A geospatial database of close-to-reality travel times to obstetric emergency care in 15 Nigerian conurbations.

Peter M Macharia, Kerry L M Wong, Tope Olubodun, Lenka Beňová, Charlotte Stanton, Narayanan Sundararajan, Yash Shah, Gautam Prasad, Mansi Kansal, Swapnil Vispute, Tomer Shekel, Uchenna Gwacham-Anisiobi, Olakunmi Ogunyemi, Jia Wang, Ibukun-Oluwa Omolade Abejirinde, Prestige Tatenda Makanga, Bosede B Afolabi, Aduragbemi Banke-Thomas
Author Information
  1. Peter M Macharia: Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. ORCID
  2. Kerry L M Wong: Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
  3. Tope Olubodun: Department of Community Medicine and Primary Care, Federal Medical Centre Abeokuta, Abeokuta, Ogun, Nigeria.
  4. Lenka Beňová: Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
  5. Charlotte Stanton: Google LLC, California, USA. chstanton@google.com.
  6. Narayanan Sundararajan: Google LLC, California, USA.
  7. Yash Shah: Google LLC, California, USA.
  8. Gautam Prasad: Google LLC, California, USA.
  9. Mansi Kansal: Google LLC, California, USA.
  10. Swapnil Vispute: Google LLC, California, USA.
  11. Tomer Shekel: Google LLC, California, USA.
  12. Uchenna Gwacham-Anisiobi: Nuffield Department of Population Health, University of Oxford, Oxford, UK.
  13. Olakunmi Ogunyemi: Lagos State Ministry of Health, Ikeja, Lagos, Nigeria.
  14. Jia Wang: School of Computing & Mathematical Sciences, University of Greenwich, London, UK.
  15. Ibukun-Oluwa Omolade Abejirinde: Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  16. Prestige Tatenda Makanga: Surveying and Geomatics Department, Midlands State University Faculty of Science and Technology, Gweru, Midlands, Zimbabwe.
  17. Bosede B Afolabi: Maternal and Reproductive Health Research Collective, Lagos, Nigeria.
  18. Aduragbemi Banke-Thomas: Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. aduragbemi.banke-thomas@lshtm.ac.uk. ORCID

Abstract

Travel time estimation accounting for on-the-ground realities between the location where a need for emergency obstetric care (EmOC) arises and the health facility capable of providing EmOC is essential for improving pregnancy outcomes. Current understanding of travel time to care is inadequate in many urban areas of Africa, where short distances obscure long travel times and travel times can vary by time of day and road conditions. Here, we describe a database of travel times to comprehensive EmOC facilities in the 15 most populated extended urban areas of Nigeria. The travel times from cells of approximately 0.6 × 0.6 km to facilities were derived from Google Maps Platform's internal Directions Application Programming Interface, which incorporates traffic considerations to provide closer-to-reality travel time estimates. Computations were done to the first, second and third nearest public or private facilities. Travel time for eight traffic scenarios (including peak and non-peak periods) and number of facilities within specific time thresholds were estimated. The database offers a plethora of opportunities for research and planning towards improving EmOC accessibility.

References

  1. Health Place. 2004 Sep;10(3):273-83 [PMID: 15177201]
  2. Lancet. 2021 Aug 28;398(10302):772-785 [PMID: 34454675]
  3. BMJ Glob Health. 2021 Jan;6(1): [PMID: 33495286]
  4. Int J Gynaecol Obstet. 2022 Oct;159(1):263-269 [PMID: 35044678]
  5. Lancet Glob Health. 2018 Mar;6(3):e342-e350 [PMID: 29396220]
  6. J Glob Health. 2019 Jun;9(1):010414 [PMID: 30603080]
  7. BMJ Glob Health. 2022 Apr;7(4): [PMID: 35487675]
  8. Front Public Health. 2022 Nov 03;10:1002975 [PMID: 36407994]
  9. Sci Data. 2023 Oct 23;10(1):736 [PMID: 37872185]
  10. Front Public Health. 2023 Jan 18;10:1051522 [PMID: 36743157]
  11. Lancet Healthy Longev. 2020 Oct;1(1):e32-e42 [PMID: 34173615]
  12. Sci Data. 2019 Nov 7;6(1):266 [PMID: 31700070]
  13. Int J Health Geogr. 2004 Feb 26;3(1):3 [PMID: 14987337]
  14. BMJ Glob Health. 2018 Aug 16;3(4):e000875 [PMID: 30147944]
  15. Front Public Health. 2022 Jul 29;10:931401 [PMID: 35968464]
  16. Nat Med. 2020 Dec;26(12):1835-1838 [PMID: 32989313]
  17. BMJ Glob Health. 2022 May;7(5): [PMID: 35523451]
  18. Geospat Health. 2017 May 11;12(1):510 [PMID: 28555479]
  19. Glob Health Action. 2016 Aug 05;9:31880 [PMID: 27498964]
  20. BMJ Glob Health. 2021 Jul;6(7): [PMID: 34301676]
  21. Int J Health Geogr. 2020 Feb 3;19(1):1 [PMID: 32013994]
  22. Soc Sci Med. 2021 Dec;291:114492 [PMID: 34662765]
  23. Lancet. 2014 Sep 13;384(9947):980-1004 [PMID: 24797575]
  24. BMC Pregnancy Childbirth. 2020 May 12;20(1):287 [PMID: 32397969]
  25. BMJ Glob Health. 2021 Oct;6(10): [PMID: 34615663]
  26. Front Health Serv. 2022 Nov 16;2:788173 [PMID: 36925766]
  27. Proc Natl Acad Sci U S A. 2022 Jan 18;119(3): [PMID: 35017299]
  28. BMJ Glob Health. 2022 Mar;7(3): [PMID: 35232813]
  29. Nature. 2018 Jan 18;553(7688):333-336 [PMID: 29320477]
  30. Reprod Health. 2020 Sep 25;17(1):145 [PMID: 32977812]
  31. PLoS One. 2015 Feb 17;10(2):e0107042 [PMID: 25689585]
  32. BMJ Glob Health. 2023 Apr;8(4): [PMID: 37028810]
  33. Online J Public Health Inform. 2014 Oct 16;6(2):e184 [PMID: 25422720]
  34. Int J Gynaecol Obstet. 2005 Feb;88(2):181-93 [PMID: 15694106]
  35. Health Policy Plan. 2021 Oct 12;36(9):1384-1396 [PMID: 34424314]
  36. Commun Med (Lond). 2022 Sep 16;2:117 [PMID: 36124060]
  37. BMJ Open. 2022 Sep 1;12(9):e062178 [PMID: 36581989]
  38. BJOG. 2015 Jan;122(2):183-9 [PMID: 25546039]

Grants

  1. /Wellcome Trust

Word Cloud

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