Please enter verification code
Confirm
An Assessment of Factors Influencing Access to Skilled Delivery in the Sunyani West District in the Brong Ahafo Region of Ghana
World Journal of Public Health
Volume 2, Issue 3, September 2017, Pages: 102-110
Received: Mar. 26, 2017; Accepted: Apr. 18, 2017; Published: Jun. 15, 2017
Views 2081      Downloads 179
Authors
Awuni Prosper Mandela Amaltinga, Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
Ninsawu Nicholas Nakpan, Department of Clinical Medicine, Mili Med Hospital, Techiman, Ghana
Narh Vanessah, Faculty of Public Health and Allied Sciences, Catholic University, Fiapre, Ghana
Mary Osei Bonsu, Department of Nursing, Korle Bu Teaching Hospital, Accra, Ghana
Abrefa Bridget, Department of Nursing, Korle Bu Teaching Hospital, Accra, Ghana
Article Tools
Follow on us
Abstract
Maternal morality has long been an Achilles heel for many developing nations due to lack of adequate health care and family planning services, near absence or minimal access to skilled labour and emergency care, pregnancy complications such as haemorrhage and sepsis. With the Millennium Development goals fast approaching, most developing nations are still in a race to meet set targets. In this study, the objective is to ascertain factors influencing access to skilled delivery in the Sunyani West District of the Brong Ahafo region of Ghana. We specifically sought to assess the relationship between antenatal clinic attendance and use of skilled delivery, identify socio- cultural barriers impeding pregnant women from accessing skilled delivery and know if “task- shifting” and use of alternative cadres to provide skilled delivery is feasible. As an explorative cross-sectional case study design, the study was conducted among pregnant women in the Sunyani West district. Questionnaires were the instruments for data collection. Analysis was done with the Statistical Package for Social Sciences (SPSS) version 20 for windows. There was a relationship between awareness of antenatal services and attendance of Antenatal services. Also, a relationship between attendance of antenatal before childbirth and the places that the women in the district usually deliver their children was established. In addition, there was a relationship between the respondents’ family having a tradition of giving birth at the hospital and the choice of the places that the women in the district usually deliver their children. The study recommended that in order to solve the challenges associated with skilled delivery a multifaceted approach need to be adopted.
Keywords
Skilled Delivery, Labour, Antenatal Care, Task Shifting, Pregnancies, Traditional Birth Attendants
To cite this article
Awuni Prosper Mandela Amaltinga, Ninsawu Nicholas Nakpan, Narh Vanessah, Mary Osei Bonsu, Abrefa Bridget, An Assessment of Factors Influencing Access to Skilled Delivery in the Sunyani West District in the Brong Ahafo Region of Ghana, World Journal of Public Health. Vol. 2, No. 3, 2017, pp. 102-110. doi: 10.11648/j.wjph.20170203.13
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
United Nations. UN Millennium Development Goals. The Millennium Development Goals Report 2013. 2013; New York.
[2]
UNICEF W. Countdown to 2015 decade report (2000–2010) with country profiles taking stock of maternal, newborn and child survival. Geneva; New York: World Health Organization; UNICEF WHO2010Countdown to 2015 decade report (2000–2010) with country profiles taking stock of maternal, newborn and child survival Geneva; New York: World Health Organization; UNICEF. 2010.
[3]
UNICEF WA. Accountability for Maternal, Newborn and Child Survival. The 2013 Update. Geneva: WHO; 2013.
[4]
Health NIo. Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2013: www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/labor.aspx.
[5]
(WHO) WGWHO. Department of Reproductive Health and Research (RHR); 2004. Making pregnancy safer the critical role of the skilled attendant: a joint statement by WHO, ICM and FIGO.
[6]
WHO Press WHO, 20 Avenue Appia 1211. Proportion of births attended by a skilled health worker. Accessed on 03 March 2012. 2008: Available online at: http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/200_skilled_attendants/en/.
[7]
Doku D, Neupane S, Doku PN. Factors associated with reproductive health care utilization among Ghanaian women. BMC Int Health Hum Rights.. PMC. 2012; 12: 29. Doi: 10.1186/472-698X-12-29.
[8]
Ilene S Speizer, William T Story, Kavita Singh. Factors associated with institutional delivery in Ghana: the role of decision-making autonomy and community norms. BMC Pregnancy Childbirth. 2014; 14: 398 doi: 10.1186/s12884-014-0398-7.
