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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
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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
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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.
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
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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