Table 2

Details of studies included in meta-analysis of the association of distance to health facilities and child mortality, 1980–2012

First authorStudy designCountry and year of publicationYears of data collectionSample sizeNumber of deathsOutcomesExposure (comparison groups)Results
Included in meta-analysis
 Akello17Case–controlUganda, 2008200618060Perinatal mortalityDistance from maternity centre (<5 km, 6–20 km)OR =3.89 (1.96 to 7.74)
 Becher18LongitudinalBurkina Faso, 2004199910 1221340Infant mortalityDistance from health centre (<10 km, ≥10 km)RR =1.33 (1.13 to 1.57)
 Broeck19CohortDR Congo, 1996198977657Children who died between 0–<3 monthsDistance from dispensary (<5 km, ≥5 km)RR =1.6 (0.9 to 12.9)
 Daga20CohortIndia, 199319875200Perinatal mortalityDistance from health centre (<5 km, ≥5 km)OR =2.4 (1.78 to 13.32)
 Diallo21CohortBurkina Faso, 20112006–200786440Neonatal mortalityDistance from the health facility (<5 km, ≥5 km)OR =2.1 (0.9 to 14.8)
 Magnani22Cross-sectionalNiger, 199619862075443Under-5 mortalityDistance from dispensary (<5 km ≥5 km)OR =0.68 (0.49 to 0.94)
 Malqvist23Case–controlViet Nam, 2010200911 708197Neonatal mortalityChildren living in remote areaOR=1.96 (1.40 to 12.75)
 Moisi24LongitudinalKenya, 20102003–200693 2161599 under-5 and 1125 under-1Infant and under-5 mortalityTravel time as continuous variableHR =0.99 (0.095 to 1104) for under-5, HR =0.98 (0.95 to 1.02) for infants
 Mtango25Case–controlTanzania, 199219871160610Under-5 mortalityDistance from dispensary (<2 km ≥2 km)OR =2.30 (1.53 to 13.45)
 Paul26Cross-sectionalBangladesh 199119843781149Infant mortalityDistance from qualified physician (<2 miles, ≥2 miles)OR =1.15 (0.90 to 11.18)
 Rutherford27Case–controlGambia, 20092006840140Under-5 mortalityDistance from health centre (<3 km, ≥3 km)OR =1.80 (0.59 to 5.56)
 Schellenberg28Cross-sectionalTanzania, 200820041414559Infant mortalityDistance from the health facility (<5 km, ≥5 km)RR= 1.25, CI (1.0 to 1.5)
 Shoeps29LongitudinalBurkina Faso, 2011200724 5553426Infant and under-5 mortality(Travel time as continuous variable)HR= 1.12 (1.07 to 1.17)
Excluded from meta-analysis
 Adair30Cross-sectionalIndonesia, 20112009Infant and under-5 mortalityTravel time to health facility (<30 min, ≥30 min)Descriptive
 Ahonsi31Cross-sectionalNigeria, 1981–19861981–19863249261Neonatal and infant mortalityDistance to a maternity centre (<5 km, ≥5 km)Descriptive
 Byass32LongitudinalEthiopia, 1987–20051987–20051884122 infant deathUnder-5 mortalityDistance from health centre (<5 km, ≥5 km)HR =1.27 (0.87 to 1.84)
 Ombok33LongitudinalKenya, 20082002–200654 0574194Infant mortalityDistance from the health facility (<2.2 km, ≥2.2 km)Descriptive
 Sankoh34LongitudinalBurkina Faso, 20011993–199829 4631031Under-5 mortalityChildren living > average distance from the village to health centreDescriptive
 Sartorius35LongitudinalSouth Africa1992–200631 804737Infant mortalityDistance from the health facility (<5 km, ≥5 km)IRR=1.18, p=0.607
 Sartorius36LongitudinalSouth Africa1992–200746 675565Under-5 mortalityDistance from the health facility (<5 km, ≥5 km)Descriptive