GEOGRAPHICAL ACCESSIBILITY OF MATERNITY HEALTH SERVICES VIA EMERGENCY AMBULANCE IN TAMIL NADU: A SPATIAL ANALYSIS OF OBSTETRIC EMERGENCIES

Abstract


OBJECTIVE : This study investigates the geographical accessibility of healthcare facilities for pregnancy-related emergencies in Tamil Nadu, India, utilizing data from the state-run ambulance services.
METHODS : We conducted a secondary data analysis of pregnancy-related ambulance transfers in January 2024, sourced from the GVK-EMRI emergency response centre. The study evaluated key metrics such as the distance from the scene to the hospital, time taken to reach the hospital, and the nature of obstetric emergencies. Data were analysed using descriptive statistics to understand spatial distribution and accessibility of maternal healthcare services.
RESULTS : A total of 25,780 pregnancy-related calls were recorded in January 2024. Most of the pregnancy-related calls (54.6%) were for labour, followed by medical conditions complicating pregnancy (24.9%). The analysis revealed that the median time from the scene to hospital was 10 minutes, and the median time from the call to hospital was 32 minutes. The median distance from scene to PHC was 5.6 kilometres, and 94.5% of cases reached a PHC within 30 minutes.
CONCLUSION : The study highlights the effective spatial distribution of healthcare facilities in Tamil Nadu, ensuring that pregnant women receive timely and adequate care.

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