Determinants of utilisation of health services by women in rural and urban areas in Ghana

Buor, Daniel

doi:10.1007/s10708-005-1929-6

Cited by 46 publications

(43 citation statements)

References 25 publications

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“…Addai [29] also noted that, compared to the Northern parts of Ghana, women residing in rural areas of western and central regions were two times more likely to see a physician for prenatal care compared with women in the Northern part. This is largely attributable to the adequacy and ease of access to health personnel and facilities among women living in rural areas of the southern parts of the country compared to those in the Northern part of the country [29][30][31][32]. Our study contributes to the body of knowledge available on skilled delivery by examining the determinants of skilled delivery in the Northern part of Ghana and making useful recommendations for policy and practice.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Skilled Birth Attendance in the Northern Parts of Ghana

Dickson

Amu

2017

Advances in Public Health

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Background. An integral part of the Sustainable Development Goal three is to ensure universal access to sexual and reproductive healthcare services which include skilled delivery by the year 2030. We examined the determinants of skilled delivery among women in the Northern part of Ghana. Methods. The paper made use of data from the Demographic and Health Survey. Women from the Northern part of Ghana were included in the analysis. Bivariate descriptive analyses coupled with binary logistic regression estimation technique were used to analyse the data. Results. Region of residence, age, household wealth, education, distance to a health facility, religion, parity, partner’s education, and getting money for treatment were identified as the determinants of skilled delivery. While the probability of having a skilled delivery was higher in the Upper East Region, it was lower in the Northern and Upper West Regions compared to the Brong Ahafo Region. Conclusion. Our findings call for more attention from the Ghana Health Service and the Ministry of Health in addressing the skilled delivery gaps among women particularly in the Northern and Upper West Regions in ensuring attainment of the Sustainable Development Goal target related to reproductive health care accessibility for all by the year 2030.

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Section: Introductionmentioning

confidence: 99%

Determinants of Skilled Birth Attendance in the Northern Parts of Ghana

Dickson

Amu

2017

Advances in Public Health

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“…Our objective in this paper is to investigate the factors that affect the choice of PPP, and their direction of association and magnitude with the choice of PPP. Indeed, some studies on patient hospital (provider) choice and/or utilisation of healthcare services have been conducted in developing countries [16][17][18][19][20] and developed countries. 1,6,8,9,[21][22][23][24] However, most of these studies, eg, Dzator and Asafu-Adjaye, 17 examined patient hospital choice under conditions where price (user fees) existed and/ or for a particular disease.…”

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confidence: 99%

Preferred Primary Healthcare Provider Choice Among Insured Persons in Ashanti Region, Ghana

Boachie

2015

Int J Health Policy Manag

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Background: In early 2012, National Health Insurance Scheme (NHIS) members in Ashanti Region were allowed to choose their own primary healthcare providers. This paper investigates the factors that enrolees in the Ashanti Region considered in choosing preferred primary healthcare providers (PPPs) and direction of association of such factors with the choice of PPP. Methods: Using a cross-sectional study design, the study sampled 600 NHIS enrolees in Kumasi Metro area and Kwabre East district. The sampling methods were a combination of simple random and systematic sampling techniques at different stages. Descriptive statistics were used to analyse demographic information and the criteria for selecting PPP. Multinomial logistic regression technique was used to ascertain the direction of association of the factors and the choice of PPP using mission PPPs as the base outcome. Results: Out of the 600 questionnaires administered, 496 were retained for further analysis. The results show that availability of essential drugs (53.63%) and doctors (39.92%), distance or proximity (49.60%), provider reputation (39.52%), waiting time (39.92), additional charges (37.10%), and recommendations (48.79%) were the main criteria adopted by enrolees in selecting PPPs. In the regression, income (-0.0027), availability of doctors (-1.82), additional charges (-2.14) and reputation (-2.09) were statistically significant at 1% in influencing the choice of government PPPs. On the part of private PPPs, availability of drugs (2.59), waiting time (1.45), residence (-2.62), gender (-2.89), and reputation (-2.69) were statistically significant at 1% level. Presence of additional charges (-1.29) was statistically significant at 5% level. Conclusion: Enrolees select their PPPs based on such factors as availability of doctors and essential drugs, reputation, waiting time, income, and their residence. Based on these findings, there is the need for healthcare providers to improve on their quality levels by ensuring constant availability of essential drugs, doctors, and shorter waiting time. However, individual enrolees may value each criterion differently. Thus, not all enrolees may be motivated by same concerns. This requires providers to be circumspect regarding the factors that may attract enrolees. The National Health Insurance Authority (NHIA) should also ensure timely release of funds to help providers procure the necessary medical supplies to ensure quality service.

