Volume 135, Issue S1 p. S45-S50
Use of Services, Strategies to Improve Access to Maternal Health Services

The role of transportation to access maternal care services for women in rural Bangladesh and Burkina Faso: A mixed methods study

Nazmul Alam

Corresponding Author

Nazmul Alam

University of Montreal Hospital Research Center, Montreal, Canada

School of Public Health, University of Montreal, Montreal, Canada

Corresponding author at: University of Montreal Hospital Research Centre (CRCHUM), Montreal, Quebec, H2X 0A9, Canada. Tel.: + 1 514 890 8000 ext. 15952.Search for more papers by this author
Mahbub Elahi Chowdhury

Mahbub Elahi Chowdhury

International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh

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Seni Kouanda

Seni Kouanda

Research Institute of Health Sciences, Ouagadougou, Burkina Faso

African Institute of Public Health, Ouagadougou, Burkina Faso

Kaya Health and Demographic Surveillance System, Kaya, Burkina Faso

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Mathieu Seppey

Mathieu Seppey

University of Montreal Hospital Research Center, Montreal, Canada

School of Public Health, University of Montreal, Montreal, Canada

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Anadil Alam

Anadil Alam

International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh

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Justin Ragnessi Savadogo

Justin Ragnessi Savadogo

African Institute of Public Health, Ouagadougou, Burkina Faso

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Drissa Sia

Drissa Sia

Department of Nursing Science, University of Quebec in Outaouais, Gatineau, Canada

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Pierre Fournier

Pierre Fournier

University of Montreal Hospital Research Center, Montreal, Canada

School of Public Health, University of Montreal, Montreal, Canada

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First published: 08 November 2016
Citations: 16

Abstract

Objective

To understand the role of transportation in accessing health care during pregnancy, delivery, and the postpartum period among women in rural Bangladesh and Burkina Faso.

Methods

An exploratory mixed methods study was conducted in Mymensingh district in Bangladesh and Kaya district in Burkina Faso. We recruited 300 women from Bangladesh and 340 from Burkina Faso with a delivery outcome within one year of interview. Key informant interviews were conducted with 19 participants and 12 focus group discussions took place with attendees in selected community clinics.

Results

Of the interviewees, 45.7% in Bangladesh and 73.2% in Burkina Faso reported having had health complications during their last pregnancy, delivery, or postpartum period. Of all women, 42.7% in Bangladesh and 67.4% in Burkina Faso sought facility care for their complications. Facility-based delivery was much higher in Burkina Faso (87.7%) than Bangladesh (38.2%). Literacy, transport availability, transportation costs, and travel time were associated with care seeking behavior.

Conclusion

Lack of reliable transportation was reported as a significant barrier to accessing care during pregnancy, delivery, and postpartum by women in Bangladesh and Burkina Faso. Effort should be made to improve access to emergency obstetric care, and transport intervention should be strengthened.