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Cited by 34Global Maternal and Child HealthMaternal and Perinatal Health InterventionsMaternal and fetal healthcare

The DOI matches its Crossref record; 43 of the 46 references it cites were found in a registry or an index.

“I couldn’t buy the items so I didn’t go to deliver at the health facility” Home delivery among rural women in northern Ghana: A mixed-method analysis

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Boah, Michael, Adampah, Timothy, Jin, Baiming, Wan, Siyuan, Mahama, Abraham Bangamsi, Hyzam, Dalia, Akiti, Caselia·2020·PLOS ONE
DOI 10.1371/journal.pone.0230341PMC PMC7067411
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Abstract

BACKGROUND: Maternal mortality remains a major challenge to health systems in low and middle-incoming countries. Some pregnant women develop potentially life-threatening complications during childbirth. Therefore, home delivery is a precursor for maternal mortality. In this study, we aimed at not only estimating the percentage of deliveries occurring at home and examining the factors associated with home delivery, but we also explored the reasons for home delivery among women in rural Ghana. METHODS: The study was conducted among mothers with delivery experience in selected communities in the Builsa South district located in the Upper East Region of Ghana. Both quantitative and qualitative data were collected using semi-structured questionnaires and Focus Group Discussion (FGD) guide respectively. A total of 456 mothers participated in this study. Regression models were used in the quantitative analysis whereas a thematic analysis approach was used to analyze the qualitative data. RESULTS: Of the 423 mothers in the quantitative research, 38.1% (95% CI: 33.5-42.8) delivered their index child at home. In adjusted analysis, women who were not exposed to information (AOR = 13.64, p<0.001) and women with 2 (AOR = 4.64, p = 0.014), 3 (AOR = 4.96, p = 0.025) or at least 4 living children (AOR = 9.59, p = 0.001) had higher odds of delivering at home. From the qualitative analysis, the poor attitude of nurses (midwives), lack of, and cost of transportation, cost of delivery kits, and traditional beliefs and practices were cited as reasons for home delivery. CONCLUSION: Despite the government's efforts to provide free maternal care services to women in Ghana, a significant proportion of rural women still deliver at home due to other 'hidden costs'. Addressing poor staff attitude, transportation challenges, and negative traditional beliefs and practices through awareness creation may contribute to improving health facility delivery by rural pregnant women in Ghana.

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Crossref · 10.1371/journal.pone.0230341

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  • The existence of TBAs in most communities in Ghana, despite the ban imposed on them from conducting deliveries, influences people's decision to have unskilled deliveries.

    “The existence of TBAs in most communities (despite the ban imposed on them from conducting deliveries), also influences people’s decision to have unskilled deliveries.”

    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 [34]

    The Results (Qualitative findings; page unavailable) quote women saying TBAs in their communities assist with deliveries, and the Discussion says TBAs in Ghana’s Upper East region were re-oriented to refer women to facilities rather than conduct deliveries. The paper does not establish that TBAs exist in most Ghanaian communities, describe a ban, or identify their presence as a reason women choose unskilled delivery. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Deliveries with TBAs are perceived to be associated with culturally appropriate birth practices and an alternate source for unavailability of SBAs as well as distance and cost barriers to accessing skilled care.

    “This is because, deliveries with TBAs are perceived to be associated with culturally appropriate birth practices and an alternate source for unavailability of SBAs as well as distance and cost barriers to accessing skilled care.”

    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 [34]

    The Qualitative findings (page not provided) identify traditional taboos, transport barriers, and delivery-supply costs as reasons for home delivery, and note that TBAs assist with deliveries in some communities. The paper does not specifically say that TBA-assisted deliveries are perceived as culturally appropriate or that women choose TBAs because SBAs are unavailable; one respondent says she travels to a health centre because her community has no midwife. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Some women have a perception of poor quality of skilled delivery care and thus prefer home deliveries.

    “More so, some women have perception of poor quality of skilled delivery care thus, prefer home deliveries [16,18,34,36,55].”

    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 [34]

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3 of the 46 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. LA Aday, 2006, 989 Market Street
  2. JK Awoonor-Williams, 2013, BMC Health Serv Res, S3
  3. S Matsuoka, 2010, Health Policy, 255

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Metadata

Authors
Boah, M., Adampah, T., Jin, B., Wan, S., Mahama, A. B., Hyzam, D., & Akiti, C.
Affiliations
  • Harbin Medical University (CN)
  • United Nations Children's Fund (US)
Corresponding author
  • Boah, Michael
  • Adampah, Timothy
  • Jin, Baiming
  • Wan, Siyuan
  • Mahama, Abraham Bangamsi
  • Hyzam, Dalia
  • Akiti, Caselia
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2020-03-12
Volume
15
Issue
3
Pages
e0230341
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0230341
PMC
PMC7067411
OpenAlex
W3011266573
Cited by
33
References
46
Citations by year
2026: 2 · 2025: 6 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 4
FWCI
4.56
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Greater South Information System
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 › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
Keywords
home delivery, rural women, maternal mortality, health facility delivery, barriers to care, transportation costs, midwife attitudes, traditional beliefs and practices, maternal health awareness, Northern Ghana
MeSH terms
Cross-Sectional Studies, Female, Ghana, Health Facilities, Home Childbirth, Humans, Maternal Health Services, Midwifery, Mothers, Poverty, Pregnancy, Prenatal Care, Surveys and Questionnaires, Rural Population, Focus Groups, Delivery, Obstetric, Pregnant People, Pregnant Women

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