Referral readiness in public facilities providing childbirth care in Senegal
| Data source | N | SPA | N | MoHSA health facility census | |||||
| Telephone availability* (%) | Vehicle access† (%) | Access to closest facility performing caesareans, among facilities without caesarean capacity | |||||||
| On-site | At other facility | None | Median road network distance (IQR) | Median direct travel time (IQR) | % within 1-hour driving time | ||||
| Hospital (all urban) | 17 | 94 | 100 | 0 | 0 | 30 | -‡ | -‡ | -‡ |
| Health centre (urban) | 23 | 96 | 100 | 0 | 0 | 46 | 7 km (2 km–28 km) | 10 min (3 min–28 min) | 96 |
| Health centre (rural) | 19 | 85 | 89 | 11 | 0 | 34 | 44 km (27 km–59 km) | 48 min (28 min–1 hour 10 min) | 74 |
| Health post (urban) | 30 | 34 | 37 | 51 | 12 | 185 | 4 km (2 km–9 km) | 6 min (4 min–12 min) | 96 |
| Health post (rural) | 203 | 45 | 44 | 43 | 13 | 964 | 38 km (22 km–58 km) | 47 min (28 min–1 hour 12 min) | 63 |
| Hospitals, health centres and health posts | 292 | 48 | 96 | 4 | 0 | 1259 | 32 km (14 km–54 km) | 41 min (19 min–1 hr 06) | 70 |
| Health hut (all rural) | 184 | 28 | 3 | 29 | 68 | 0 | -§ | -§ | -§ |
Sources: Senegal 2017 SPA78 and MoHSA National health facility census.41
*Functional landline or mobile phone paid for by the facility.
†Any vehicle used for transporting patients, mutually exclusive categories (facilities with vehicle access on-site are not asked about vehicle access at other facility)
‡Only two hospitals did not have caesarean capacity, both specialised hospitals in Dakar within 3 min of a hospital with caesarean capacity
§Health huts are funded by the community rather than the MoHSA; they do not appear in the MoHSA health facility census.
MoHSA, Ministry of Health and Social Action; SPA, Service Provision Assessment.