Paper: Inequities in spatial access to childbirth care in the Grand Conakry conurbation, Guinea

In April 2025, the Discontinu_Cities project team published a paper in Nature Cities analysing geographic accessibility of childbirth care in Grand Conakry, Guinea.

Key findings of the analysis include:

- Travel to the nearest facility with childbirth care required an average of 8 minutes, increasing to 22 minutes for public hospitals, with notable variation across communes.

- There are major disparities in geographic access to health facilities providing childbirth care, driven by the skewed spatial distribution of health facilities, heavy traffic and socio-economic disadvantage.

- During times of heavy traffic, travel times exceed 2 hours from some areas.

- Peri-urban communes are near medical deserts due to the low number of facilities, particularly public hospitals providing comprehensive emergency obstetric and newborn care.

- Wealthier populations live closer to facilities providing childbirth care.

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