Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana

Etornam Kwame Kunu; Michael Dovlo; Emmanuel Klu; Abigail Owusu

doi:doi:10.11648/j.hep.20160101.13

| Peer-Reviewed

Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana

Etornam Kwame Kunu, Michael Dovlo, Emmanuel Klu, Abigail Owusu

Published in International Journal of Health Economics and Policy (Volume 1, Issue 1)

Received: 17 November 2016 Accepted: 17 December 2016 Published: 12 January 2017

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The study focused on examining the awareness level of pregnant women about the free maternal and child health care services, evaluate the effectiveness of the free maternal and child health care policy and to identify factors accountable for low patronage in accessing maternal and child health care services in the Adaklu District, Ghana. A descriptive cross sectional survey was conducted among 300 purposively selected maternal mothers. Both descriptive and exploratory factor analyses were the main analytical tools. Results show that majority respondents were aware of the free maternal and child health care policy. Concerning the effectiveness of the free maternal and child health care policy, 95 out of the 244 respondents who are aware of the exemption policy indicated they policy is highly effective; 107 of them which represent 43.9% said it is effective and finally, 42 of them which represent 17.2% indicated that the policy is not effective. Finally, six salient factors account for the factors accountable for the low patronage of maternal and child health care in the Adaklu District. The first factor is awareness factor, the second is perception factor, the third is access factor, the fourth is restriction factor, and the fifth is attitudinal factor and lastly success factor. The study emphasizes the need to intensify greater awareness on the effects of delivering at home and also government should endeavor to establish more health centres in every community thus making accessibility of maternal and child health care to maternal mothers in remote areas in the country.

Published in	International Journal of Health Economics and Policy (Volume 1, Issue 1)
DOI	10.11648/j.hep.20160101.13
Page(s)	12-19
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Low, Patronage, Maternal, Supervised, Delivery

References

[1]	World Health Organization, & UNICEF. (2014). Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division: executive summary. Geneva: WHO.
[2]	Ministry of Health. (2004). Guidelines for Implementing the Exemption Policy on Maternal Deliveries. Accra: Ministry of Health, Ghana.
[3]	Witter, S., Adjei, S., Armar-Klemesu, M., & Graham, W. (2009). Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana. Global Health Action, 2.
[4]	Witter, S., Arhinful, D. K., Kusi, A., & Zakariah-Akoto, S. (2007). The experience of Ghana in implementing a user fee exemption policy to provide free delivery care. Reproductive health matters, 15 (30), 61-71.
[5]	Graham, W. J., Bell, J. S., & Bullough, C. H. (2001). Can skilled attendance at delivery reduce maternal mortality in developing countries. Safe motherhood strategies: a review of the evidence, 17, 97-130.
[6]	Iyaniwura, C. A., & Yussuf, Q. (2009). Utilization of antenatal care and delivery services in Sagamu, south western Nigeria. African journal of reproductive health, 13 (3).
[7]	World Health Organization. (1998). Mother-Baby Package: Implementing safe motherhood in countries. Geneva:: WHO.
[8]	Fagbamigbe, A. F., & Idemudia, E. S. (2015). Barriers to antenatal care use in Nigeria: evidences from non-users and implications for maternal health programming. BMC pregnancy and childbirth, 15 (1), 1.
[9]	Asamoah, B. O., Moussa, K. M., Stafström, M., & Musinguzi, G. (2011). Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study. BMC Public Health,, 11 (1), 1.
[10]	Lee, Q. Y., Odoi, A. T., Opare‐Addo, H., & Dassah, E. T. (2012). Maternal mortality in Ghana: a hospital‐based review. Acta obstetricia et gynecologica Scandinavica, 91 (1), 87-92.
[11]	World Health Organization. (2004). Maternal Health. Geneva: WHO.
[12]	Stephenson, R., Baschieri, A., Clements, S., Hennink, M., & Madise, N. (2006). Contextual influences on the use of health facilities for childbirth in Africa. American journal of public health, 96 (1), 84-93.
[13]	Kesterton, A. J., Cleland, J., Sloggett, A., & Ronsmans, C. (2010). Institutional delivery in rural India: the relative importance of accessibility and economic status. BMC pregnancy and childbirth, 10 (1), 1.
[14]	Kinzie, B., & Gomez, P. (2004). Basic maternal and newborn care: A guide for skilled providers. Baltimore Maryland: Jhpiego/MNH program.
[15]	Adegoke, A. A., & Van Den Broek, N. (2009). Skilled birth attendance-lessons learnt. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 33-40.
[16]	Hussein, J., Bell, J., Nazzar, A., Abbey, M., Adjei, S., & Graham, W. (2004). The skilled attendance index: proposal for a new measure of skilled attendance at delivery. Reproductive health matters, 12 (24), 160-170.
[17]	Safe Motherhood Interagency Group. (2000). Skilled Birth Attendance at Delivery: A Review of the Evidence (draft).. New York: Family Care International.
[18]	Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics, 5th. Needham Height, MA: Allyn & Bacon.

