Centre of Excellence for Women and Child Health, Aga Khan University, Karachi 74800, Pakistan.
Department of Obstetrics and Gynecology, Aga Khan University, Karachi 74800, Pakistan.
Int Health. 2023 Jul 4;15(4):428-434. doi: 10.1093/inthealth/ihac063.
There is limited evidence between contraceptive use, availability of commodities and distance to the facility in developing countries. Distance to the facility is an essential determinant of contraceptive use. Still, women may not seek family planning services from the nearest facility and may be prepared to travel the farthest distance to receive quality family planning services.
We analyzed women's survey data linked to health facility data and applied an alternate specific conditional logit model to examine the distance a woman is prepared to travel and the quality of services offered by facilities in urban areas in Karachi, Pakistan.
This study analyzed data from 336 women and 28 facilities and identified that the mean distance to the nearest facility was 0.44 km; the chosen facility was, on average, 5 km away. Women preferred facilities that offered a range of contraceptive methods and additional services provided by female healthcare providers only. Furthermore, on average, women are willing to travel a further 1.7 km for a facility that offers more family planning methods, 1.4 km for a facility that offers additional health services and 11 km for a facility that offers services delivered by female healthcare providers.
The findings highlight the quality measures women prioritize over distance and consider essential when choosing a family planning facility.
在发展中国家，避孕药具的使用、商品的可及性与到设施的距离之间的证据有限。到设施的距离是避孕药具使用的一个重要决定因素。尽管如此，妇女可能不会到最近的设施寻求计划生育服务，而可能准备到最远的距离去获得优质的计划生育服务。
我们分析了与卫生机构数据相关联的妇女调查数据，并应用了替代特定条件逻辑模型，以检查妇女准备旅行的距离以及在巴基斯坦卡拉奇的城市地区设施提供的服务质量。
本研究分析了来自 336 名妇女和 28 个设施的数据，发现到最近设施的平均距离为 0.44 公里；选择的设施平均距离为 5 公里。妇女更喜欢提供一系列避孕方法和女性医疗保健提供者提供的其他服务的设施。此外，平均而言，妇女愿意为提供更多计划生育方法的设施多走 1.7 公里，为提供额外健康服务的设施多走 1.4 公里，为提供女性医疗保健提供者提供服务的设施多走 11 公里。
这些发现突出了妇女在选择计划生育设施时优先考虑的质量措施，并认为这些措施是必不可少的。
