Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in mozambique

Michelle L. Faierman, Jamie Anderson, Americo Assane, Peter Bendix, Fernando Vaz, John A. Rose, Carlos Funzamo, Stephen W. Bickler, Emilia V. Noormahomed

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Surgical care is increasingly recognised as an important component of global health delivery. However, there are still major gaps in knowledge related to access to surgical care in low-income countries. In this study, we compare distances travelled by surgical patients with patients seeking other medical services at a first-level hospital in rural Mozambique. Methods: Data were collected on all inpatients at Hospital Rural de Chókwè in rural Mozambique between 20 June 2012 and 3 August 2012. Euclidean distances travelled by surgical versus non-surgical patients using coordinates of each patient's city of residence were compared. Data were analysed using ArcGIS 10 and STATA. Results: In total, 500 patients were included. Almost one-half (47.6%) lived in the city where the hospital is based. By hospital ward, the majority (62.0%) of maternity patients came from within the hospital's city compared with only 35.2% of surgical patients. The average distance travelled was longest for surgical patients (42 km) compared with an average of 17 km for patients on all other wards. Conclusions: Patients seeking surgical care at this first-level hospital travel farther than patients seeking other services. While other patients may have access to at community clinics, surgical patients depend more heavily on the services available at first-level hospitals.

Original languageEnglish (US)
Article numberihu059
Pages (from-to)60-66
Number of pages7
JournalInternational Health
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2014

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long-distance travel
Mozambique
Rural Hospitals
Urban Hospitals
medical services
low income
travel

Keywords

  • Access to surgical care
  • Global surgery
  • Mozambique
  • Sub-saharan africa

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Faierman, M. L., Anderson, J., Assane, A., Bendix, P., Vaz, F., Rose, J. A., ... Noormahomed, E. V. (2014). Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in mozambique. International Health, 7(1), 60-66. [ihu059]. https://doi.org/10.1093/inthealth/ihu059

Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in mozambique. / Faierman, Michelle L.; Anderson, Jamie; Assane, Americo; Bendix, Peter; Vaz, Fernando; Rose, John A.; Funzamo, Carlos; Bickler, Stephen W.; Noormahomed, Emilia V.

In: International Health, Vol. 7, No. 1, ihu059, 01.01.2014, p. 60-66.

Research output: Contribution to journalArticle

Faierman, ML, Anderson, J, Assane, A, Bendix, P, Vaz, F, Rose, JA, Funzamo, C, Bickler, SW & Noormahomed, EV 2014, 'Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in mozambique', International Health, vol. 7, no. 1, ihu059, pp. 60-66. https://doi.org/10.1093/inthealth/ihu059
Faierman, Michelle L. ; Anderson, Jamie ; Assane, Americo ; Bendix, Peter ; Vaz, Fernando ; Rose, John A. ; Funzamo, Carlos ; Bickler, Stephen W. ; Noormahomed, Emilia V. / Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in mozambique. In: International Health. 2014 ; Vol. 7, No. 1. pp. 60-66.
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