashid Ansumana

    (Mercy Hospital Research Laboratory
    Njala University)

  • Alfred S. Bockarie

    (Mercy Hospital Research Laboratory)

  • Joel D. Alejandre

    (U.S. Naval Research Laboratory)

  • Karen K. Owen

    (George Mason University)

  • Umaru Bangura

    (Mercy Hospital Research Laboratory)

  • David H. Jimmy

    (Mercy Hospital Research Laboratory)

  • Kevin M. Curtin

    (George Mason University)

  • David A. Stenger

    (U.S. Naval Research Laboratory)

  • Kathryn H. Jacobsen

    (George Mason University)

Registered author(s):

    Abstract Objectives 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. Methods 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. Results 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. Conclusions 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.

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    File URL: http://link.springer.com/10.1007/s00038-016-0815-y
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    Article provided by Springer & Swiss School of Public Health (SSPH+) in its journal International Journal of Public Health.

    Volume (Year): 61 (2016)
    Issue (Month): 9 (December)
    Pages: 1079-1088

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    Handle: RePEc:spr:ijphth:v:61:y:2016:i:9:d:10.1007_s00038-016-0815-y
    DOI: 10.1007/s00038-016-0815-y
    Contact details of provider: Web page: http://www.springer.com

    Web page: http://www.ssphplus.ch/sharepoint/ssphplus.html

    Order Information: Web: http://www.springer.com/economics/journal/00038

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    1. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    2. Nikièma, Béatrice & Haddad, Slim & Potvin, Louise, 2008. "Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso," World Development, Elsevier, vol. 36(4), pages 608-624, April.
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