The effects of changes in distance to nearest health facility on under-5 mortality and health care utilization in rural Malawi, 1980-1998.

The effect was marginally significant ( p < 0.10) when linear distance was the only variable, but no longer significant after we added controls for year, month, and mother and child characteristics.

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We restricted the analysis to dispensaries and maternity/dispensaries, but even within these categories the variability in quality of care may be significant.

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