Using a GIS to model interventions to strengthen the emergency referral system for maternal and newborn health in Ethiopia

Bailey, Patricia; Keyes, Emily; Parker, Caleb; Abdullah, Muna; Kebede, Henok; Freedman, Lynn P.

doi:10.1016/j.ijgo.2011.09.004

Cited by 98 publications

(139 citation statements)

References 22 publications

Supporting

Mentioning

133

Contrasting

Order By: Relevance

“…It is important to emphasise what Murray et al [41] include in their requisites for successful referral system- supervision and accountability of providers performance and the capacity to monitor effectiveness. The need to improve monitoring of referral services in developing contexts is documented [13].Suggested methods of monitoring referrals include use of specific comparable indicators for referral service, conducting audits [42] [43] and GIS modelling combined with population data[44]. Our findings highlight the need to institute effective data recording on referrals and appropriate monitoring mechanisms to support improvement in the referral process while reemphasising the criticality of effective referral services for EmONC in the context of a CCT programme for institutional delivery care.…”

Section: Discussionmentioning

confidence: 95%

Quality of Obstetric Referral Services in India's JSY Cash Transfer Programme for Institutional Births: A Study from Madhya Pradesh Province

et al. 2014

View full text Add to dashboard Cite

BackgroundIndia launched JSY cash transfer programme to increase access to emergency obstetric and neonatal care (EmONC) by incentivising in-facility births. This increased in-facility births from 30%in 2005 to 73% in 2012 however, decline in maternal mortality follows a secular trend. Dysfunctional referral services can contribute to poor programme impact on outcomes. We hence describe inter- facility referrals and study quality of referral services in JSY.Methods and ResultsWomen accessing intra natal care (n = 1182) at facilities (reporting >10 deliveries/month, n = 96) were interviewed in a 5 day cross sectional survey in 3 districts of Madhya Pradesh province. A nested matched case control study (n = 68 pairs) was performed to study association between maternal referral and adverse birth outcomes. There were 111 (9.4%) in referrals and 69 (5.8%) out referrals. Secondary level facilities sent most referrals and 40% were for conditions expected to be treated at this level. There were 36 adverse birth outcomes (intra partum and in-facility deaths). After matching for type of complication and place of delivery, conditional logistic regression model showed maternal referral at term delivery was associated with higher odds of adverse birth outcomes (OR- 2.6, 95% CI: 1.0–6.6 p = 0.04). Maternal death record review (April 10–March 12) was conducted at the CEmOC facility in one district. Spatial analysis of transfer time from sending to the receiving CEmOC facility among in-facility maternal deaths was conducted in ArcGIS10 applying two hours (equated to 100 Km) as desired transfer time. There were 124 maternal deaths, 55 of which were among mothers referred in. Buffer analysis revealed 98% mothers were referred from <2 hours. Median time between arrival and death was 6.75 hours.ConclusionsHigh odds of adverse birth outcomes associated with maternal referral and high maternal deaths despite spatial access to referral care indicate poor quality of referral services.

show abstract

Section: Discussionmentioning

confidence: 95%

Quality of Obstetric Referral Services in India's JSY Cash Transfer Programme for Institutional Births: A Study from Madhya Pradesh Province

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Yin and Mu (2012) applied a modular capacitated maximal covering location problem with GIS and optimization software to optimally allocate ambulances for EMS. Bailey et al (2011) provided several candidate scenarios to improve the emergency referral system and used GIS to make the assessment and identification of priority for facility upgrading. There are also risk assessment applications which provides information of the initial response operations such as the Federal Emergency Management Agency's Methodology for Estimating Potential Losses from Disasters (Hazus 2013) and the Taiwan Earthquake Loss Estimation System (TELES) [2013].…”

Section: Current Literaturementioning

confidence: 99%

Ambulance Service Area Considering the Disturbance of Disasters on Transportation Infrastructure

Chen¹,

Yu²,

Chuang³

et al. 2014

Design, Construction, and Maintenance of Bridges

View full text Add to dashboard Cite

The effectiveness of emergency medical services (EMS) depends on the existing infrastructure and allocation of medical resources. It is in general considered that the response time for ambulances is a critical factor to the survival of major trauma patients. EMS is a challenging task due to the spatial distribution of the population and geographical layout in the urban. The configuration of EMS units and hospitals should be assessed to provide an efficient service. In this research, the affect of disasters is considered as the disturbance of the EMS system. The objective of this research is to assess the service area of EMS after a disaster. In this study, the deviation of service area is observed before and after the disturbance on the transportation infrastructure disaster.

show abstract

“…Yin and Mu (2012) applied a modular capacitated maximal covering location problem with GIS and optimization software to optimally allocate ambulances for EMS in the State of Georgia. Bailey et al (2011) provided several candidate scenarios helping improve the emergency referral system in Ethiopia and used GIS to make the assessment. It is pointed out that GIS is helpful in identifying the priority for facility upgrading.…”

Section: Literature Reviewmentioning

confidence: 99%

GIS Assessment of Emergency Medical Response Infrastructure

Huang

Liu

Chen

et al. 2013

Computing in Civil Engineering

View full text Add to dashboard Cite

The effectiveness of emergency medical service (EMS) depends on the existing physical infrastructure and the allocation of medical resources. EMS is a challenging task due to the spatial distribution of the population and the geographical layout in the urban region. The management of emergency medical units (EMUs) and hospitals should be assessed to provide an efficient service. The objective of this research effort is to assess the current EMS of New Taipei City using geospatial analyses such as facilities' service area. In this study, spatial statistics for EMUs and hospitals are conducted. In addition, regions that cannot be reached within 10 minutes under pre-assumed conditions by EMUs are discovered, and interpolation of the travel interval is conducted and investigated. The geospatial arrangement of EMUs, and the upgrade or new constructions of hospitals are suggested to strengthen the efficiency of the emergency medical response. Future work is directed towards more advanced and complex spatial and temporal analyses to better assess the city's medical infrastructure.

show abstract

Using a GIS to model interventions to strengthen the emergency referral system for maternal and newborn health in Ethiopia

Cited by 98 publications

References 22 publications

Quality of Obstetric Referral Services in India's JSY Cash Transfer Programme for Institutional Births: A Study from Madhya Pradesh Province

Quality of Obstetric Referral Services in India's JSY Cash Transfer Programme for Institutional Births: A Study from Madhya Pradesh Province

Ambulance Service Area Considering the Disturbance of Disasters on Transportation Infrastructure

GIS Assessment of Emergency Medical Response Infrastructure

Contact Info

Product

Resources

About