Department of Population and Health, University of Cape Coast, Ghana.
Biomed Res Int. 2021 Dec 24;2021:9914027. doi: 10.1155/2021/9914027. eCollection 2021.
A critical public health issue is maternal mortality. Around 810 women die per day from pregnancy and childbirth, with approximately 99 percent of these deaths recorded in low-and middle-income countries (LMICs). In sub-Saharan Africa (SSA), more than half of these mortalities are registered. The situation is remarkably similar in Ghana, with maternal mortality standing at 319 deaths per 100,000 live births in 2015.
Using data from 2014 Demographic and Health Surveys, the study examined the association between women empowerment and skilled birth attendance among women in rural Ghana.
Women with medium decision-making (OR = 0.75, CI = 0.61, 0.93), low knowledge level (OR = 0.55, CI = 0.40, 0.76), high acceptance of wife beating (OR = 0.68, CI = 0.51, 0.90), with less than 4 ANC visits (OR = 0.25, CI = 0.19, 0.32), whose partner had higher education (OR = 1.96, CI = 1.05, 3.64), and who had a big problem with the distance getting to the health facility (OR = 0.63, CI = 0.50, 0.78) had a significant association with skilled birth attendants. Decision-making power, women's knowledge level, acceptance of wife beating, antenatal care visit, partner's education, getting medical help for self, and distance to health facility were seen to have a significant association with skilled birth attendants among women in Ghana.
Efforts to increase the current SBA should concentrate on the empowerment of women, male involvement in maternal health problems, women's education, and participation in the ANC. There is a need to review current policies, strategies, and services to improve maternal health conditions.
孕产妇死亡率是一个严峻的公共卫生问题。每天约有 810 名妇女死于妊娠和分娩，其中约 99%发生在中低收入国家（LMICs）。在撒哈拉以南非洲（SSA），超过一半的死亡记录在此地区。加纳的情况与之惊人地相似，2015 年每 10 万例活产中有 319 例孕产妇死亡。
本研究使用了 2014 年人口与健康调查的数据，调查了加纳农村地区妇女赋权与熟练接生之间的关联。
具有中等决策能力（OR=0.75，CI=0.61，0.93）、知识水平较低（OR=0.55，CI=0.40，0.76）、高度接受打老婆（OR=0.68，CI=0.51，0.90）、接受的产前检查次数少于 4 次（OR=0.25，CI=0.19，0.32）、伴侣接受过高等教育（OR=1.96，CI=1.05，3.64）、认为去医疗机构路程很远有困难（OR=0.63，CI=0.50，0.78）的妇女与熟练接生存在显著关联。决策能力、妇女知识水平、对打老婆的接受程度、产前护理访问、伴侣的教育程度、为自己寻求医疗帮助以及到医疗机构的距离，这些因素与加纳妇女获得熟练接生服务存在显著关联。
为提高当前 SBA 的努力应集中在妇女赋权、男性参与产妇健康问题、妇女教育和参与 ANC 上。需要审查当前的政策、战略和服务，以改善产妇健康状况。
