What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data
- Publisher:
- Public Library of Science (PLoS)
- Publication Type:
- Journal Article
- Citation:
- PLoS One, 2021, 16, (1)
- Issue Date:
- 2021-01-04
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Ahinkorah, BO | |
dc.contributor.author | Seidu, A-A | |
dc.contributor.author | Budu, E | |
dc.contributor.author | Agbaglo, E | |
dc.contributor.author | Appiah, F | |
dc.contributor.author | Adu, C | |
dc.contributor.author | Archer, AG | |
dc.contributor.author | Ameyaw, EK | |
dc.date.accessioned | 2021-10-12T04:51:04Z | |
dc.date.available | 2020-12-16 | |
dc.date.available | 2021-10-12T04:51:04Z | |
dc.date.issued | 2021-01-04 | |
dc.identifier.citation | PLoS One, 2021, 16, (1) | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.uri | http://hdl.handle.net/10453/151063 | |
dc.description.abstract | Background In Ghana, home delivery among women in urban areas is relatively low compared to rural areas. However, the few women who deliver at home in urban areas still face enormous risk of infections and death, just like those in rural areas. The present study investigated the factors associated with home delivery among women who live in urban areas in Ghana. Materials and methods Data for this study was obtained from the 2014 Ghana Demographic and Health Survey. We used data of 1,441 women who gave birth in the 5 years preceding the survey and were dwelling in urban areas. By the use of Stata version 14.2, we conducted both descriptive and multivariable logistic regression analyses. Results We found that 7.9% of women in urban areas in Ghana delivered at home. The study revealed that, compared to women who lived in the Northern region, women who lived in the Brong Ahafo region [AOR = 0.38, CI = 0.17–0.84] were less likely to deliver at home. The likelihood of home delivery was high among women in the poorest wealth quintile [AOR = 2.02, CI = 1.06–3.86], women who professed other religions [AOR = 3.45; CI = 1.53–7.81], and those who had no antenatal care visits [AOR = 7.17; 1.64–31.3]. Conversely, the likelihood of home delivery was lower among women who had attained secondary/higher education [AOR = 0.30; 0.17–0.53], compared to those with no formal education. Conclusion The study identified region of residence, wealth quintile, religion, antenatal care visits, and level of education as factors associated with home delivery among urban residents in Ghana. Therefore, health promotion programs targeted at home delivery need to focus on these factors. We also recommend that a qualitative study should be conducted to investigate the factors responsible for the differences in home delivery in terms of region, as the present study could not do so. | |
dc.format | Electronic-eCollection | |
dc.language | eng | |
dc.publisher | Public Library of Science (PLoS) | |
dc.relation.ispartof | PLoS One | |
dc.relation.isbasedon | 10.1371/journal.pone.0244811 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject.classification | General Science & Technology | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Delivery, Obstetric | |
dc.subject.mesh | Home Childbirth | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Mothers | |
dc.subject.mesh | Parity | |
dc.subject.mesh | Demography | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Urban Population | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Ghana | |
dc.subject.mesh | Female | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Delivery, Obstetric | |
dc.subject.mesh | Demography | |
dc.subject.mesh | Female | |
dc.subject.mesh | Ghana | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Home Childbirth | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Mothers | |
dc.subject.mesh | Parity | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Urban Population | |
dc.subject.mesh | Young Adult | |
dc.title | What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data | |
dc.type | Journal Article | |
utslib.citation.volume | 16 | |
utslib.location.activity | United States | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2021-10-12T04:51:01Z | |
pubs.issue | 1 | |
pubs.publication-status | Published | |
pubs.volume | 16 | |
utslib.citation.issue | 1 |
Abstract:
Background
In Ghana, home delivery among women in urban areas is relatively low compared to rural areas. However, the few women who deliver at home in urban areas still face enormous risk of infections and death, just like those in rural areas. The present study investigated the factors associated with home delivery among women who live in urban areas in Ghana.
Materials and methods
Data for this study was obtained from the 2014 Ghana Demographic and Health Survey. We used data of 1,441 women who gave birth in the 5 years preceding the survey and were dwelling in urban areas. By the use of Stata version 14.2, we conducted both descriptive and multivariable logistic regression analyses.
Results
We found that 7.9% of women in urban areas in Ghana delivered at home. The study revealed that, compared to women who lived in the Northern region, women who lived in the Brong Ahafo region [AOR = 0.38, CI = 0.17–0.84] were less likely to deliver at home. The likelihood of home delivery was high among women in the poorest wealth quintile [AOR = 2.02, CI = 1.06–3.86], women who professed other religions [AOR = 3.45; CI = 1.53–7.81], and those who had no antenatal care visits [AOR = 7.17; 1.64–31.3]. Conversely, the likelihood of home delivery was lower among women who had attained secondary/higher education [AOR = 0.30; 0.17–0.53], compared to those with no formal education.
Conclusion
The study identified region of residence, wealth quintile, religion, antenatal care visits, and level of education as factors associated with home delivery among urban residents in Ghana. Therefore, health promotion programs targeted at home delivery need to focus on these factors. We also recommend that a qualitative study should be conducted to investigate the factors responsible for the differences in home delivery in terms of region, as the present study could not do so.
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