Modeling Geographical Accessibility and Inequalities to Childbirth Services in the Grand Nokoué Metropolitan Area, Benin.
Timely access to comprehensive , high-quality emergency obstetric and neonatal care can prevent maternal and neonatal mortality but remains challenging in Benin. We examine geographic accessibility to childbirth care (CBC) in Grand Nokoué, the largest conurbation in Benin. We gathered data on bounda...
| Publicado en: | Journal of Urban Health Vol. 102; no. 4; pp. 760 - 775 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Aug2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188355280&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188355280 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Aug2025 vid: 102 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 188355280 10.1007/s11524-025-01000-y ppf: 760 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 5.4MB tig: atl: Modeling Geographical Accessibility and Inequalities to Childbirth Services in the Grand Nokoué Metropolitan Area, Benin. aug: au: Hounménou, Yiséché S. C. Avahoundjè, Elias Martinien Semaan, Aline Agossou, Christian Mahugnon Hounsou, Christelle Boyi Agbodjavou, Mena K. Scarpa, Giulia Dossou, Ange D. Lawale, Thierry O. Bothon, Romuald Denakpo, Justin Lewis Beňová, Lenka Dossou, Jean-Paul Macharia, Peter M. affil: Centre de Recherche en Reproduction Humaine et en Démographie (Cerrhud), Cotonou, Benin https://ror.org/03xq4x896 Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium Ministry of Health, Cotonou, Benin https://ror.org/02gy8fc28 Centre National Hospitalier Universitaire Hubert K. Maga de Cotonou, Cotonou, Benin https://ror.org/00a0jsq62 Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, England, UK https://ror.org/04r1cxt79 Population & Health Impact Surveillance Group, Kenya Medical Research Institute-Wellcome Trust Research Programme, Nairobi, Kenya su: Benin Maternal health Health services accessibility Racial inequality Cities & towns Countries Intrapartum care Neonatology Travel time (Traffic engineering) sug: subj: Maternal health Health services accessibility Racial inequality Cities & towns Benin Countries Intrapartum care Neonatology Travel time (Traffic engineering) keyword: Grand Nokoué Inequities Medical and Health Sciences Public Health and Health Services Relative wealth Spatial accessibility Travel time Urban areas Grand Nokoué Inequities Medical and Health Sciences Public Health and Health Services Relative wealth Spatial accessibility Travel time Urban areas ab: Timely access to comprehensive , high-quality emergency obstetric and neonatal care can prevent maternal and neonatal mortality but remains challenging in Benin. We examine geographic accessibility to childbirth care (CBC) in Grand Nokoué, the largest conurbation in Benin. We gathered data on boundaries, health facilities, road network, elevation, land cover, relative wealth, urbanicity, and geo-traced travel speeds over 45 days during the rainy season. We modelled travel times (TT) to health facility offering CBC (stratified by level and sector) using the least-cost path algorithm, based on slowest, average, and fastest travel speeds. We estimated the percentage of women of childbearing age (WoCBA) within 30, 60, and 120 min of the nearest facility by subnational areas. We explored inequalities in TT by wealth quintile and urbanicity gradient. TT to nearest facility at average speed was 8 min and 24 min at slowest speed. For hospitals, this was 31 and 106 min, respectively. TT ranged from 2 to 38 min across arrondissements at average speeds. At average speeds, all WoCBA lived within 30 min of a health facility and 71.6% of a hospital. At slowest speed, this decreased to 84.7% and 22.9%, respectively, with substantial variations across arrondissements. TT to hospitals at average speed was five-fold longer among women from the poorest (50 min) compared to the richest quintile, while TT was shorter in the core urban (27 min) relative to peri-urban (46 min). TT to CBC varied by wealth and urbanicity gradient and was longer at the slowest speeds. Targeting peri-urban areas and poorest WoCBA with longer TT will reduce inequities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|