Sennen Hounton|Glyn Chapman|Joris Menten|Vincent De Brouwere|Tim Ensor|Issiaka Sombié|Nicolas Méda|Carine Ronsmans
Accessibility and utilisation of delivery care within a Skilled Care Initiative in rural Burkina Faso
Centre Muraz|University of Aberdeen|Instituut voor Tropische Geneeskunde|Instituut voor Tropische Geneeskunde|Instituut voor Tropische Geneeskunde|Centre Muraz|Centre Muraz|London School of Hygiene & Tropical Medicine
skilled care initiative sci comprehensive skilled attendance delivery strategy implemented ministry health family care international ouargaye district burkina faso 2002 2005 aimed evaluate relationships accessibility functioning health centres utilisation delivery care sci intervention district ouargaye compare another district diapagadata collected staffing equipment water energy supply health centres functionality index health centres constructed household census carried 2006 assess assets household members document pregnancies lasting 6 months 2001 2005 place delivery delivery attendant utilisation delivery care defined birth health institution birth caesarean section analyses included univariate multivariate logistic regressiondistance health facility education asset ownership major determinants delivery care utilisation association found functioning health centres measured infrastructure energy supply equipment institutional birth rates births caesarean section proportion births institution increased substantially sci district time changes seen caesarean section ratesthe sci increased uptake institutional deliveries little evidence increased access emergency obstetric care least terms uptake caesarean sections success contingent largescale coverage 24h availability referral life saving drugs skilled personnel surgery pregnant women