Cite This Article

Plain Text BibTeX RIS

APA Style

Etornam Kwame Kunu, Michael Dovlo, Emmanuel Klu, Abigail Owusu. (2017). Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. International Journal of Health Economics and Policy, 1(1), 12-19. https://doi.org/10.11648/j.hep.20160101.13

Copy | Download

ACS Style

Etornam Kwame Kunu; Michael Dovlo; Emmanuel Klu; Abigail Owusu. Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. Int. J. Health Econ. Policy 2017, 1(1), 12-19. doi: 10.11648/j.hep.20160101.13

Copy | Download

AMA Style

Etornam Kwame Kunu, Michael Dovlo, Emmanuel Klu, Abigail Owusu. Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. Int J Health Econ Policy. 2017;1(1):12-19. doi: 10.11648/j.hep.20160101.13

Copy | Download

@article{10.11648/j.hep.20160101.13,
  author = {Etornam Kwame Kunu and Michael Dovlo and Emmanuel Klu and Abigail Owusu},
  title = {Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana},
  journal = {International Journal of Health Economics and Policy},
  volume = {1},
  number = {1},
  pages = {12-19},
  doi = {10.11648/j.hep.20160101.13},
  url = {https://doi.org/10.11648/j.hep.20160101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20160101.13},
  abstract = {The study focused on examining the awareness level of pregnant women about the free maternal and child health care services, evaluate the effectiveness of the free maternal and child health care policy and to identify factors accountable for low patronage in accessing maternal and child health care services in the Adaklu District, Ghana. A descriptive cross sectional survey was conducted among 300 purposively selected maternal mothers. Both descriptive and exploratory factor analyses were the main analytical tools. Results show that majority respondents were aware of the free maternal and child health care policy. Concerning the effectiveness of the free maternal and child health care policy, 95 out of the 244 respondents who are aware of the exemption policy indicated they policy is highly effective; 107 of them which represent 43.9% said it is effective and finally, 42 of them which represent 17.2% indicated that the policy is not effective. Finally, six salient factors account for the factors accountable for the low patronage of maternal and child health care in the Adaklu District. The first factor is awareness factor, the second is perception factor, the third is access factor, the fourth is restriction factor, and the fifth is attitudinal factor and lastly success factor. The study emphasizes the need to intensify greater awareness on the effects of delivering at home and also government should endeavor to establish more health centres in every community thus making accessibility of maternal and child health care to maternal mothers in remote areas in the country.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana
AU  - Etornam Kwame Kunu
AU  - Michael Dovlo
AU  - Emmanuel Klu
AU  - Abigail Owusu
Y1  - 2017/01/12
PY  - 2017
N1  - https://doi.org/10.11648/j.hep.20160101.13
DO  - 10.11648/j.hep.20160101.13
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 12
EP  - 19
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20160101.13
AB  - The study focused on examining the awareness level of pregnant women about the free maternal and child health care services, evaluate the effectiveness of the free maternal and child health care policy and to identify factors accountable for low patronage in accessing maternal and child health care services in the Adaklu District, Ghana. A descriptive cross sectional survey was conducted among 300 purposively selected maternal mothers. Both descriptive and exploratory factor analyses were the main analytical tools. Results show that majority respondents were aware of the free maternal and child health care policy. Concerning the effectiveness of the free maternal and child health care policy, 95 out of the 244 respondents who are aware of the exemption policy indicated they policy is highly effective; 107 of them which represent 43.9% said it is effective and finally, 42 of them which represent 17.2% indicated that the policy is not effective. Finally, six salient factors account for the factors accountable for the low patronage of maternal and child health care in the Adaklu District. The first factor is awareness factor, the second is perception factor, the third is access factor, the fourth is restriction factor, and the fifth is attitudinal factor and lastly success factor. The study emphasizes the need to intensify greater awareness on the effects of delivering at home and also government should endeavor to establish more health centres in every community thus making accessibility of maternal and child health care to maternal mothers in remote areas in the country.
VL  - 1
IS  - 1
ER  -

