Trends and correlates of maternal, newborn and child health services utilization in primary healthcare facilities: an explorative ecological study using DHIMSII data from one district in the Volta region of Ghana

Alhassan, Robert Kaba; Owusu‐Agyei, Seth; Ansah, Evelyn; Gyapong, Margaret; Ashinyo, Anthony; Ashinyo, Mary Eyram; Nketiah‐Amponsah, Edward; Akorli-Adzimah, Edem; Ekpor, Edith

doi:10.1186/s12884-020-03195-1

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…The proportion of mothers achieving adequate ANC (4-7 ANC visits) increased from 49.3% in 2006 to 49.98% in 2011 to 58.61% in 2017-2018. Consistent with this study, Alhassan and colleagues found that there has been an increase in the trends of ANC service utilization in Ghana in the past decade [ 27 ]. This may be due to the enactment and implementation of the Ghana National Health Insurance Scheme (NHIS) in 2003 which aimed to offer free medical care to pregnant women.…”

Section: Discussionsupporting

confidence: 82%

Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018

Duodu

Bayuo

Mensah

et al. 2022

BMC Pregnancy Childbirth

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Introduction Given that maternal mortality is a major global health concern, multiple measures including antenatal care visits have been promoted by the global community. However, most pregnant women in Ghana and other sub-Saharan African countries do not attain the recommended timelines, in addition to a slower progress towards meeting the required minimum of eight visits stipulated by the World Health Organization. Therefore, this study explored the trends in antenatal care visits and the associated factors in Ghana from 2006 to 2018 using the Multiple Indicator Cluster Surveys. Methods The study used women datasets (N = 7795) aged 15 to 49 years from three waves (2006, 2011, and 2017-2018) of the Ghana Multiple Indicator Cluster Surveys (GMICS). STATA version 14 was used for data analyses. Univariable analyses, bivariable analyses with chi-square test of independence, and multivariable analyses with robust multinomial logistic regression models were fitted. Results The study found a consistent increase in the proportion of women having adequate and optimal antenatal attendance from 2006 to 2018 across the women’s sociodemographic segments. For instance, the proportion of mothers achieving adequate antenatal care (4 to 7 antenatal care visits) increased from 49.3% in 2006 to 49.98% in 2011 to 58.61% in 2017-2018. In the multivariable model, women with upward attainment of formal education, health insurance coverage, increasing household wealth, and residing in the Upper East Region were consistently associated with a higher likelihood of adequate and/or optimal antenatal care attendance from 2006 to 2018. Conclusion Women who are less likely to achieve optimal antenatal care visits should be targeted by policies towards reducing maternal mortalities and other birth complications. Poverty-reduction policies, promoting maternal and girl-child education, improving general livelihood in rural settings, expanding health insurance coverage and infrastructural access, harnessing community-level structures, and innovative measures such as telehealth and telemedicine are required to increase antenatal care utilization.

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Section: Discussionsupporting

confidence: 82%

Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018

Duodu

Bayuo

Mensah

et al. 2022

BMC Pregnancy Childbirth

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“…The ambitious SDG agenda may not be achieved in many SSA countries including Mali 5 if the utilisation of maternal healthcare components such as ANC, SBA and PNC is not accelerated. 26 There is, however, a paucity of empirical literature on the state of maternal healthcare utilisation (ANC, SBA and PNC) at the national level in the country. Such data are needed for the acceleration of interventions to improve utilisation, reduce maternal mortality and accelerate progress towards achievement of the SDGs.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individual and contextual factors associated with maternal healthcare utilisation in Mali: a cross-sectional study using Demographic and Health Survey data

