Pathways Utilized for Antenatal Health Seeking Among Women in the Ga East District, Ghana

Ghana Medical Journal
Rno AryeeteyP B Adongo

Abstract

Ghana's maternal mortality ratio has been declining over the last two decades but at a rather slow pace. Poor access to effective maternity care is identified as one of the key challenges of maternity care. The current study mapped out the pathways to pregnancy care seeking among urban-dwelling adult women in a peri-urban district located in the Greater Accra region of Ghana. A total of 300 women who had a live birth in the last 12 months participated in a community-based survey. They answered questions on care seeking behavior related to their last pregnancy. A multivariate Logistic regression model was used to identify factors associated with multiple care seeking behavior. Almost all women in the survey (98%) reported accessing skilled antenatal care (ANC) from a biomedical provider, although 35% begun ANC later than the first trimester. About 45% of women simultaneously utilized both ANC and alternative care providers (ACP) including traditional birth attendants, herbalists, and spiritualists. A complex pathway to antenatal care seeking behavior involving shuttling between providers was observed. Controlling for household wealth, household size, and age, seeking care from multiple providers concurrently was associated with ...Continue Reading

Citations

Mar 11, 2016·BMC Pregnancy and Childbirth·Minerva Kyei-NimakohTerence V McCann
Apr 1, 2016·PloS One·Yeetey Akpe Kwesi EnuamehUNKNOWN Ghana EMBRACE Implementation Research Project Team
Oct 27, 2017·Healthcare·Padmore Adusei Amoah, David R Phillips
Mar 16, 2017·BMC Health Services Research·Kwamena Sekyi DicksonAkwasi Kumi-Kyereme
Jun 7, 2017·International Journal of Behavioral Medicine·Samuel Ojima AdejohOlatunji Olaosebikan

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