Browsing by Author "Kwabiah, A.A."
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Item Antenatal Care During Covid 19 Era In Sub – Saharan Africa(University of Ghana, 2022-09) Kwabiah, A.A.; Kwankye, S.O.Introduction: Corona virus pandemic has brought several challenges to countries and the world at large. After its insurgence in Wuhan, China, it has since spread to almost all regions of the world. COVID 19 has had an impact on some essential healthcare services in sub–Saharan Africa (SSA). These essential healthcare services include antenatal care service, which is critical in addressing maternal health related challenges in many countries in SSA. Objective: To assess antenatal care service during COVID 19 pandemic in SSA. Methods: A bibliography search was done using Google scholar, PubMed, BMC, Science direct and Scopus to obtain relevant literature and studies on the main subject of the review. A comprehensive review was carried and 33 articles met the inclusion criteria. Results: It was found that there was high level of knowledge about COVID 19 symptoms and preventive measures among pregnant women, but there were also misconceptions that were documented about the disease. Pregnant women were reported to have poorly practiced the preventive measures although they knew these measures. Three major challenges were identified in ANC service during the era of COVID 19: delay in decision making, delay in reaching the health facility and delay in receiving ANC service. Conclusion: ANC service delivery during the pandemic faced important challenges with dire consequences. It is recommended that telemedicine be introduced into mainstream health service delivery while enhancing house- to-house ANC and support groups formation to support the COVID 19 campaign to ensure that while efforts are being made to address COVID 19 in SSA, it will not affect women and children’s health in SSA.Item Factors Associated with Multiple Induced Abortions in Ghana.(University of Ghana, 2016-07) Kwabiah, A.A.When a woman is faced with an unintended pregnancy the onus lies on her to either carry the pregnancy to term or terminate it, and in the developing world the majority of these are terminated unsafely. The problem of induced abortion can further be exacerbated when they become repeated. Women who have previous records of induced abortion stand a greater risk of resorting to it again when the need arises. It is therefore necessary to note the factors that serve as contributors to the already existing problem of maternal mortality. Therefore, this study sought to identify the various factors associated with a woman obtaining multiple abortions. The source of data used was the 2007 Ghana Maternal Health Survey. Women between ages 15 and 49 who had ever undergone abortions formed the sample and the total weighted sample size consisted of 1482 women. Univariate, bivariate and binary logistics regression analyses were the various stages of analyses conducted. The results obtained showed women that who entered into unions when they were less than age 20 were 17.4% less likely to carry out multiple abortions as compared to those who entered into unions when they were thirty years and above. Women who were poor and lived in rural areas were also less likely to seek multiple abortions. In addition, urban dwellers, SHS/higher educated and richer women were more likely to report experiencing multiple abortions. Women who had their first abortion earlier than age 30 and women with an increased number of pregnancies were also susceptible to multiple abortions. Recommendations therefore include the availability of contraceptives to women, especially those below age 20, as well as reproductive health counselling for the rich and educated women. Also further studies should be conducted to understand why sexually active women not in stable unions are less likely to seek multiple abortions.