Ontology highlight
ABSTRACT: Background
Maternal and neonatal mortality indicators remain high in Ghana and other sub-Saharan African countries. Both maternal and neonatal health outcomes improve when skilled personnel provide delivery services within health facilities. Determinants of delivery location are crucial to promoting health facility deliveries, but little research has been done on this issue in Ghana. This study explored factors influencing delivery location in predominantly rural communities in Ghana.Methods
Data were collected from 1,500 women aged 15-49 years with live or stillbirths that occurred between January 2011 and April 2013. This was done within the three sites operating Health and Demographic Surveillance Systems, i.e., the Dodowa (Greater Accra Region), Kintampo (Brong Ahafo Region), and Navrongo (Upper-East Region) Health Research Centers in Ghana. Multivariable logistic regression was used to identify the determinants of delivery location, controlling for covariates that were statistically significant in univariable regression models.Results
Of 1,497 women included in the analysis, 75.6% of them selected health facilities as their delivery location. After adjusting for confounders, the following factors were associated with health facility delivery across all three sites: healthcare provider's influence on deciding health facility delivery, (AOR = 13.47; 95% CI 5.96-30.48), place of residence (AOR = 4.49; 95% CI 1.14-17.68), possession of a valid health insurance card (AOR = 1.90; 95% CI 1.29-2.81), and socio-economic status measured by wealth quintiles (AOR = 2.83; 95% CI 1.43-5.60).Conclusion
In addition to known factors such as place of residence, socio-economic status, and possession of valid health insurance, this study identified one more factor associated with health facility delivery: healthcare provider's influence. Ensuring care provider's counseling of clients could improve the uptake of health facility delivery in rural communities in Ghana.
SUBMITTER: Enuameh YA
PROVIDER: S-EPMC4816577 | biostudies-literature | 2016
REPOSITORIES: biostudies-literature
Enuameh Yeetey Akpe Kwesi YA Okawa Sumiyo S Asante Kwaku Poku KP Kikuchi Kimiyo K Mahama Emmanuel E Ansah Evelyn E Tawiah Charlotte C Adjei Kwame K Shibanuma Akira A Nanishi Keiko K Yeji Francis F Agyekum Enoch Oti EO Yasuoka Junko J Gyapong Margaret M Oduro Abraham Rexford AR Quansah Asare Gloria G Hodgson Abraham A Jimba Masamine M Owusu-Agyei Seth S
PloS one 20160331 3
<h4>Background</h4>Maternal and neonatal mortality indicators remain high in Ghana and other sub-Saharan African countries. Both maternal and neonatal health outcomes improve when skilled personnel provide delivery services within health facilities. Determinants of delivery location are crucial to promoting health facility deliveries, but little research has been done on this issue in Ghana. This study explored factors influencing delivery location in predominantly rural communities in Ghana.<h4 ...[more]