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Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey
BACKGROUND: Maternal mortality is high in Ghana, averaging 310 maternal deaths per 100,000 live births in 2017. This is partly due to inadequate postnatal care especially among rural communities. Ghana can avert the high maternal deaths if women meet the World Health Organisation’s recommended early...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791732/ https://www.ncbi.nlm.nih.gov/pubmed/33413169 http://dx.doi.org/10.1186/s12884-020-03497-4 |
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author | Appiah, Francis Salihu, Tarif Fenteng, Justice Ofosu Darko Darteh, Andrews Ohene Kannor, Patience Ayerakwah, Patience Ansomah Ameyaw, Edward Kwabena |
author_facet | Appiah, Francis Salihu, Tarif Fenteng, Justice Ofosu Darko Darteh, Andrews Ohene Kannor, Patience Ayerakwah, Patience Ansomah Ameyaw, Edward Kwabena |
author_sort | Appiah, Francis |
collection | PubMed |
description | BACKGROUND: Maternal mortality is high in Ghana, averaging 310 maternal deaths per 100,000 live births in 2017. This is partly due to inadequate postnatal care especially among rural communities. Ghana can avert the high maternal deaths if women meet the World Health Organisation’s recommended early postnatal care check-up. Despite the association between geographical location and postnatal care utilisation, no study has been done on determinants of postnatal care among rural residents in Ghana. Therefore, this study determined the prevalence and correlates of postnatal care utilization among women in rural Ghana. METHODS: The study utilised women’s file of the 2014 Ghana Demographic and Health Survey (GDHS). Following descriptive computation of the prevalence, binary logistic regression was fitted to assess correlates of postnatal care at 95% confidence interval. The results were presented in adjusted odds ratio (AOR). Any AOR less than 1 was interpreted as reduced likelihood of PNC attendance whilst AOR above 1 depicted otherwise. All analyses were done using Stata version 14.0. RESULTS: The study revealed that 74% of the rural women had postnatal care. At the inferential level, women residing in Savanna zone had higher odds of postnatal care compared to those in the Coastal zone [AOR = 1.80, CI = 1.023–3.159], just as among the Guan women as compared to the Akan [AOR = 7.15, CI = 1.602–31.935]. Women who were working were more probable to utilise postnatal care compared to those not working [AOR = 1.45, CI = 1.015–2.060]. Those who considered distance as unproblematic were more likely to utilise postnatal care compared to those who considered distance as problematic [AOR = 1.63, CI = 1.239–2.145]. CONCLUSIONS: The study showed that ethnicity, ecological zone, occupation and distance to health facility predict postnatal care utilisation among rural residents of Ghana. The study points to the need for government to increase maternal healthcare facilities in rural settings in order to reduce the distance covered by women in seeking postnatal care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03497-4. |
format | Online Article Text |
id | pubmed-7791732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77917322021-01-11 Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey Appiah, Francis Salihu, Tarif Fenteng, Justice Ofosu Darko Darteh, Andrews Ohene Kannor, Patience Ayerakwah, Patience Ansomah Ameyaw, Edward Kwabena BMC Pregnancy Childbirth Research Article BACKGROUND: Maternal mortality is high in Ghana, averaging 310 maternal deaths per 100,000 live births in 2017. This is partly due to inadequate postnatal care especially among rural communities. Ghana can avert the high maternal deaths if women meet the World Health Organisation’s recommended early postnatal care check-up. Despite the association between geographical location and postnatal care utilisation, no study has been done on determinants of postnatal care among rural residents in Ghana. Therefore, this study determined the prevalence and correlates of postnatal care utilization among women in rural Ghana. METHODS: The study utilised women’s file of the 2014 Ghana Demographic and Health Survey (GDHS). Following descriptive computation of the prevalence, binary logistic regression was fitted to assess correlates of postnatal care at 95% confidence interval. The results were presented in adjusted odds ratio (AOR). Any AOR less than 1 was interpreted as reduced likelihood of PNC attendance whilst AOR above 1 depicted otherwise. All analyses were done using Stata version 14.0. RESULTS: The study revealed that 74% of the rural women had postnatal care. At the inferential level, women residing in Savanna zone had higher odds of postnatal care compared to those in the Coastal zone [AOR = 1.80, CI = 1.023–3.159], just as among the Guan women as compared to the Akan [AOR = 7.15, CI = 1.602–31.935]. Women who were working were more probable to utilise postnatal care compared to those not working [AOR = 1.45, CI = 1.015–2.060]. Those who considered distance as unproblematic were more likely to utilise postnatal care compared to those who considered distance as problematic [AOR = 1.63, CI = 1.239–2.145]. CONCLUSIONS: The study showed that ethnicity, ecological zone, occupation and distance to health facility predict postnatal care utilisation among rural residents of Ghana. The study points to the need for government to increase maternal healthcare facilities in rural settings in order to reduce the distance covered by women in seeking postnatal care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-020-03497-4. BioMed Central 2021-01-07 /pmc/articles/PMC7791732/ /pubmed/33413169 http://dx.doi.org/10.1186/s12884-020-03497-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Appiah, Francis Salihu, Tarif Fenteng, Justice Ofosu Darko Darteh, Andrews Ohene Kannor, Patience Ayerakwah, Patience Ansomah Ameyaw, Edward Kwabena Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title | Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title_full | Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title_fullStr | Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title_full_unstemmed | Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title_short | Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey |
title_sort | postnatal care utilisation among women in rural ghana: analysis of 2014 ghana demographic and health survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791732/ https://www.ncbi.nlm.nih.gov/pubmed/33413169 http://dx.doi.org/10.1186/s12884-020-03497-4 |
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