Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana

Gyimah, Stephen Obeng; Takyi, Baffour K.; Addai, Isaac

doi:10.1016/j.socscimed.2005.11.034

Cited by 147 publications

(138 citation statements)

References 32 publications

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“…This is noteworthy as previous work has shown that members of this group are less likely to access care for a variety of conditions. 55,56 This may be because some African traditional religions place stigma on seeking biomedical health care. 55 The ability to discreetly seek care from a CHW may ameliorate this barrier as it can be seen as simply talking to a neighbor rather than receiving biomedical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…55,56 This may be because some African traditional religions place stigma on seeking biomedical health care. 55 The ability to discreetly seek care from a CHW may ameliorate this barrier as it can be seen as simply talking to a neighbor rather than receiving biomedical treatment. This is analogous to previous efforts to encourage exclusive breast-feeding for HIV-positive women as a means to prevent vertical transmission so that they are able to be more circumspect about revealing their status.…”

Section: Discussionmentioning

confidence: 99%

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Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Shaw

Asadhi

Owuor

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Integrated community case management (iCCM) programs that train lay community health workers (CHWs) in the diagnosis and treatment of diarrhea, malaria, and pneumonia have been increasingly adopted throughout subSaharan Africa to provide services in areas where accessibility to formal public sector health services is low. One important aspect of successful iCCM programs is the acceptability and utilization of services provided by CHWs. To understand community perceptions of the quality of care in an iCCM intervention in western Kenya, we used the Primary Care Assessment Survey to compare caregiver attitudes about the diagnosis and treatment of childhood pneumonia as provided by CHWs and facility-based health workers (FBHWs). Overall, caregivers rated CHWs more highly than FBHWs across a set of 10 domains that capture multiple dimensions of the care process. Caregivers perceived CHWs to provide higher quality care in terms of accessibility and patient relationship and equal quality care on clinical aspects. These results argue for the continued implementation and scale-up of iCCM programs as an acceptable intervention for increasing access to treatment of childhood pneumonia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Shaw

Asadhi

Owuor

et al. 2016

The American Society of Tropical Medicine and Hygiene

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“…For instance, lower educational levels [9] and socioeconomic factors [2,7] are associated with poor ANC attendance in women in rural areas [2,10]. Spousal support and decisions concerning the use of maternal health services also influence women’s access to skilled care [11].…”

Section: Introductionmentioning

confidence: 99%

“…Religion is considered a form of healing and, in some instances, offers interventions for some diseases. In Ghana, some religious groups do not allow modern health intervention and rely mainly on spiritual solutions for health problems [10,17]. …”

Section: Introductionmentioning

confidence: 99%

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

Sakeah

Okawa

Oduro

et al. 2017

Global Health Action

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Background: Improving maternal health is a global challenge. In Ghana, maternal morbidity and mortality rates remain high, particularly in rural areas. Antenatal care (ANC) attendance is known to improve maternal health. However, few studies have updated current knowledge regarding determinants of ANC attendance. Objective: This study examined factors associated with ANC attendance in predominantly rural Ghana. Methods: We conducted a cross-sectional study at three sites (i.e. Navrongo, Kintampo, and Dodowa) in Ghana between August and September 2013. We selected 1500 women who had delivered within the two years preceding the survey (500 from each site) using two-stage random sampling. Data concerning 1497 women’s sociodemographic characteristics and antenatal care attendance were collected and analyzed, and factors associated with attending ANC at least four times were identified using logistic regression analysis. Results: Of the 1497 participants, 86% reported attending ANC at least four times, which was positively associated with possession of national health insurance (AOR 1.64, 95% CI: 1.14–2.38) and having a partner with a high educational level (AOR 1.64, 95% CI: 1.02–2.64) and negatively associated with being single (AOR 0.39, 95% CI: 0.22–0.69) and cohabiting (AOR 0.57, 95% CI: 0.34–0.97). In site-specific analyses, factors associated with ANC attendance included marital status in Navrongo; marital status, possession of national health insurance, partners’ educational level, and wealth in Kintampo; and preferred pregnancy timing in Dodowa. In the youngest, least educated, and poorest women and women whose partners were uneducated, those with health insurance were more likely to report at least four ANC attendances relative to those who did not have insurance. Conclusions: Ghanaian women with low socioeconomic status were less likely to report at least four ANC attendances during pregnancy if they did not possess health insurance. The national health insurance scheme should include a higher number of deprived women in predominantly rural communities.

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“…These factors include women's age, 10,11 ethnicity, 12 education, 7,10,13 religion, 13,14 culture, 15 clinical need for care 15 and decision-making power. 16 The costs, 17 location 7,18 and quality of health services are also important.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

Say

Raine

2007

Bull. World Health Organ.

475

377

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Two decades after the Safe Motherhood campaign's 1987 launch in India, half a million women continue to die from pregnancy-related causes every year. Key health-care interventions can largely prevent these deaths, but their use is limited in developing countries, and is reported to vary between population groups. We reviewed the use of maternal health-care interventions in developing countries to assess the extent, strength and implications of evidence for variations according to women's place of residence and socioeconomic status. Studies with data on use of a skilled health worker at delivery, antenatal care in the first trimester of pregnancy and medical settings for delivery were assessed. We identified 30 eligible studies, 12 of which were of high or moderate quality, from 23 countries. Results of these studies showed wide variation in use of maternal health care. Methodological factors (e.g. inaccurate identification of population in need or range of potential confounders controlled for) played a part in this variation. Differences were also caused by factors related to health-care users (e.g. age, education, medical insurance, clinical risk factors) or to supply of health care (e.g. clinic availability, distance to facility), or by an interaction between such factors (e.g. perceived quality of care). Variation was usually framed by contextual issues relating to funding and organization of health care or social and cultural issues. These findings emphasize the need to investigate and assess context-specific causes of varying use of maternal health care, if safe motherhood is to become a reality in developing countries.

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Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana

Cited by 147 publications

References 32 publications

Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Determinants of attending antenatal care at least four times in rural Ghana: analysis of a cross-sectional survey

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

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