Socio-demographic determinants of skilled birth attendant at delivery in rural southern Ghana
| Autor: | Solomon Narh-Bana, Alexander Adjei, Vida Kukula, Alfred Kwesi Manyeh, David Etsey Akpakli, Margaret Gyapong, Rosemond Akepene Ekey |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Adolescent Determinant lcsh:Medicine Antenatal care Prenatal care Ghana General Biochemistry Genetics and Molecular Biology Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Risk Factors Environmental health Humans Medicine 030212 general & internal medicine Young adult lcsh:Science (General) lcsh:QH301-705.5 Socioeconomic status Skilled attendants Home Childbirth 030219 obstetrics & reproductive medicine business.industry Dodowa lcsh:R Age Factors Attendance Prenatal Care General Medicine Delivery Obstetric medicine.disease Standardized mortality ratio lcsh:Biology (General) Socioeconomic Factors Birth attendant Female business lcsh:Q1-390 Research Article |
| Zdroj: | BMC Research Notes BMC Research Notes, Vol 10, Iss 1, Pp 1-7 (2017) |
| ISSN: | 1756-0500 |
| DOI: | 10.1186/s13104-017-2591-z |
| Popis: | Background Maternal mortality is the subject of the United Nations’ fifth Millennium Development Goal, which is to reduce the maternal mortality ratio by three quarters from 1990 to 2015. The giant strides made by western countries in dropping of their maternal mortality ratio were due to the recognition given to skilled attendants at delivery. In Ghana, nine in ten mothers receive antenatal care from a health professional whereas only 59 and 68% of deliveries are assisted by skilled personnel in 2008 and 2010 respectively. This study therefore examines the determinants of skilled birth attendant at delivery in rural southern Ghana. Methods This study comprises of 1874 women of reproductive age who had given birth 2 years prior to the study whose information were extracted from the Dodowa Health and Demographic Surveillance System. The univariable and multivariable associations between exposure variables (risk factors) and skilled birth attendant at delivery were explored using logistic regression. Results Out of a total of 1874 study participants, 98.29% of them receive antenatal care services during pregnancy and only 68.89% were assisted by skilled person at their last delivery prior to the survey. The result shows a remarkable influence of maternal age, level of education, parity, socioeconomic status and antenatal care attendance on skilled attendants at delivery. Conclusion Although 69% of women in the study had skilled birth attendants at delivery, women from poorest households, higher parity, uneducated, and not attending antenatal care and younger women were more likely to deliver without a skilled birth attendants at delivery. Future intervention in the study area to bridge the gap between the poor and least poor women, improve maternal health and promote the use of skilled birth at delivery is recommended. |
| Databáze: | OpenAIRE |
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