Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Berekum College of Education, Berekum, Bono Region, Ghana.
BMC Pregnancy Childbirth. 2021 Jan 7;21(1):26. doi: 10.1186/s12884-020-03497-4.
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.
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.
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].
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.
加纳的产妇死亡率很高，2017 年平均每 10 万名活产儿中有 310 名产妇死亡。这在一定程度上是由于产后护理不足，尤其是在农村社区。如果加纳的妇女能够接受世界卫生组织建议的产后早期检查，就可以避免高产妇死亡率。尽管地理位置与产后护理利用之间存在关联，但加纳农村居民的产后护理利用决定因素尚未有研究。因此，本研究旨在确定加纳农村地区妇女产后护理的利用情况及其相关因素。
本研究使用了 2014 年加纳人口与健康调查（GDHS）的妇女档案。在描述性计算流行率后，使用二元逻辑回归评估了产后护理的相关因素，置信区间为 95%。结果以调整后的优势比（AOR）表示。任何小于 1 的 AOR 表示参加产后护理的可能性降低，而大于 1 的 AOR 表示参加产后护理的可能性增加。所有分析均使用 Stata 版本 14.0 进行。
研究表明，74%的农村妇女接受了产后护理。在推断水平上，居住在萨凡纳地区的妇女与居住在沿海地区的妇女相比，接受产后护理的可能性更高 [AOR=1.80，CI=1.023-3.159]，与阿坎妇女相比，瓜恩妇女也是如此 [AOR=7.15，CI=1.602-31.935]。与不工作的妇女相比，工作的妇女更有可能利用产后护理 [AOR=1.45，CI=1.015-2.060]。与认为距离不是问题的妇女相比，认为距离是问题的妇女更有可能利用产后护理 [AOR=1.63，CI=1.239-2.145]。
本研究表明，种族、生态区、职业和与卫生机构的距离预测了加纳农村居民的产后护理利用情况。该研究表明，政府需要增加农村地区的产妇保健设施，以减少妇女在寻求产后护理时所需要走的距离。