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“…Previous study with different viewpoints from the present study stated that the principle factor that mostly affects vulnerable groups was lack of financial capacity to utilize health services and a lack of need to use health facilities [28,30]. A variety of factors have been acknowledged in other previous studies as the leading causes of poor utilization of any Primary Health Care Services, regardless of them being free services [31][32][33] : these include poor socio-economic status, lack of physical accessibility, cultural beliefs and perceptions, low literacy level of mothers and large family size [3,16,33].…”

Section: Yes or Nomentioning

confidence: 54%

“…A study by Harris and others reported that the average travelling time to health facilities in the rural areas in South Africa was about 30 -40 minutes and some would need to travel the whole day [26]. Extensive travelling time has a negative impact and demotivates communities in accessing healthcare facilities as they might not be physically well enough to walk [27,28].…”

Section: Travelling Timementioning

confidence: 99%

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

Gwengu¹

2017

J Oral Hyg Health

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A case control study was conducted to determine factors (enhancers and barriers) relating to the utilization of oral health services by postnatal mothers in the Sisters of Mercy Clinic in Winterveldt. Control of oral diseases of postnatal mothers depends on the availability, readiness and accessibility of oral health systems, but any reduction of risk to diseases is only possible if services are oriented towards Primary Health Care (PHC).107 cases (postnatal mothers who were present users of oral health services in the dental unit at the time of their interviews) and 107 controls (postnatal mothers who were present non-users of oral health services in the postnatal and immunization unit at the time of their interviews) were included in the study. Age matched non-users of oral health services who were fulfilling the same inclusion criteria for users of oral health services were selected for comparison. A closed ended questionnaire was specifically designed for the study in English, and together with the information sheet and consent forms translated into the vernacular. Questionnaires were administered by a trained researcher from December 2010 -February 2012. The questionnaire was divided into four categories, namely, sociodemographic factors, socio-economic factors, access factors and utilization factors. Bivariate (Chi-square test) and multivariate (logistic regression) analyses were carried out to find associations between the factors and use of oral health services. Results:The study revealed that the majority of postnatal mothers were less than 29 years old (61% were cases and 47% were controls); were biological mothers (93% cases and 78% controls); were unemployed (93% cases and 84% controls); were on social grants (68% cases and 66% controls) and had a secondary school education (80% cases and 79% controls). In the control group, 64% reported that they had dental problems compared to 36% in the case group, but only 51% of the controls reported that they had previous visits at Sisters of Mercy dental clinic compared to 64% of the cases. Bivariate analysis revealed significant differences in 14 variables. Logistic regression revealed the strongest predictors for present use of oral health services to be: the number of household children and travelling time. Participants in the dental unit had to travel for 30 minutes who were found to be more likely to utilize oral health services (OR= 1.38; CI=1.01-1.90; P ≤ 0.05) compared to those from the postnatal unit who had to travel longer (more than 1 hour). Participants with fewer children in the postnatal unit were found to be less likely to utilize oral health services (OR= 0.53; CI=0.305-0.924; P ≤ 0.05) compared to those with more children (>5) in the dental unit. Conclusions:Despite having fewer children, most postnatal mothers in the postnatal unit did not make previous use of oral health services. There is a need to encourage them to utilise oral health services and to ensure that the Sisters of Mercy dental clinic is accessible to them. Mothers who...

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Determinants of utilisation of health services by women in rural and urban areas in Ghana

Cited by 46 publications

References 25 publications

Determinants of Skilled Birth Attendance in the Northern Parts of Ghana

Determinants of Skilled Birth Attendance in the Northern Parts of Ghana

Preferred Primary Healthcare Provider Choice Among Insured Persons in Ashanti Region, Ghana

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

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