Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco

Limited access to obstetric care for pregnant women in rural areas increases the risk of maternal mortality. A geographic information system (GIS) was used to analyze spatial and temporal access to obstetric care in southeastern Morocco. The obstetric records of 1,304 pregnant women were examined to...

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Main Authors: Aouni Khadija, Zayar Fatima Zahra, Mouilly Mustapha, El Bouhali Bachir
Format: Article
Language:English
Published: EDP Sciences 2025-01-01
Series:E3S Web of Conferences
Subjects:
Online Access:https://www.e3s-conferences.org/articles/e3sconf/pdf/2025/07/e3sconf_errachidia2024_03001.pdf
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author Aouni Khadija
Zayar Fatima Zahra
Mouilly Mustapha
El Bouhali Bachir
author_facet Aouni Khadija
Zayar Fatima Zahra
Mouilly Mustapha
El Bouhali Bachir
author_sort Aouni Khadija
collection DOAJ
description Limited access to obstetric care for pregnant women in rural areas increases the risk of maternal mortality. A geographic information system (GIS) was used to analyze spatial and temporal access to obstetric care in southeastern Morocco. The obstetric records of 1,304 pregnant women were examined to determine the diagnosis upon arrival and the duration of ambulance transport. According to maps generated by the GIS, 19 obstetric cases were more than 100 kilometers away from the regional hospital, and 16 cases required over two hours for transport to the regional hospital. Univariate binary logistic regression analysis confirmed that delays exceeding two hours between the sending hospital and the receiving regional hospital increased the likelihood of pregnant women arriving with hemorrhage (OR: 2.82 (1.38, 5.79), p = 0.005). The study revealed the consequences of restricted access to obstetric care on the health of pregnant women, highlighting the need for targeted strategies to improve access to obstetric services in this region.
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institution Kabale University
issn 2267-1242
language English
publishDate 2025-01-01
publisher EDP Sciences
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series E3S Web of Conferences
spelling doaj-art-1c3feba446d4459d8ee8770e3978c9bc2025-02-05T10:49:23ZengEDP SciencesE3S Web of Conferences2267-12422025-01-016070300110.1051/e3sconf/202560703001e3sconf_errachidia2024_03001Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, MoroccoAouni Khadija0Zayar Fatima Zahra1Mouilly Mustapha2El Bouhali Bachir3Faculty of Sciences, Moulay Ismail UniversityFaculty of Sciences, Moulay Ismail UniversityInstitute of sport professions, Ibn Tofail UniversityFaculty of Sciences, Moulay Ismail UniversityLimited access to obstetric care for pregnant women in rural areas increases the risk of maternal mortality. A geographic information system (GIS) was used to analyze spatial and temporal access to obstetric care in southeastern Morocco. The obstetric records of 1,304 pregnant women were examined to determine the diagnosis upon arrival and the duration of ambulance transport. According to maps generated by the GIS, 19 obstetric cases were more than 100 kilometers away from the regional hospital, and 16 cases required over two hours for transport to the regional hospital. Univariate binary logistic regression analysis confirmed that delays exceeding two hours between the sending hospital and the receiving regional hospital increased the likelihood of pregnant women arriving with hemorrhage (OR: 2.82 (1.38, 5.79), p = 0.005). The study revealed the consequences of restricted access to obstetric care on the health of pregnant women, highlighting the need for targeted strategies to improve access to obstetric services in this region.https://www.e3s-conferences.org/articles/e3sconf/pdf/2025/07/e3sconf_errachidia2024_03001.pdfmaternal healthobstetric carelimited accessoasismorocco
spellingShingle Aouni Khadija
Zayar Fatima Zahra
Mouilly Mustapha
El Bouhali Bachir
Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
E3S Web of Conferences
maternal health
obstetric care
limited access
oasis
morocco
title Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
title_full Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
title_fullStr Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
title_full_unstemmed Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
title_short Accessibility to Obstetric Care and Its Impact on Maternal Health in Southeastern oases, Morocco
title_sort accessibility to obstetric care and its impact on maternal health in southeastern oases morocco
topic maternal health
obstetric care
limited access
oasis
morocco
url https://www.e3s-conferences.org/articles/e3sconf/pdf/2025/07/e3sconf_errachidia2024_03001.pdf
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AT mouillymustapha accessibilitytoobstetriccareanditsimpactonmaternalhealthinsoutheasternoasesmorocco
AT elbouhalibachir accessibilitytoobstetriccareanditsimpactonmaternalhealthinsoutheasternoasesmorocco