[9]
Service GS. Ghana Multiple Indicator Cluster Survey with an Enhanced Malaria Module and Biomarker, 2011, Final Report. Accra, Ghana: 2011: http://www.unicef.org/ghana/Ghana_MICS_Final.pdf Accessed 2012.
[10]
Manas P. Roy, Uday Mohan, Shivendra K. Singh, Vijay K. Singh, Annand K. Srivastava. Determinants of Utilisation of Antenatal Care Services in Rural Lucknow, India. Journal of Family Medicine and Primary Care. 2013; 2 (1): 55-9 doi: 4103/2249-4863.109946.
[11]
Group SMI-A. The safe motherhood action agenda: Priorities for the next decade (PDF). Colombo, Sri Lanka. Inter-Agency Group for Safe Motherhood. 1997.
[12]
Kruk ME, Mbaruku G, McCord CW, Moran M, Rockers PC, Galea S. Bypassing primary care facilities for childbirth: a population-based study in rural Tanzania. Health Policy Plan. 2009; 24: 279-88.
[13]
Lily Kumbani, Gunnar Bjune, Ellen Chirwa, Address Malata, Jon Oyvind Odland. Why some women fail to give birth at health facilities: qualitative study of women's perceptions of perinatal care from rural Southern Malawi. BioMed Central Reproductive Health. 2013; 10: 9 doi: 10.1186/742-4755-10-9.
[14]
Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, Dziekan G. Improving quality of care for maternal and newborn health: prospective pilot study of the WHO Safe Childbirth Checklist Program. PLoS One. 2012; 7: 3515.
[15]
Judith A. Levine, Clifton R. Emery, Harold Pollack. The Well-Being of Children Born to Teen Mothers. Journal of Marriage and Family. 2007; 69 (1): 105-22 doi: 10.1111/j.741-3737.2006.00348.x.
[16]
Bhutta ZA, Chopra M, Axelson H, Berman P, Boerma T, and Bryce J. Countdown to 2015 decade report (2000–10): taking stock of maternal, newborn, and child survival. Lancet. 2010; 375: 2032-44.
[17]
Graham WJ, Ahmed S, Stanton C. Measuring maternal mortality: an overview of opportunities and options for developing countries. BMC Med. 2008; 6: 1–8.
[18]
Van den Broek NR aGW. Quality of care for maternal and newborn health: the neglected agenda. BJOG. 2009; 116 (Suppl 1): 18-21.
[19]
Kinney MV, Kerber KJ, Black RE, Cohen B, Nkrumah F, Coovadia H. Sub-Saharan Africa's mothers, newborns, and children: where and why do they die? PLoS Med 2010; 7 (6): e1000294 doi: 1371/journal.pmed.
[20]
Linda Vesel, Alexander Manu, Terh J. Lohela, Sabine Gabrysch, Eunice Okyere, Augustinus H. A ten Asbroek, et al. Quality of newborn care: a health facility assessment in rural Ghana using survey, vignette and surveillance data. BMJ Open Disease in Childhood. 2009; 3 (5): http://dx.doi.org/10.11336/bmjopen-2012-002326.
[21]
Olsen OE, Ndeki S, Norheim. Human resources for emergency obstetric care in northern Tanzania: distribution of quantity or quality? Human Resource Health. 2005; 3: 5.
[22]
Pitchforth E, Van Teijlingen E, Watson V, Tucker J, Kigler A, Ireland J, et al. "Choice" and place of delivery: a qualitative study of women in remote and rural Scotland. PubMed. 2009; 18 (1): 42-8 doi: 10.1136/qshc.2007.023572.
[23]
Baral YR, Lyons K, Skinner J, van Teijlingen ER. Determinants of skilled birth attendants for delivery in Nepal. Kathmandu University Medical Journal (KUMJ). 2010; 8 (31): 325-32.
[24]
Benatar S, Garrett AB, Howell E, Palmer A. Midwifery care at a freestanding birth center: a safe and effective alternative to conventional maternity care. PubMed. 2013; 48 (5): 1750-68 doi: 10.111/475-6773.12061.
[25]
Larry W. Chang. Task shifting: A solution for the health worker Human Resource Crisis? Medscape July 14 2009.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186