Examining the Influence of Antenatal Care Visits and Skilled Delivery on Neonatal Deaths in Ghana

Abstract

Findings suggest that women who attend antenatal visits have a significantly lower probability of losing their babies in the first month of life. Further, results show that women's age significantly affects the risk of losing their babies in the neonatal stage. However, the study finds no significant effect of skilled delivery and education on neonatal mortality.

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

“…10 Empirical evidence existing in northern Ghana recounts patient inequalities, logistical and resource constraints as militating factors for good maternity service delivery outcomes. [11][12][13][14] Additionally, informal payments in Ghana are attributed to poor health funding gaps and poor conditions of service for providers, typical of many developing countries. In the Upper East Region of Ghana only 35% of deliveries recorded in 2008 were supervised by qualified midwives, despite national and regional health efforts for greater skilled utilization.…”

Unmet reproductive health care needs among rural Ghanaian women

“…Furthermore, recent data from the World Bank shows that out-of-pocket payments increased sharply between 2011 and 2013 in Ghana compared to other West African countries (Figure 1.6). Other studies in Ghana point to social and health system constraints for maternity and reproductive care services (Addai, 1998;Asamoah, Agardh, Pettersson, & Östergren, 2014; AtunahJay, Pettingell, Ohene, Michael Oakes, & Borowsky, 2013;Lambon-Quayefio & Owoo, 2014). In Figure 1.7, sharp increases for skilled provider care, antenatal visitations and demand satisfied for family planning are observed.…”

“…Stakeholders' views in Ghana on maternity care shortcomings cites poor obstetric care, informal payments, poor allocation of skilled providers and unfriendly health provider attitude as factors impeding service provision and utilization (Arthur, 2012;Atinga & Baku, 2013; Josephine Borghi et al, 2003;Perkins et al, 2009). Evidence from other studies show many barriers for maternity care seeking, which are related to providers, health system features and user characteristics (Addai, 1998;Asamoah et al, 2014;Atinga & Baku, 2013;Atunah-Jay et al, 2013; Josephine Borghi et al, 2003;Filippi et al, 2006;Ganle, 2014;Ganle et al, 2015;Lambon-Quayefio & Owoo, 2014;Perkins et al, 2009; Sophie Witter et al, 2007). Policy directives in the past decades have prioritized private health actor's role in health service delivery.…”

“…Evidence from other studies show many barriers for maternity care seeking, which are related to providers, health system features and user characteristics (Addai, 1998;Asamoah et al, 2014;Atinga & Baku, 2013;Atunah-Jay et al, 2013;Josephine Borghi et al, 2003;Filippi et al, 2006;Ganle, 2014;Ganle et al, 2015;Lambon-Quayefio & Owoo, 2014;Perkins et al, 2009;Sophie Witter et al, 2007). Policy directives in the past decades have prioritized private health actor's role in health service delivery.…”

“…Empirical evidence also enumerates patient inequalities, provider type relations, socio-economic determinants, visits and utilization effects on neonatal deaths (Addai, 1998;Asamoah et al, 2014;AtunahJay et al, 2013;Lambon-Quayefio & Owoo, 2014). These studies however, analyze users of maternal care as a single group and provide trends over a specific period.…”