Beyond our labour pains: women experiences of informal payments and delivery room conditions at birth in the Bongo district of Ghana

Ayanore, Martin Amogre; Kuganab-Lem, Robert Bella; Aryee, Paul Armah

doi:10.18203/2394-6040.ijcmph20162031

Cited by 1 publication

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A more clinic-oriented and urbanized health system has the potential to introduce inequity issues on access among insured groups. In Ghana, a myriad of factors including poor environmental birthing room conditions for women [47], poor provider-patient relations, and clients’ low quality perceptions of clinic level services [48] have been documented to impact general maternal health care utilization. The mechanisms through which the Community Based Health Planning and Services (CHPS) concept in Ghana could be used to reach most rural population needs for improved quality of care requires further evaluation.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme

Ayanore

Ofori‐Asenso

Laar

2018

Annals of Global Health

View full text Add to dashboard Cite

Background:Insured women in Ghana are more likely to use maternity care services than their uninsured counterparts. To improve service quality among insured women in Ghana, better understanding of the factors that predict quality standards of primary health care services is essential.Objective:To examine predictors of health care service quality among insured women under the National Health Insurance Scheme (NHIS) in Ghana.Methods:Data from the 2014 Ghana Demographic Health Survey was analysed. Cluster analysis was applied to construct a dependent variable; service care quality. Socio-demographic/background characteristics were used as independent variables. Descriptive and inferential analyses were performed followed by multiple regression to predict service quality among the insured population of women aged 15–49 years. SPSS version 21 was used during the clustering while STATA version 14 was used to perform the inferential and regression analyses.Findings:A total of 5,457 women with valid health insurance were included in the analysis. Overall, geographical region of respondents was significant to expressions of insured service quality (χ2 = 495.4, p ≤ 0.001). Literacy levels were significant at χ2 = 69.232 and p < 0.001 for service quality. On place of residence, the estimation showed urban residency to be more positively correlated with indicating quality ratings of health services compared to rural residency (χ2 = 70.29, p < 0.001). Highest educational level had the highest predictive influence (coefficient = 0.15) on women’s views about the quality of health care services.Conclusions:A health insurance system that shifts towards introducing valued-based care models for patients, insurers, and health care providers could be supportive in improving the quality of healthcare delivered to Ghanaians.

show abstract

Section: Discussionmentioning

confidence: 99%