Continuum of care in a maternal, newborn and child health program in Ghana: Low completion rate and multiple obstacle factors
Methods: A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and new-born services usage along CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.
Results:Only 8.0% completed CoC; the greatest crack and contributor was detected between delivery and PNC within 48hours postpartum. About 95% of women had ANC4+ and PNC at 6weeks postpartum. Seventy five percent had skilled assisted delivery and 25% received PNC within 48hours. Factors associated with CoC completion at 95% confidence interval (CI) were: Location (OR=0.35, CI 0.13 - 0.39), marital status (OR=0.45; CI 0.22 - 0.95), education (OR=2.71; CI 1.11 - 6.57), transportation (OR=1.97; CI 1.07 - 3.62), and beliefs (OR=0.34; CI 0.21 - 0.61). .
Conclusion: Continuum of care completion rate is low in Ghana and efforts should focus on increasing postnatal care within 48hours and overcoming the known obstacles to increasing CoC completion rate.
Learning Areas:Administration, management, leadership
Public health or related public policy
Public health or related research
Describe CoC complete rate among women aged 15-49year in Ghana Assess the factors associated with CoC completion among women aged 15-49year in Ghana Identify factors associated with CoC discontinuity among women aged 15-49year in Ghana
Keyword(s): Maternal and Child Health, Child Health
Qualified on the content I am responsible for because: As a Senior Researcher at Navrongo Health Research Centre, Ghana with over 10years experience, I currently coordinate the EMBRACE (Ensure Mothers and Babies Regular Access to Care) implementation research program in Ghana. I have great interest in improving maternal and child health in rural settings through research.
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.