Influence of information, education and communication on prenatal and skilled delivery in the Tano North District, Ghana: A cross-sectional study

Abstract

Skilled birth attendance is considered an effective intervention to reduce maternal and early neonatal morbidity and mortality. Yet in Ghana, skilled birth attendance is said to be relatively low despite high antenatal attendance. In this study, we specifically assessed the influence of information, education and communication on prenatal and skilled delivery in the Tano North District of Ghana. A descriptive cross-sectional quantitative survey involving both closed and open-ended questionnaires were conducted among 393 women at three health facilities. The results showed skilled health personnel attended 94.1% of deliveries, which is higher than what has been reported in previous studies. Mothers with Senior High School Education were found to be 11.46 times more likely to be delivered by skilled birth attendant than those without formal education COR ¼ 11.46, 95% (2.01-65.19) and this was statistically significant p ¼ 0.006. There was also a significant association between information received by pregnant women and place of delivery (X 2 ¼ 20.85, P ¼ 0.000 α ¼ 0.05) in that the usefulness of information to mothers influenced their choice of health facility delivery. Marital status was also strongly correlated to being attended by skilled birth attendant (χ2 ¼ 14.73, p ¼ 0.005) as 0.4 times of mothers who were married were more likely to be attended by skilled birth attendants as compared to those that are single. COR ¼ 0.005, 95% CI (0.00-0.36) and this was statistically significant p ¼ 0.002. This study suggests the incorporation of IE&C into nursing training curriculum to orient students on the importance of IE&C so as to improve ANCs and skilled birth attendance further.

The practice of polygyny on the utilisation of reproductive health services among married women in Ghana

“…Beliefs of privacy have also compelled such women to have their deliveries conducted at home usually by relatives or traditional birth attendants (Faye et al, 2011;Alatinga et al, 2021). Another reason could be that polygynous marriages are associated with lower levels of education among the spouses (Bove and Valeggia, 2008;Mabaso et al, 2018;Damtie et al, 2021), and lower educational attainment is associated with less utilisation of skilled birth providers services (Amponsah et al, 2021). In addition, polygynous marriages are more prevalent in rural areas in Ghana, and the use of assisted skilled birth services is limited in such areas (Lawson and Gibson, 2018); Adam et al, 2021.…”

Socio-economic status and pregnancy complications and their impact on antenatal care services provided at home and Upazila health complex

“…Antenatal care is considered a maternal health care service that is delivered by skilled personnel during pregnancy [ 5 ]. During the whole pregnancy period and even after childbirth, skilled maternity care could save the lives of pregnant mothers and their newborn children [ 6 ]. Quality antenatal care can mitigate low childbirth weight and premature childbirth along with pregnancy complications [ 7 ].…”

Implementation of VCDLN-Learning Multiplatform Through Mobile Communication Based on Artificial Intelligence in Asia

“…This utilization process requires a new system oriented towards the Multiplatform Super-App Ecosystem in 202a 2 with a focus on the ring of Survey, Application Design, Development, and production, whose impact is then measured with several indicators for online learning systems (Scherer et al, 2019). In the era of the Pandemic over the last two years, it has become a driving force in the birth of several innovations, including in communication and education, such as in Indonesia (Amponsah et al, 2021). As a product oriented toward mobile technology, the development of VCDLN-Learning is built by adopting an Artificial Intelligence work system (Chatterjee, 2020).…”