Dickson Kwamena Sekyi, Darteh Eugene Kofuor Maafo, Kumi-Kyereme Akwasi, Ahinkorah Bright Opoku
1Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
2Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Matern Health Neonatol Perinatol. 2018 Jul 11;4:14. doi: 10.1186/s40748-018-0082-4. eCollection 2018.
The International Safe Motherhood initiative provides a focus for programmes and research to improve maternal health in low - income countries. Antenatal care is one of the key pillars of the initiative. This study sought to examine the association between background characteristics and choice of skilled providers of antenatal care services in Ghana.
The study used data from the six rounds of the Ghana Demographic and Health Survey (GDHS). Binary logistic regression models were applied to analyse the data.
Results show that the proportion of women who received antenatal care (ANC) services from skilled providers improved over the period. Also, women with secondary education (OR = 1.42, CI = 1.07-1.88), richest wealth status (OR = 5.10, CI = 2.28-11.85) were more likely to utilise antenatal care services from skilled providers. Whereas women from rural areas (OR = 0.55, CI = 0.41-0.74), with four births or more (OR = 0.55, CI = 0.36-0.85) and from the northern ethnic group were less likely to utilise antenatal care services from skilled providers.
Choice of skilled providers of antenatal care services were predicted by some predisposing factors including education, ethnicity, and ecological zone. Also enabling factors such as wealth status, residence and the need for care factor, parity predicted choice of skilled providers of antenatal care services. Women with secondary or higher education, those within richer and richest wealth status, those from forest zone are more likely to utilise the services of skilled providers during their antenatal care visits. Whereas women from rural areas, those with four births or more and those with the northern ethnic group were more likely to utilise ANC service from unskilled providers. The Ghana Health Service and Ministry of Health should encourage women in rural areas to utilise antenatal care services from skilled providers through social and behaviour change communication campaigns.
国际安全孕产倡议为改善低收入国家孕产妇健康的项目和研究提供了重点关注方向。产前保健是该倡议的关键支柱之一。本研究旨在探讨加纳背景特征与产前保健服务熟练提供者选择之间的关联。
该研究使用了加纳人口与健康调查（GDHS）六轮调查的数据。采用二元逻辑回归模型对数据进行分析。
结果显示，在此期间，从熟练提供者处接受产前保健（ANC）服务的女性比例有所提高。此外，受过中等教育的女性（OR = 1.42，CI = 1.07 - 1.88）、最富有财富状况的女性（OR = 5.10，CI = 2.28 - 11.85）更有可能使用熟练提供者的产前保健服务。而农村地区的女性（OR = 0.55，CI = 0.41 - 0.74）、生育四次或更多次的女性（OR = 0.55，CI = 0.36 - 0.85）以及来自北部族群的女性使用熟练提供者产前保健服务的可能性较小。
产前保健服务熟练提供者的选择受到一些 predisposing 因素的影响，包括教育、种族和生态区域。此外，财富状况、居住情况以及护理需求因素、胎次等促成因素也预测了产前保健服务熟练提供者的选择。受过中等或高等教育的女性、处于较富有和最富有财富状况的女性、来自森林地区的女性在产前检查期间更有可能使用熟练提供者的服务。而农村地区的女性、生育四次或更多次的女性以及来自北部族群的女性更有可能使用非熟练提供者的 ANC 服务。加纳卫生服务局和卫生部应通过社会和行为改变宣传活动，鼓励农村地区的女性使用熟练提供者的产前保健服务。
