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Original Research

Prevalence and Socioeconomic Inequalities in Eight or More Antenatal Care Contacts in Ghana: Findings from 2019 Population-Based Data

, ORCID Icon & ORCID Icon
Pages 349-360 | Published online: 23 Mar 2021

References

  • Okedo-Alex IN, Akamike IC, Ezeanosike OB, Uneke CJ. Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review. BMJ Open. 2019;9:e031890. doi:10.1136/bmjopen-2019-031890
  • Alkema L, Chou D, Hogan D, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387:462–474. doi:10.1016/S0140-6736(15)00838-7
  • World Health Organization, UNICEF, United Nations, Department of Economic and Social Affairs, Population Division, World Bank. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division; 2015. Available from: http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/. Accessed March 17, 2021.
  • Adeyanju O, Tubeuf S, Ensor T. Socio-economic inequalities in access to maternal and child healthcare in Nigeria: changes over time and decomposition analysis. Health Policy Plan. 2017;32:1111–1118. doi:10.1093/heapol/czx049
  • Barros AJ, Ronsmans C, Axelson H, et al. Equity in maternal, newborn, and child health interventions in Countdown to 2015: a retrospective review of survey data from 54 countries. Lancet. 2012;379:1225–1233. doi:10.1016/S0140-6736(12)60113-5
  • Zere E, Oluwole D, Kirigia JM, Mwikisa CN, Mbeeli T. Inequities in skilled attendance at birth in Namibia: a decomposition analysis. BMC Pregnancy Childbirth. 2011;11:34. doi:10.1186/1471-2393-11-34
  • Eshetu E, Woldesenbet S. Are there particular social determinants of health for the world’s poorest countries? Afr Health Sci. 2011;11:108–115.
  • Lozano R, Fullman N, Mumford JE, et al. Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;8:S0140673620307509. doi:10.1016/S0140-6736(20)30750-9
  • Arsenault C, Jordan K, Lee D, et al. Equity in antenatal care quality: an analysis of 91 national household surveys. Lancet Glob Health. 2018;6:e1186–e1195. doi:10.1016/S2214-109X(18)30389-9
  • Alam N, Hajizadeh M, Dumont A, Fournier P. Inequalities in maternal health care utilization in Sub-Saharan African countries: a multiyear and multi-country analysis. PLoS One. 2015;10:e0120922. doi:10.1371/journal.pone.0120922
  • Pulok MH, Uddin J, Enemark U, Hossin MZ. Socioeconomic inequality in maternal healthcare: an analysis of regional variation in Bangladesh. Health Place. 2018;52:205–214. doi:10.1016/j.healthplace.2018.06.004
  • Goli S, Nawal D, Rammohan A, Sekher TV, Singh D. Decomposing the socioeconomic inequality in utilization of maternal health care services in selected countries of south Asia and sub-Saharan Africa. J Biosoc Sci. 2018;50:749–769. doi:10.1017/S0021932017000530
  • Rosa W, editor. Transforming Our World: The 2030 Agenda for Sustainable Development. A New Era in Global Health. New York, NY: Springer Publishing Company; 2017. doi:10.1891/9780826190123.ap02.
  • Kieny MP, Bekedam H, Dovlo D, et al. Strengthening health systems for universal health coverage and sustainable development. Bull World Health Organ. 2017;95:537–539. doi:10.2471/BLT.16.187476
  • Bonfrer I, van de Poel E, Grimm M, Van Doorslaer E. Does the distribution of healthcare utilization match needs in Africa? Health Policy Plan. 2014;29:921–937. doi:10.1093/heapol/czt074
  • World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva: World Health Organization; 2016.
  • UNICEF. Antenatal care. UNICEF DATA [Internet]; 2021. Available from: https://data.unicef.org/topic/maternal-health/antenatal-care/. Accessed March 17, 2021.
  • Kuhnt J, Vollmer S. Antenatal care services and its implications for vital and health outcomes of children: evidence from 193 surveys in 69 low-income and middle-income countries. BMJ Open. 2017;7:e017122. doi:10.1136/bmjopen-2017-017122
  • Nimi T, Fraga S, Costa D, Campos P, Barros H. Prenatal care and pregnancy outcomes: a cross-sectional study in Luanda, Angola. Int J Gynecol Obstet. 2016;135:S72–S78. doi:10.1016/j.ijgo.2016.08.013
  • Afulani PA. Determinants of stillbirths in Ghana: does quality of antenatal care matter? BMC Pregnancy Childbirth. 2016;16:132. doi:10.1186/s12884-016-0925-9
  • Ntambue AM, Malonga FK, Dramlx-Wilmet M, Donnen P. Determinants of maternal health services utilization in urban settings of the Democratic Republic of Congo – a Case study of Lubumbashi City. BMC Pregnancy Childbirth. 2012;12.
  • Gitonga E, Muiruri F. Determinants of health facility delivery among women in Tharaka Nithi county, Kenya. Pan Afr Med J. 2016;25(Suppl 2). doi:10.11604/pamj.supp.2016.25.2.10273
  • Dahiru T, Oche OM. Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria. Pan Afr Med J. 2015;21. doi:10.11604/pamj.2015.21.321.6527.
