Understanding the relationship between access to care and facility-based delivery through analysis of the 2008 Ghana Demographic Health Survey
Objective To determine the types of access to care most strongly associated with facility-based delivery among women in Ghana. Methods Data relating to the “5 As of Access” framework were extracted from the 2008 Ghana Demographic Health Survey and analyzed using multivariate logistic regression. Results In all, 55.5% of a weighted sample of 1102 women […]
The relationship between the use of the partograph and birth outcomes at Korle-Bu teaching hospital
Objective: maternal mortality represents the single greatest health disparity between high and low income countries. This inequity is especially felt in low income countries in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is borne. A goal of MDG 5 is to reduce maternal mortality and have a […]
Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra
In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to […]
Trends in Concurrent Maternal and Perinatal Deaths at a Teaching Hospital in Ghana: The Facts and Prevention Strategies
Objectives: To determine the trend of concurrent maternal and perinatal mortality at the Korle-Bu Teaching Hospital (KBTH), Ghana, and to propose measures for its prevention.Methods: A retrospective study, from January 1995 to December 2002, of all concurrent maternal and perinatal deaths in which the woman was 28 weeks’ gestation or more (or, if gestational age […]
Mothers’ education and childhood mortality in Ghana
The significant extent to which maternal education affects child health has been advanced in several sociodemographic-medical literature, but not much has been done in analysing the spatial dimension of the problem; and also using graphic and linear regression models of representation. In Ghana, very little has been done to relate the two variables and offer […]
ICTs and maternal healthcare utilization. Evidence from Ghana
Purpose – Traditionally, the role of technology on health services has been argued from the supply side. The purpose of this paper is to use a demand side perspective to examine the effect of Information and Communication Technologies (ICTs) on the use of maternal health services in Ghana. Design/methodology/approach – Study used data from the […]
Access to skilled attendant at birth and the coverage of the third dose of diphtheria-tetanus-pertussis vaccine across 14 West African countries – An equity analysis
Background: Universal Health Coverage (UHC) remains a critical public health goal that continues to elude many countries of the global south. As countries strive for its attainment, it is important to track progress in various subregions of the world to understand current levels and mechanisms of progress for shared learning. Our aim was to compare […]
Persistence of the inverse care law in maternal health service utilization: An examination of antenatal care and hospital delivery in ghana
The gap in maternal health outcomes, access and utilization between the haves and have-nots continues to be a challenge globally despite improvements over the past decade. Though Ghana has experienced steady gains in maternal health access and utilization over the years, maternal out-comes, on the other hand, remain poor. In this regard, it is essential […]
Challenges women with disability face in accessing and using maternal healthcare services in Ghana: A qualitative study
Background: While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women’s access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges […]
Maternal mortality in Ghana: A hospital-based review
Objective. This study examines the leading causes of maternal mortality in Ghana, classifies the main causes of maternal deaths and suggests how maternal care can be improved. Design. Retrospective review. Setting. Komfo Anokye Teaching Hospital, Ghana. Sample. Three hundred and twenty-two maternal deaths with 30 269 live births in the period 1 January 2008 to […]