Bain

Aboagye

Malunga³

et al. 2022

BMJ Open

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ObjectiveWe examined the national prevalence as well as the individual and contextual factors associated with maternal healthcare utilisation in Mali.SettingThe study was conducted in Mali.ParticipantsWe analysed data on 6335 women aged 15–49 years from Mali’s 2018 Demographic and Health Survey.Outcome variableMaternal healthcare utilisation comprising antenatal care (ANC) attendant, skilled birth attendant (SBA), and postnatal care (PNC) attendant, was our outcome variable.ResultsPrevalence of maternal healthcare utilisation was 45.6% for ANC4+, 74.7% for SBA and 25.5% for PNC. At the individual level, ANC4 + and SBA utilisation increased with increasing maternal age, level of formal education and wealth status. Higher odds of ANC4 + was found among women who are cohabiting (adjusted OR (aOR)=2.25, 95% CI 1.16 to 4.37) and delivered by caesarean section (aOR=2.53, 95% CI 1.72 to 3.73), while women who considered getting money for treatment (aOR=0.72, 95% CI 0.60 to 0.88) and distance to health facility (aOR=0.73, 95% CI 0.59 to 0.90) as a big problem had lower odds. Odds to use PNC was higher for those who were working (aOR=1.22, 95% CI 1.01 to 1.48) and those covered by health insurance (aOR=1.87, 95% CI 1.36 to 2.57). Lower odds of SBA use were associated with having two (aOR=0.48, 95% CI 0.33 to 0.71), three (aOR=0.37, 95% CI 0.24 to 0.58), and four or more (aOR=0.38, 95% CI 0.24 to 0.59) children, and residing in a rural area (aOR=0.35, 95% CI 0.17 to 1.69). Listening to the radio and watching TV were associated with increased maternal healthcare utilisation.ConclusionThe government should increase availability, affordability and accessibility to healthcare facilities by investing in health infrastructure and workforce to achieve Sustainable Development Goal 3.4 of reducing maternal morality to less than 70 deaths per 100 000 live births by 2030. It is important to ascertain empirically why PNC levels are astonishingly lower relative to ANC and SBA.

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“…The level of education of the spouse and ANC attendance was connected with institutional delivery studies in Nigeria, Ghana and SSA reported on intervention to improve the majority of the health system, with an increase in frontline health staff and retention strategies, as well as investments in universal coverage to increase ANC and SBD utilization services [71,124,176]. Atake, 2018 in Togo, reported that a significant number of migrant mothers utilised ANC services in Togo compared to non-migrant women due to health insurance, which provides more financial protection to migrant mothers [161] [68] with ANC visits.…”

mentioning

confidence: 99%

Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review

Lateef,

Kuupiel,

Mchunu

et al. 2024

IJERPH

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Daily, the number of women who die around the world reaches an average of 800; these deaths are a result of obstetric complications in pregnancy and childbirth, and 99% of these deaths occur in low- and middle-income countries. This review probes the use of antenatal care (ANC) and skilled birth delivery (SBD) services in sub-Saharan Africa (SSA) and highlights research gaps using Arksey and O’Malley’s methodological approach. The screening of abstracts and full text was carried out by two independent authors who ensured the eligibility of data extraction from the included articles. An exploration of the data was undertaken with descriptive analyses. In total, 350 potentially eligible articles were screened, and 137 studies were included for data extraction and analysis. From the 137 included studies, the majority were from Ethiopia (n = 40, 29.2%), followed by Nigeria (n = 30, 21.9%). Most of the studies were published between 2019 and 2023 (n = 84, 61%). Significant trends and challenges with ANC and SBD services emerged from the studies. It is revealed that there are wide gaps in the utilization of ANC and SBD services. Policy attention, intervention strategies to improve access, resources, rural–urban disparity, and women’s literacy are recommended to improve the utilization of ANC and SBD services in SSA countries.

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Trends and correlates of maternal, newborn and child health services utilization in primary healthcare facilities: an explorative ecological study using DHIMSII data from one district in the Volta region of Ghana

Cited by 3 publications

References 36 publications

Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018

Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018

Individual and contextual factors associated with maternal healthcare utilisation in Mali: a cross-sectional study using Demographic and Health Survey data

Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review

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