Women's Access to Health Care in Ghana: Effects of Education, Residence, Lineage and Self-Determination

Abstract

Women*» physical and psychological access to health care was analyzed using the 2009 Ghana Demographic and Health Survey (GDHS), a nationally representative .study for monitoring population and health in Ghana. Female respondents from the 2133 cases in the couple's data set were used in this study. Women's level of education was positively related to physical but not to psyvhologicul access to health care. Residing in an urban area was positively related to both types of access. MatriHny consistently showed positive effects on physical acce.ss. In addition tu these demographic factors, both physical and psychological access were positively related to women^s self-determination, i.e., women\s right and ability to make reai choices about their lives including their health, fertility, sexuality, childcare and all areas where women are denied autonomy and dignity in their identities as women. Self-determination factors huth mediated the effects of background factors on access and added explanatory power to the models.