245197 Determinants and Correlates of Skilled Attendance at Delivery in Ghana: Evidence from the 2007 Ghana Maternal Mortality Survey

Wednesday, November 2, 2011: 10:30 AM

Winfred Avogo, PhD , Department of Sociology and Anthropology, Illinois State University, Normal, IL
As the countdown to the target date of the Millennium Development Goals begins, progress towards reducing maternal mortality in sub-Saharan Africa still lacks far behind other developing regions of the world. Skilled attendance at birth has been shown to reduce maternal mortality and morbidity. Yet, although 96 percent of pregnant women in Ghana receive antenatal care just over 1in 2 births are attended to by a skilled health provider. In this study, we examine the correlates and determinants of skilled assistance at delivery using data drawn from the Ghana Maternal Mortality Study conducted in 2007. We investigate the role of social and bio-demographic characteristics and the number of antenatal care visits as well as the quality of care received during the pregnancy of the last born child on skilled attendance at delivery. Using multinomial logit models, we find that although household and individual socio-demographic factors are significant predictors of assistance at delivery, the number of antenatal visits and the timing of the first visit as well as the quality of care received during pregnancy, have a large and independent effect on skilled assistance at delivery. This strong positive association implies that increasing the quality and timing of antenatal care could be useful for the proportion of births attended to by skilled providers. The implications of these findings as they relate to maternal mortality in resourced constrained settings such as Ghana are discussed.

Learning Areas:
Provision of health care to the public

Learning Objectives:
Describe the relationship between bio-demographic factors and access to and use of health services and skilled assistance at delivery. Explain the relationship between between antenatal care and skilled assistance at delivery.

Keywords: Access to Health Care, Maternal Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present this paper because my area of research specialization are the social and demographic dimensions of reproductive health in Sub-Saharan Africa. I have worked as a research officer on community health in Ghana and currently collaborate on research in Ghana.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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