Determinants of utilization of antenatal care services in developing countries: Recent evidence from Ghana

listen audio

Study Justification:
– The purpose of the study is to understand the factors that influence the utilization of antenatal care services in Ghana.
– The study utilizes recent data from the Ghana Demographic and Health Survey (GDHS V).
– The findings of the study can provide valuable insights for policymakers and healthcare providers in improving antenatal care services in developing countries.
Highlights:
– The study finds that wealth status, age, ownership of health insurance, educational attainment, birth order, religion, and administrative region of residence are significant predictors of antenatal care utilization.
– Wealth status and ownership of health insurance have a positive impact on the intensity of antenatal care utilization.
– There are differences in antenatal care utilization between rural and urban areas, highlighting the need to address the disparities in health facilities.
– The study suggests the importance of increasing health insurance awareness and enrollment campaigns in rural areas to bridge the rural-urban gap in antenatal care utilization.
Recommendations:
– Intensify health insurance awareness and enrollment campaigns in rural areas to increase antenatal care utilization.
– Address the disparities in health facilities between rural and urban areas to improve access to antenatal care services.
– Consider the role of household wealth status even in a free maternal health regime, as it still plays a major role in inducing antenatal care visitations.
Key Role Players:
– Policymakers
– Healthcare providers
– Health insurance agencies
– Community leaders
– Non-governmental organizations (NGOs)
Cost Items for Planning Recommendations:
– Funding for health insurance awareness and enrollment campaigns
– Investments in improving health facilities in rural areas
– Training and capacity building for healthcare providers
– Research and data collection on antenatal care utilization
– Monitoring and evaluation of the effectiveness of interventions

The purpose of this paper is to estimate the key socio-economic and demographic factors influencing the utilization of antenatal care services in Ghana. The paper utilizes the most recent Ghana Demographic and Health Survey (GDHS V) data. The dependent variable is the intensity of utilization (number) of antenatal care visits. Hence, the negative binomial regression is employed to investigate the socio-economic and demographic correlates of the intensity of antenatal care utilization in Ghana. The study finds that wealth status, age, ownership of health insurance (especially for rural women), educational attainment, birth order, religion and administrative region of residence are significant predictors of the intensity of antenatal care services utilization. In particular, the utilization rate increases in wealth status. The authors also found significant statistical relationship between residence and antenatal care utilization. This finding reinforces the differences in health facilities between the rural and urban areas of Ghana. The authors did not, however, find evidence for proxies for financial and physical access. The GDHS survey lacks data on the distance to the nearest health facility where ANC is sought and a variable for the price of ANC visit. Proxies had to be used to capture these variables. The fact that ownership of health insurance in rural areas increases the number of ANC visits makes it imperative to intensify health insurance awareness and enrollment campaigns in the rural areas so as to bridge the rural-urban gap in ANC utilization. Also, while the free maternal health care policy for expecting mothers is laudable, a minimum level of wealth is required to induce antenatal care visitations. This is because household wealth status still plays a major role even in a free maternal health regime. A new finding of the paper is the significant effect that ownership of health insurance has on the utilization of ANC services among rural women. While generally rural women have a lower propensity to use ANC services compared to urban women, the intensity of usage of ANC services tends to increase for rural women who own health insurance. © 2013, Emerald Group Publishing Limited

Innovation 1: Mobile Health Insurance Enrollment Campaigns in Rural Areas
Develop a mobile health insurance enrollment campaign specifically targeting rural areas. Utilize mobile technology to reach remote communities and provide information about the benefits of health insurance for accessing maternal health services. This can include text messages, voice calls, and interactive mobile applications to educate and enroll individuals in health insurance plans.

Innovation 2: Telemedicine and Mobile Clinics in Rural Areas
Implement telemedicine services and mobile clinics in rural areas to improve access to maternal health services. Telemedicine can connect pregnant women in remote areas with healthcare professionals through video consultations, allowing them to receive antenatal care advice and guidance without having to travel long distances. Mobile clinics can also bring healthcare services directly to rural communities, providing ANC services and health education.

Innovation 3: Microfinance Programs for Maternal Health
Establish microfinance programs specifically designed to support women from lower-income households in accessing ANC services. These programs can provide small loans or savings accounts specifically for maternal health expenses, ensuring that financial constraints do not prevent women from seeking antenatal care. Additionally, these programs can offer financial literacy training to empower women to make informed decisions about their healthcare.

