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Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study
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 promotin...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816577/ https://www.ncbi.nlm.nih.gov/pubmed/27031301 http://dx.doi.org/10.1371/journal.pone.0152235 |
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author | Enuameh, Yeetey Akpe Kwesi Okawa, Sumiyo Asante, Kwaku Poku Kikuchi, Kimiyo Mahama, Emmanuel Ansah, Evelyn Tawiah, Charlotte Adjei, Kwame Shibanuma, Akira Nanishi, Keiko Yeji, Francis Agyekum, Enoch Oti Yasuoka, Junko Gyapong, Margaret Oduro, Abraham Rexford Quansah Asare, Gloria Hodgson, Abraham Jimba, Masamine Owusu-Agyei, Seth |
author_facet | Enuameh, Yeetey Akpe Kwesi Okawa, Sumiyo Asante, Kwaku Poku Kikuchi, Kimiyo Mahama, Emmanuel Ansah, Evelyn Tawiah, Charlotte Adjei, Kwame Shibanuma, Akira Nanishi, Keiko Yeji, Francis Agyekum, Enoch Oti Yasuoka, Junko Gyapong, Margaret Oduro, Abraham Rexford Quansah Asare, Gloria Hodgson, Abraham Jimba, Masamine Owusu-Agyei, Seth |
author_sort | Enuameh, Yeetey Akpe Kwesi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4816577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-48165772016-04-14 Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study Enuameh, Yeetey Akpe Kwesi Okawa, Sumiyo Asante, Kwaku Poku Kikuchi, Kimiyo Mahama, Emmanuel Ansah, Evelyn Tawiah, Charlotte Adjei, Kwame Shibanuma, Akira Nanishi, Keiko Yeji, Francis Agyekum, Enoch Oti Yasuoka, Junko Gyapong, Margaret Oduro, Abraham Rexford Quansah Asare, Gloria Hodgson, Abraham Jimba, Masamine Owusu-Agyei, Seth PLoS One Research Article 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. Public Library of Science 2016-03-31 /pmc/articles/PMC4816577/ /pubmed/27031301 http://dx.doi.org/10.1371/journal.pone.0152235 Text en © 2016 Enuameh et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Enuameh, Yeetey Akpe Kwesi Okawa, Sumiyo Asante, Kwaku Poku Kikuchi, Kimiyo Mahama, Emmanuel Ansah, Evelyn Tawiah, Charlotte Adjei, Kwame Shibanuma, Akira Nanishi, Keiko Yeji, Francis Agyekum, Enoch Oti Yasuoka, Junko Gyapong, Margaret Oduro, Abraham Rexford Quansah Asare, Gloria Hodgson, Abraham Jimba, Masamine Owusu-Agyei, Seth Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title | Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title_full | Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title_fullStr | Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title_full_unstemmed | Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title_short | Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study |
title_sort | factors influencing health facility delivery in predominantly rural communities across the three ecological zones in ghana: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816577/ https://www.ncbi.nlm.nih.gov/pubmed/27031301 http://dx.doi.org/10.1371/journal.pone.0152235 |
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