Trends and changes in home deliveries in Kassena–Nankana districts in northern Ghana: Results from repeated cross‐sectional surveys
Abstract
Objective: To investigate trends and changes in home deliveries in northern Ghana following the implementation of interventions targeting common barriers to utilization of health services. Methods: Data collected through repeated cross‐sectional surveys conducted in the Kassena–Nankana east and west districts from 2003–2009 were used in a secondary analysis. All childbirths that occurred in this period were included. Univariate time series were used to describe trends in home deliveries. Significant trends were investigated using the χ 2 test for trends, and changes in inequalities across subgroups were assessed by fitting simple linear regressions. Results: A total of 25 539 deliveries were recorded, of which 58.1% occurred at home. The incidence of home deliveries declined from 69.1% in 2003 to 36.5% in 2009 (P<0.001). This declining pattern was consistently observed within all subgroups defined by wealth index, and educational and residential status. Larger declines were observed in poor and rural residents compared with rich and urban residents (P<0.001). Conclusion: The incidence of home deliveries halved during the study period and there was a significant reduction in previous inequalities.
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Some women, especially those living in rural regions of Ghana, face challenges accessing skilled delivery due to supply-side issues such as lack of health facilities and personnel.
“Some women especially those living in the rural regions are faced with challenges accessing skilled delivery due to supply side issues such as lack of health facilities and personnel [16,18,51].”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [51]
Millogo, Musenge [51] found a sharp decline in home births particularly in rural areas than urban districts of Kassena-Nankana districts in the UE/R, between 2003 and 2009.
“Meanwhile, Millogo, Musenge [51] found a sharp decline in home births particularly in the rural areas than the urban districts of Kassena-Nankana districts in the UE/R, between 2003 and 2009, which may partly be due to the fact that the CHPS programme was first implemented in that district.”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [51]
Cites
Lozano, R., Wang, H., Foreman, K. J., Rajaratnam, J. K., Naghavi, M., Marcus, J. R., Dwyer-Lindgren, L., Lofgren, K. T., Phillips, D., Atkinson, C., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)61337-8 · Cited by 880 · see citing works
Skilled birth attendance‐lessons learnt
Adegoke, A., & van den Broek, N. (2009) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2009.02336.x · Cited by 205 · see citing works
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Abredu, J., Dwumfour, C. K., Alipitio, B., Alordey, M., Dzomeku, V. M., & Witter, S. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002902 · Cited by 4 · see citing works
- Authors
- Millogo, T., Musenge, E., Azongo, D. K., Kouanda, S., & Oduro, A. R.
- Affiliations
- University of the Witwatersrand (ZA)
- Navrongo Health Research Centre (GH)
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2016-11
- Volume
- 135
- Issue
- S1
- Pages
- S33-S38
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2553642246
- Cited by
- 1
- References
- 2
- Citations by year
- 2024: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- home delivery, childbirth location, health care utilization, barriers to care, socioeconomic disparities, urban-rural differences, wealth index, Kassena-Nankana District, Northern Ghana
- MeSH terms
- Cross-Sectional Studies, Female, Ghana, Health Services Accessibility, Home Childbirth, Humans, Infant, Newborn, Maternal Health Services, Pregnancy, Health Behavior, Delivery, Obstetric
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