Innovation 4: Geospatial Mapping of Health Facilities and ANC Prices
Develop a geospatial mapping system that accurately captures the distance to the nearest health facility where ANC is sought and the price of ANC visits. This data can be collected through mobile applications or community surveys and used to identify areas with limited access to maternal health services. The mapping system can inform policymakers and healthcare providers about the specific locations that require targeted interventions to improve access and affordability of ANC services.
AI Innovations Description
Based on the research paper titled “Determinants of utilization of antenatal care services in developing countries: Recent evidence from Ghana,” the following recommendations can be developed into an innovation to improve access to maternal health:

1. Increase awareness and enrollment campaigns for health insurance in rural areas: The study found that ownership of health insurance in rural areas increases the number of antenatal care (ANC) visits. To bridge the rural-urban gap in ANC utilization, it is recommended to intensify health insurance awareness and enrollment campaigns specifically targeting rural areas.

2. Improve access to health facilities in rural areas: The study highlighted the differences in health facilities between rural and urban areas of Ghana, which affects ANC utilization. To improve access to maternal health services, it is important to invest in improving the availability and quality of health facilities in rural areas, ensuring that pregnant women have convenient access to ANC services.

3. Consider the financial aspect of maternal health care: While the free maternal health care policy for expecting mothers is commendable, the study found that a minimum level of wealth is still required to induce antenatal care visitations. This suggests that household wealth status plays a significant role even in a free maternal health regime. Therefore, it is important to consider the financial aspect of maternal health care and explore ways to support women from lower-income households in accessing ANC services.

4. Collect data on distance to health facilities and price of ANC visits: The study mentioned that the Ghana Demographic and Health Survey (GDHS) lacked data on the distance to the nearest health facility where ANC is sought and the price of ANC visits. To better understand the barriers to access and develop targeted interventions, it is recommended to collect accurate data on these variables. This can help identify areas with limited access and inform policies to address them effectively.

By implementing these recommendations, it is possible to develop innovative strategies that improve access to maternal health services, particularly ANC, in Ghana.
AI Innovations Methodology
To simulate the impact of the main recommendations on improving access to maternal health, the following methodology can be employed:

1. Data Collection: Collect data on the current utilization of antenatal care services in Ghana, including the number of ANC visits, wealth status, age, ownership of health insurance, educational attainment, birth order, religion, administrative region of residence, distance to the nearest health facility, and the price of ANC visits. This data can be obtained through surveys or by collaborating with relevant government agencies.

2. Baseline Analysis: Conduct a baseline analysis to understand the current utilization patterns of antenatal care services in Ghana. This analysis should include examining the relationship between the dependent variable (intensity of ANC utilization) and the independent variables (wealth status, age, ownership of health insurance, etc.) using regression analysis.

3. Simulate Recommendation 1: Using the data collected, simulate the impact of increasing awareness and enrollment campaigns for health insurance in rural areas. This can be done by estimating the potential increase in ANC visits among rural women who own health insurance based on the findings of the research paper. Compare the simulated results with the baseline analysis to determine the potential impact of this recommendation.

4. Simulate Recommendation 2: Simulate the impact of improving access to health facilities in rural areas by estimating the potential increase in ANC visits among rural women if they have convenient access to quality health facilities. This can be done by considering the distance to the nearest health facility variable and its relationship with ANC utilization. Compare the simulated results with the baseline analysis to determine the potential impact of this recommendation.

5. Simulate Recommendation 3: Simulate the impact of considering the financial aspect of maternal health care by estimating the potential increase in ANC visits among women from lower-income households if financial support is provided. This can be done by analyzing the relationship between wealth status and ANC utilization and estimating the potential increase in ANC visits among lower-income women. Compare the simulated results with the baseline analysis to determine the potential impact of this recommendation.

6. Simulate Recommendation 4: Simulate the impact of collecting data on distance to health facilities and the price of ANC visits by estimating the potential improvement in targeting interventions. This can be done by analyzing the relationship between these variables and ANC utilization and estimating the potential increase in ANC visits if accurate data is available. Compare the simulated results with the baseline analysis to determine the potential impact of this recommendation.

By conducting these simulations, policymakers and stakeholders can gain insights into the potential impact of implementing these recommendations and make informed decisions to improve access to maternal health services in Ghana.

Partagez ceci :
Facebook
Twitter
LinkedIn
WhatsApp
Email