Title:
Factors Influencing Uptake of Institutional Delivery Service by Skilled Birth Attendant’s In Ghana: Review of Literature
Authors:
Adjei, Charles Ampong
Year:
2014
PAGE:
x, 58
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Skilled Delivery Service, Ghana, Institutional Delivery Services, Maternal Mortality, Uptake
Abstract:
The health seeking behaviour of women in the reproductive age is necessary toward achieving the Millennium Development Goal of reducing maternal deaths by 75% in 2015. However, in most developing countries, including Ghana, uptake of health facilities for deliveries is still a challenge and the proportion of births assisted by skilled birth attendant’s (SBA) remains low. To improve this, insight is needed in many factors inter-relating to influence women place of birth. The main objective of the study was therefore to explore and analyse factors influencing uptake of institutional delivery services provided by SBAs in order to make recommendation to the Reproductive and Child Health Unit (RCH) of Ghana Health Service and other relevant stakeholders in Ghana. To achieve this objective, literature from Ghana and other low and middle income countries were reviewed and analysed using conceptual framework of Anderson and Newman (2005). The results indicated that, in spite of the high ANC attendance in Ghana (98.2%), deliveries supervised by SBAs fell short (54.6%) in 2013. Following the framework chosen, individual factors were identified in each of the three domains: predisposing factors (e.g. maternal age and education, parity, cultural, religion and traditional practices, place of residence), enabling factors (e.g. households wealth) and need based factors (such as perception of safer pregnancy). In addition, health services related factors identified included perceived negative attitude of some SBAs, limited numbers of health facilities and SBAs, low quality of services and long distance to health facilities. To improve utilisation of institutional delivery services by SBAs, it was recommended that factors like women’s education, expansion of existing infrastructure (health facilities and training institutions), scaling up of Community-based Health Planning Program (CHPS), increasing uptake of midwives and nurses trainees, strict implementation of “train and retain” policy by Ministry of Health (MOH) and culturally sensitive health delivery services needed to be implemented.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development Policy & Practice
Country:
Ghana, Republic of
Region:
West Africa
Training:
Master of Public Health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2014 Adjei
Document type:
Thesis/dissertation
File:
FOhkgux3VH_20161113145319829.pdf