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The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

BACKGROUND: Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential...

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Autores principales: Kumbeni, Maxwell Tii, Apanga, Paschal Awingura, Chanase, Mary-Ann Wepiamo, Alem, John Ndebugri, Mireku-Gyimah, Nana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244223/
https://www.ncbi.nlm.nih.gov/pubmed/34187464
http://dx.doi.org/10.1186/s12913-021-06665-0
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author Kumbeni, Maxwell Tii
Apanga, Paschal Awingura
Chanase, Mary-Ann Wepiamo
Alem, John Ndebugri
Mireku-Gyimah, Nana
author_facet Kumbeni, Maxwell Tii
Apanga, Paschal Awingura
Chanase, Mary-Ann Wepiamo
Alem, John Ndebugri
Mireku-Gyimah, Nana
author_sort Kumbeni, Maxwell Tii
collection PubMed
description BACKGROUND: Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. METHODS: We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. RESULTS: The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. CONCLUSIONS: The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age.
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spelling pubmed-82442232021-06-30 The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana Kumbeni, Maxwell Tii Apanga, Paschal Awingura Chanase, Mary-Ann Wepiamo Alem, John Ndebugri Mireku-Gyimah, Nana BMC Health Serv Res Research BACKGROUND: Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. METHODS: We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. RESULTS: The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. CONCLUSIONS: The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age. BioMed Central 2021-06-30 /pmc/articles/PMC8244223/ /pubmed/34187464 http://dx.doi.org/10.1186/s12913-021-06665-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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
Kumbeni, Maxwell Tii
Apanga, Paschal Awingura
Chanase, Mary-Ann Wepiamo
Alem, John Ndebugri
Mireku-Gyimah, Nana
The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title_full The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title_fullStr The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title_full_unstemmed The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title_short The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana
title_sort role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in ghana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244223/
https://www.ncbi.nlm.nih.gov/pubmed/34187464
http://dx.doi.org/10.1186/s12913-021-06665-0
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