  • De Allegri M, Ridde V, Louis VR, et al. Determinants of utilisation of maternal care services after the reduction of user fees: a case study from rural Burkina Faso. Health Policy (New York). 2011;99:210–218. doi:10.1016/j.healthpol.2010.10.010
  • Adjiwanou V, LeGrand T. Does antenatal care matter in the use of skilled birth attendance in rural Africa: a multi-country analysis. Soc Sci Med. 2013;86:26–34. doi:10.1016/j.socscimed.2013.02.047
  • Tekelab T, Yadecha B, Melka AS. Antenatal care and women’s decision making power as determinants of institutional delivery in rural area of Western Ethiopia. BMC Res Notes. 2015;8:769. doi:10.1186/s13104-015-1708-5
  • Novignon J, Ofori B, Tabiri KG, Pulok MH. Socioeconomic inequalities in maternal health care utilization in Ghana. Int J Equity Health. 2019;18:141. doi:10.1186/s12939-019-1043-x
  • Blanchet NJ, Fink G, Osei-Akoto I. The effect of Ghana’s national health insurance scheme on health care utilisation. Ghana Med J. 2012;46:76–84.
  • Nyonator FK, Awoonor-Williams JK, Phillips JF, Jones TC, Miller RA. The Ghana community-based health planning and services initiative for scaling up service delivery innovation. Health Policy Plan. 2005;20:25–34. doi:10.1093/heapol/czi003
  • Okoroh J, Essoun S, Seddoh A, et al. Evaluating the impact of the national health insurance scheme of Ghana on out of pocket expenditures: a systematic review. BMC Health Serv Res. 2018;18:426. doi:10.1186/s12913-018-3249-9
  • Adewuyi EO, Auta A, Khanal V, et al. Prevalence and factors associated with underutilization of antenatal care services in Nigeria: a comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey. PLoS One. 2018;13:e0197324. doi:10.1371/journal.pone.0197324
  • Fagbamigbe AF, Idemudia ES. Wealth and antenatal care utilization in Nigeria: policy implications. Health Care Women Int. 2017;38:17–37. doi:10.1080/07399332.2016.1225743
  • Pallikadavath S, Foss M, Stones RW. Antenatal care: provision and inequality in rural north India. Soc Sci Med. 2004;59:1147–1158. doi:10.1016/j.socscimed.2003.11.045
  • Joshi C, Torvaldsen S, Hodgson R, Hayen A. Factors associated with the use and quality of antenatal care in Nepal: a population-based study using the demographic and health survey data. BMC Pregnancy Childbirth. 2014;14:94. doi:10.1186/1471-2393-14-94
  • Navaneetham K, Dharmalingam A. Utilization of maternal health care services in Southern India. Soc Sci Med. 2002;55:1849–1869. doi:10.1016/S0277-9536(01)00313-6
  • Ghana Statistical Service (GSS) and ICF. Ghana malaria indicator survey 2019; 2020. Accra, Ghana, and Rockville, Maryland, USA: GSS and ICF. Available from: https://dhsprogram.com/pubs/pdf/MIS35/MIS35.pdf. Accessed March 17, 2021.
  • Tunçalp Ӧ, Pena-Rosas J, Lawrie T, et al. WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival. BJOG Int J Obstet Gynaecol. 2017;124:860–862. doi:10.1111/1471-0528.14599
  • de Masi S, Bucagu M, Tunçalp Ö, et al. Integrated person-centered health care for all women during pregnancy: implementing World Health Organization recommendations on antenatal care for a positive pregnancy experience. Glob Health Sci Pract. 2017;5:197–201. doi:10.9745/GHSP-D-17-00141
  • Szklarska A, Jankowska EA. Independent effects of social position and parity on body mass index among Polish adult women. J Biosoc Sci. 2003;35:575–583. doi:10.1017/S002193200300600X
  • Walters S, Suhrcke M. Socioeconomic Inequalities in Health and Health Care Access in Central and Eastern Europe and the CIS. WHO European Office for Investment for Health and Development; 2005:50.
  • Bado AR, Sathiya Susuman A. Women’s education and health inequalities in under-five mortality in selected Sub-Saharan African countries, 1990–2015. PLoS One. 2016;11:e0159186. doi:10.1371/journal.pone.0159186
  • Rutstein SO, Staveteig S. Making the Demographic and Health Surveys Wealth Index Comparable; DHS Methodological Reports No. 9. Rockville, Maryland, USA: ICF International; 2014.
  • Uthman OA. Using extended concentration and achievement indices to study socioeconomic inequality in chronic childhood malnutrition: the case of Nigeria. Int J Equity Health. 2009;8:22. doi:10.1186/1475-9276-8-22
  • Ekholuenetale M, Tudeme G, Onikan A, Ekholuenetale CE. Socioeconomic inequalities in hidden hunger, undernutrition, and overweight among under-five children in 35 sub-Saharan Africa countries. J Egypt Public Health Assoc. 2020;95:9. doi:10.1186/s42506-019-0034-5
  • WHO Reproductive Health Library. WHO Recommendation on Antenatal Care Contact Schedules. WHO Reproductive Health Library Geneva World Health Organization; 2018. 7.
