Anja Schoeps|Sabine Gabrysch|Louis Niamba|Ali Sié|Heiko Becher
The Effect of Distance to Health-Care Facilities on Childhood Mortality in Rural Burkina Faso
Heidelberg University
study aims investigate relation distance health facilities measured continuous travel time mortality among infants children younger 5 years age rural burkina faso area low health facility density study included 24555 children born 1993 2005 nouna health demographic surveillance system average walking time village closest health facility obtained dry rainy season effect infant 1 year child 14 years under5 mortality overall analyzed cox regression authors observed 3426 childhood deaths corresponding 5year survival 85 walking distance significantly related infant child mortality although shape effect varied distinctly 2 age groups overall under5 mortality adjusted confounding 50 higher distance 4 hours compared health facility village p 00001 2 sided region residence additional determinant under5 mortality findings study emphasize importance geographic accessibility health care child survival subsaharan africa demonstrate need improve healthcare access achieve millennium development goals