Title:
Factors influencing uptake of skilled birth attendants in the bolgatanga municipality, upper east region, ghana
Authors:
Abazesi, Estella
Year:
2015
PAGE:
x, 53
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Skilled birth attendants, socioeconomic factors, sociocultural factors, Ghana.
Abstract:
In Ghana, the uptake of SBA is low especially in rural areas, at 54% as compared to 90% in urban areas. The WHO estimates that up to 80% of birth complications and deaths can be prevented through uptake of Skilled Births Attendants (SBA). This could reduce the MMR estimated between 300-499 maternal deaths per 100,000 live births in Ghana. However, in Bolga Municipal, the uptake of SBA is low in all rural health facilities (34%) with community facilities (CHPS compounds) contributing less than 10% to the total deliveries. Government‟s efforts to reduce the inequity by introducing the free maternal and child health services has not increased uptake of SBA. Therefore, there is need to understand the factors influencing uptake of SBA in rural areas such as Bolga. The Andersen behavioural model for healthcare utilisation was used to guide findings in this study. The findings show that uptake of skilled birth care is poor among uneducated and low socio-economic status women. Poor staff attitude and disrespect for cultural values, mal-distribution of midwives coupled with inadequate medical supplies and additional charges in rural facilities, are factors that influence uptake of SBA. The Low decision making space of women, since men control a lot of resources and cultural norms also influences woman‟s behaviour towards uptake of SBA. The study recommends interventions such as male involvement in ANC, redistribution of midwives to CHPS compounds, task-shifting combined with continuous education and supportive supervision to improve uptake of SBA. Furthermore, the mobilisation of communities to provide community based transport and to demand for quality services and maternal health entitlements from health implementers is necessary to further improve uptake of SBA at the lower facility level.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Health
Country:
Ghana, Republic of
Region:
West Africa
Training:
Master of Public Health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2015 Abazesi
Document type:
Thesis/dissertation
File:
NXfe3CgMVH_2017042313251452.pdf