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. 2021 Dec 8;6(12):e007145. doi: 10.1136/bmjgh-2021-007145

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Patterns observed for hospital referrals in Ifanadiana according to geographic accessibility of health centres, 2014–2020. (A) Total number of referrals completed during the study period for each category of health centre accessibility (y-axis in logarithmic scale). (B) Means of referral transport used for each category of health centre accessibility. CSB, primary care health centre (Centre de Santé de Base in French)