Nam Eun Woo, Zakariah Afisah, Adams Festus, Jun Young Suk, Adanu Richard
Department of Health Administration, College of Health Sciences and Yonsei Global Health Center, Yonsei University Wonju, Republic of Korea.
Policy, Planning, Monitoring & Evaluation(PPME) Directorate, Ministry of Health, Accra, Ghana.
Ghana Med J. 2016 Sep;50(3):122-128.
Ghana's maternal mortality ratio continues to decline, but is not expected to meet the Millennium Development Goal (MDG) 5 target. The Ghana Health Service and Ministry of Health have displayed a high commitment to the improvement of maternal health in the country. One of the most recent partnerships directed at this is with the Korea International Cooperation Agency.
This study was conducted among women between ages 15 and 49 resident in Keta Municipal, Ketu North and Ketu South districts in the Volta Region of Ghana who were pregnant or who had children aged less than five. Ethical approval was obtained from the Ghana Health Service Ethical Review Committee. Data were collected using questionnaires, entered into Stata version 12 and analyzed using frequency distribution and assessment of means. Comparisons among districts were conducted using chi square test and one way analysis of variance (ANOVA).
The study covered 630 women whose mean age was 28.4 years. Almost all participants (99.1%) from Ketu North knew where to obtain family planning services. Use of modern contraception was highest in Ketu North with 31% of respondents using a modern method. Delivery in a health facility was highest in Keta Municipal (62.3%) with overall institutional delivery being 57.6%. Delivery by a skilled birth attendant (SBA) was also highest in Keta Municipal.
Indicators used to assess maternal health services show a coverage of over 50% but we need to improve institutional delivery, use of modern contraception and education about danger signs in pregnancy.
This work was supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2013S1A5B8A01055336) and the Korea International Cooperation Agency(2013).
加纳的孕产妇死亡率持续下降，但预计无法实现千年发展目标5的指标。加纳卫生服务局和卫生部对改善该国孕产妇健康表现出了高度的决心。最近针对此开展的一项合作是与韩国国际合作机构进行的。
本研究在加纳沃尔特地区凯塔市、凯图北区和凯图南区居住的15至49岁怀孕或有5岁以下子女的妇女中进行。获得了加纳卫生服务伦理审查委员会的伦理批准。使用问卷收集数据，录入Stata 12版本，并使用频率分布和均值评估进行分析。使用卡方检验和单因素方差分析（ANOVA）对各地区进行比较。
该研究涵盖630名妇女，平均年龄为28.4岁。凯图北区几乎所有参与者（99.1%）都知道在哪里可以获得计划生育服务。凯图北区现代避孕方法的使用率最高，31%的受访者使用现代方法。凯塔市在医疗机构分娩的比例最高（62.3%），总体机构分娩率为57.6%。凯塔市由熟练助产士接生的比例也最高。
用于评估孕产妇保健服务的指标显示覆盖率超过50%，但我们需要改善机构分娩、现代避孕方法的使用以及孕期危险信号的教育。
这项工作得到了韩国政府资助的韩国国家研究基金会拨款（NRF - 2013S1A5B8A01055336）和韩国国际合作机构（2013年）的支持。
