Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey

Appiah, F; Salihu, T; Fenteng, JOD; Darteh, AO; Kannor, P; Ayerakwah, PA; Ameyaw, EK

Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey

Appiah, F Salihu, T Fenteng, JOD Darteh, AO Kannor, P Ayerakwah, PA Ameyaw, EK

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Publisher:: BioMed Central
Publication Type:: Journal Article
Citation:: BMC Pregnancy and Childbirth, 2021, 21, (1), pp. 1-9
Issue Date:: 2021-01-07

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Field	Value	Language
dc.contributor.author	Appiah, F
dc.contributor.author	Salihu, T
dc.contributor.author	Fenteng, JOD
dc.contributor.author	Darteh, AO
dc.contributor.author	Kannor, P
dc.contributor.author	Ayerakwah, PA
dc.contributor.author	Ameyaw, EK
dc.date.accessioned	2022-01-06T02:02:49Z
dc.date.available	2020-12-14
dc.date.available	2022-01-06T02:02:49Z
dc.date.issued	2021-01-07
dc.identifier.citation	BMC Pregnancy and Childbirth, 2021, 21, (1), pp. 1-9
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/152727
dc.description.abstract	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.
dc.format	Electronic
dc.language	eng
dc.publisher	BioMed Central
dc.relation.ispartof	BMC Pregnancy and Childbirth
dc.relation.isbasedon	10.1186/s12884-020-03497-4
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Confidence Intervals
dc.subject.mesh	Female
dc.subject.mesh	Ghana
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Health Services Needs and Demand
dc.subject.mesh	Health Surveys
dc.subject.mesh	Humans
dc.subject.mesh	Logistic Models
dc.subject.mesh	Maternal Mortality
dc.subject.mesh	Middle Aged
dc.subject.mesh	Odds Ratio
dc.subject.mesh	Postnatal Care
dc.subject.mesh	Rural Population
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Women, Working
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Postnatal Care
dc.subject.mesh	Health Surveys
dc.subject.mesh	Maternal Mortality
dc.subject.mesh	Confidence Intervals
dc.subject.mesh	Logistic Models
dc.subject.mesh	Odds Ratio
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Women, Working
dc.subject.mesh	Rural Population
dc.subject.mesh	Health Services Needs and Demand
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Ghana
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.title	Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey
dc.type	Journal Article
utslib.citation.volume	21
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
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	2022-01-06T02:02:46Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	21
utslib.citation.issue	1

Abstract:

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.

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http://hdl.handle.net/10453/152727