The Relationship Between Spatial Access and Modern Contraceptive Use: Is Proximity to a Healthcare Facility a Determinant of Use Among Women in Kinshasa, DRC?

• DOI: 10.21203/rs.2.17656/v1
• Publication Date: 2019-11-25T21:32:39Z
• Authors: Saleh Babazadeh; Julie Hernandez; Philip Anglewicz; Jane T Bertrand
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 5. Gender equality; 11. Sustainability; 1. No poverty; 3. Good health

Abstract Background: Spatial access has a direct effect on health service utilization in many settings. While, all elements of are usually affected by delivery points and client characteristics. Distance to facility proven affect family planning use Sub-Saharan countries. Studies show that women who reside closer facilities offering services more likely modern contraceptives. However, researchers often test the theory distance decay observe any association between an increased utilization. This study analyze significance proximity services, as well availability quality Kinshasa. Method: We used pool four rounds facility- population-based survey data tested if live with higher level contraceptives or less have unmet need for contraceptive services. Results: Our findings living SDP is not determinant having FP Discussion: Lack cognitive access, economic barriers, bypassing closest facility, sociocultural norms among strong barriers Kinshasa analysis shows does necessarily result reproductive age Kinshasa, thus suggesting bypass phenomenon may occur when obtaining Conclusion: indicates equate methods, nor it enable current users (potential users) easily obtain their method choice. notes other be substantial determinants need. More research should conducted directly measures multidimensional components order interpret women’s seeking behaviors urban areas Africa.