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BACKGROUND: Access to emergency care (EC) services is crucial for severe anaemia outcome. Limited information exists on the association between travel times to EC services and the presentation and severity of anaemia upon hospital admission. Here, we investigate the association between travel time and presentation of severe anaemia (compared to mild/moderate anaemia) at admission in western Kenya. METHODS: Data from January 2020 to July 2023 from Busia County Referral Hospital were assembled for paediatric admissions aged 1-59 months residing in Busia County. Travel time from a patient's village to the hospital was calculated using a least cost path algorithm. Anaemia severity was categorised as mild (Hb ≥ 7-<10 g dl-1), moderate (Hb ≥ 5-<7 g dl-1) and severe (Hb 

Original publication

DOI

10.3389/fepid.2025.1578522

Type

Journal

Front Epidemiol

Publication Date

2025

Volume

5

Keywords

access, anaemia, hospitalisation, model-based geostatistics, travel time