  • Ekholuenetale M, Benebo FO, Idebolo AF. Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: evidence from demographic and health survey. PLoS One. 2020;15:e0239855. doi:10.1371/journal.pone.0239855
  • Ekholuenetale M, Nzoputam CI, Barrow A, Onikan A. Women’s enlightenment and early antenatal care initiation are determining factors for the use of eight or more antenatal visits in Benin: further analysis of the Demographic and Health Survey. J Egypt Public Health Assoc. 2020;95:13. doi:10.1186/s42506-020-00041-2
  • Knoema. Ghana maternal mortality ratio, 1960–2020 - knoema.com; 2021. Available from: https://knoema.com//atlas/Ghana/Maternal-mortality-ratio. Accessed March 17, 2021.
  • Wang W, Temsah G, Mallick L. The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda. Health Policy Plan. 2016;czw135. doi:10.1093/heapol/czw135
  • Awoonor-Williams JK, Bawah AA, Nyonator FK, et al. The Ghana essential health interventions program: a plausibility trial of the impact of health systems strengthening on maternal & child survival. BMC Health Serv Res. 2013;13:S3. doi:10.1186/1472-6963-13-S2-S3
  • Nwameme AU, Tabong PT-N, Adongo PB. Implementing community-based health planning and services in impoverished urban communities: health workers’ perspective. BMC Health Serv Res. 2018;18:186. doi:10.1186/s12913-018-3005-1
  • Johnson FA, Frempong-Ainguah F, Matthews Z, et al. Evaluating the impact of the community-based health planning and services initiative on uptake of skilled birth care in Ghana. PLoS One. 2015;10. doi:10.1371/journal.pone.0120556
  • Yaya S, Bishwajit G, Ekholuenetale M, Shah V, Kadio B, Udenigwe O. Timing and adequate attendance of antenatal care visits among women in Ethiopia. PLoS One. 2017;12:e0184934. doi:10.1371/journal.pone.0184934
  • Gebremeskel F, Dibaba Y, Admassu B. Timing of first antenatal care attendance and associated factors among pregnant women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, South Ethiopia. J Environ Public Health. 2015;2015:1–7. doi:10.1155/2015/971506
  • Gudayu TW, Woldeyohannes SM, Abdo AA. Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia. BMC Pregnancy Childbirth. 2014;14:287. doi:10.1186/1471-2393-14-287
  • Tolefac PN, Halle-Ekane GE, Agbor VN, Sama CB, Ngwasiri C, Tebeu PM. Why do pregnant women present late for their first antenatal care consultation in Cameroon? Matern Health Neonatol Perinatol. 2017;3:29. doi:10.1186/s40748-017-0067-8
  • Nwosu CO, Ataguba JE. Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach. BMC Public Health. 2019;19:1493. doi:10.1186/s12889-019-7840-8
  • Shibre G, Mekonnen W. Socio-economic inequalities in ANC attendance among mothers who gave birth in the past 12 months in Debre Brehan town and surrounding rural areas, North East Ethiopia: a community-based survey. Reprod Health. 2019;16:99. doi:10.1186/s12978-019-0768-8
  • Dixon J, Tenkorang EY, Luginaah IN, Kuuire VZ, Boateng GO. National health insurance scheme enrolment and antenatal care among women in Ghana: is there any relationship? Trop Med Int Health. 2014;19:98–106. doi:10.1111/tmi.12223
  • Dansou J, Adekunle A, Arowojolu A. Factors associated with antenatal care services utilisation patterns amongst reproductive age women in Benin Republic: an analysis of 2011/2012 benin republic’s demographic and health survey data. Niger Postgrad Med J. 2017;24:67. doi:10.4103/npmj.npmj_16_17
  • Zamawe COF, Banda M, Dube AN. The impact of a community driven mass media campaign on the utilisation of maternal health care services in rural Malawi. BMC Pregnancy Childbirth. 2016;16:21. doi:10.1186/s12884-016-0816-0
  • Aziz Ali S, Ahmed Dero A, Aziz Ali S, Bano Ali G. Factors affecting the utilization of antenatal care among pregnant women: a literature review. J Pregnancy Neonatal Med. 2018;02. doi:10.35841/neonatal-medicine.2.2.41-45.
  • Djoukou Olga Denise K, Mélèdje Marie-Dorothée K, Yacé Marie-Laurette A, et al. Factors associated with maternal health service utilization in Cote d’Ivoire: analysis of the 2011 Ivorian Demographic and Health Survey. Sci J Public Health. 2019;7:115. doi:10.11648/j.sjph.20190704.12
  • Awasthi MS, Awasthi KR, Thapa HS, Saud B, Pradhan S, Khatry RA. Utilization of antenatal care services in dalit communities in Gorkha, Nepal: a Cross-Sectional Study. J Pregnancy. 2018;2018:1–8. doi:10.1155/2018/3467308