Assessment of Utilization of Skilled Delivery Services and Associated Factors among Women at Kpone, in Kpone Katamanso Municipality, Ghana
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Date
2019-07
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Publisher
University of Ghana
Abstract
Introduction: “Ghana‘s current Maternal Mortality Ratio (MMR) of 319 per 100,000
live births makes achievement of the Sustainable Development Goal of 70 maternal
deaths per 100,000 live births or less by 2030 appears to be deceptive‖ (Gudu &
Addo, 2017). Even though skilled attendance during childbirth is a crucial approach to
decreasing maternal mortality, the proportion of deliveries taking place within health
facilities where such assistance is provided is very low in Ghana, with massive
differences between urban and rural dwelling women.
Objective: The main objective of the study is to examine skilled delivery utilization
and associated factors among women in Kpone Township of Kpone-Katamanso
District in the Greater Accra region, Ghana.
Methods: A descriptive cross-sectional study involving a target sample size of 311
women between 15 years and 49 years was carried out at Kpone Township of Kpone-
Katamanso District in Greater Accra, Ghana. The cluster sampling technique was used
to select a total of 20 clusters each containing 10 houses and thus 16 participants per
cluster were created within the enumerated area. Questionnaires were administered to
these women and data on factors associated with skilled delivery utilization were
collected. The analysis involved the use of Chi-square tests and multiple logistic
regression to determine the strength of the association between skilled delivery
utilization and associated factors.
Results: The overall prevalence of receiving antenatal care was 81.7% among
women. Among those who received antenatal care, 1 in 5 utilized unskilled delivery
services at last delivery. Factors identified to influence utilization of skilled delivery
services were: valid national health insurance card (AOR = 1.461, 95% CI = 1.321, 1.907, P<0.05), visited the health center for antenatal care (AOR= 0.187, 95% CI =
0.045, 0.785, P-value <0.05), women with three children (AOR = 0.130, 95% CI
=0.103, 3.16, P-value<0.05), women with five children (AOR = 0.038, 95% CI
=0.002, 0.620, P-value<0.05), utilization of buses or taxis as means of transportation
to place of delivery (AOR=7.931, 95% CI=1.698, 9.051, P-value<0.05).
Conclusion and Recommendation: The study concludes that skilled delivery
services are not utilized by some women. Factors such as visited the health center for
antenatal care at last delivery and women with three or five children influence the use
of skilled delivery. Also, possession of valid national health insurance card and
utilization of buses or taxis as means of transportation to place of delivery influence
women using skilled delivery. The study, therefore, recommends that Kpone
Municipal Chief Executive in collaboration with the Kpone Municipal Health
Directorate should jointly organize home-based educative programs on the importance
of skilled delivery services to create awareness of skilled delivery services.
Description
MPH.
Keywords
Skilled Delivery Service, Health Insurance Card, Maternal Health Service, Antenatal Care, Kpone