Persistence of geographic barriers to maternal care services following a health system strengthening initiative in rural Madagascar

2023-10-21 health systems and quality improvement Title + abstract only

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BackgroundGeographic access to healthcare continues to pose a significant challenge for pregnant women in rural areas of sub-Saharan Africa, resulting in consistently high rates of maternal mortality. Geographic barriers can persist even in settings where financial barriers have been reduced and health system strengthening (HSS) efforts are in place. The aim of this study is to combine analyses of a population-representative cohort and geolocated maternal consultation data at the village level t...