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Distance Of Distance

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The accessibility of health services is often cited as a critical determinant of health-care choice in developing world (Timyan, Brechin, Measham & Ogunleye 1993). Several research findings concluded that the association of distance of health institution with utilization of maternal and child health services is negative, as distance increases the level of utilization decreases. Factors such as scarcity of vehicles and poor road condition, high transportation charges etc. limit the accessibility to the health services. A study in rural Tanzania, for example, found that 84 per cent of women who gave birth at home intended to deliver at a health facility but did not due to distance and lack of transportation (Bicego et al. 1997). A number studies …show more content…
driving distance). Each measure of physical accessibility showed string association with vaccination of children after adjusting for socio-economic status. Kyei et al. (2012) in their study in rural Zambia found that distance has no effect on timing of antenatal care or number of visits. Moreover, better level of provision at the nearest facility has no relationship with earlier ANC attendance or higher number of visits. Nevertheless, distance of a facility and level of provision at the nearest facility on quality of ANC receive has a significant impact. For example, in each 10 km increase in distance, the likelihoods of women receiving good quality ANC decreased by a quarter, while each increase in the level of provision category of the nearest facility was associated with a 54 per cent increase in the odds of receiving good quality …show more content…
Campbell et al. (1991) and Carr-Hill and Sheldon (1991) confirmed the hypothesis that access to hospital services, in terms of distance, is a major factor influencing hospital use. Using focus group discussion, Wilson et al. (1997) found that distance from the hospital was, among others, one of the reasons for poor utilization of the maternity home at Nsawam, an urban center in Ghana. A study in the Kumasi metropolis found that there was a strong inverse relationship between distance and utilization of health services. The probability of child immunization also decreases if health centers are at far-flung locations. Similarly, in a study of rural India, Khan and Gupta (1984) also revealed that utilization of government health services including maternal and child health (MCH) and immunization facilities was low as there is no health center in near vicinity. Most families of rural areas were found to prefer private doctors to state services mainly because primarily health center and government hospitals were distantly located. According to Reddy (1980), the use of services would be better when the distance between people and service delivery units is

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