Copy | Download

Author Information

Etornam Kwame Kunu

Department of Mathematics and Statistics, Ho Technical University, Ho, Ghana
Michael Dovlo

Planning and Quality Assurance Unit, Ho Technical University, Ho, Ghana
Emmanuel Klu

Planning and Quality Assurance Unit, Ho Technical University, Ho, Ghana
Abigail Owusu

Department of Mathematics and Statistics, Ho Technical University, Ho, Ghana

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Etornam Kwame Kunu, Michael Dovlo, Emmanuel Klu, Abigail Owusu. (2017). Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. International Journal of Health Economics and Policy, 1(1), 12-19. https://doi.org/10.11648/j.hep.20160101.13

Copy | Download

ACS Style

Etornam Kwame Kunu; Michael Dovlo; Emmanuel Klu; Abigail Owusu. Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. Int. J. Health Econ. Policy 2017, 1(1), 12-19. doi: 10.11648/j.hep.20160101.13

Copy | Download

AMA Style

Etornam Kwame Kunu, Michael Dovlo, Emmanuel Klu, Abigail Owusu. Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana. Int J Health Econ Policy. 2017;1(1):12-19. doi: 10.11648/j.hep.20160101.13

Copy | Download

@article{10.11648/j.hep.20160101.13,
  author = {Etornam Kwame Kunu and Michael Dovlo and Emmanuel Klu and Abigail Owusu},
  title = {Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana},
  journal = {International Journal of Health Economics and Policy},
  volume = {1},
  number = {1},
  pages = {12-19},
  doi = {10.11648/j.hep.20160101.13},
  url = {https://doi.org/10.11648/j.hep.20160101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20160101.13},
  abstract = {The study focused on examining the awareness level of pregnant women about the free maternal and child health care services, evaluate the effectiveness of the free maternal and child health care policy and to identify factors accountable for low patronage in accessing maternal and child health care services in the Adaklu District, Ghana. A descriptive cross sectional survey was conducted among 300 purposively selected maternal mothers. Both descriptive and exploratory factor analyses were the main analytical tools. Results show that majority respondents were aware of the free maternal and child health care policy. Concerning the effectiveness of the free maternal and child health care policy, 95 out of the 244 respondents who are aware of the exemption policy indicated they policy is highly effective; 107 of them which represent 43.9% said it is effective and finally, 42 of them which represent 17.2% indicated that the policy is not effective. Finally, six salient factors account for the factors accountable for the low patronage of maternal and child health care in the Adaklu District. The first factor is awareness factor, the second is perception factor, the third is access factor, the fourth is restriction factor, and the fifth is attitudinal factor and lastly success factor. The study emphasizes the need to intensify greater awareness on the effects of delivering at home and also government should endeavor to establish more health centres in every community thus making accessibility of maternal and child health care to maternal mothers in remote areas in the country.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Analysis of Factors Accountable for Low Patronage of Maternal Health Care and Skilled Supervised Delivery in the Adaklu District, Ghana
AU  - Etornam Kwame Kunu
AU  - Michael Dovlo
AU  - Emmanuel Klu
AU  - Abigail Owusu
Y1  - 2017/01/12
PY  - 2017
N1  - https://doi.org/10.11648/j.hep.20160101.13
DO  - 10.11648/j.hep.20160101.13
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 12
EP  - 19
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20160101.13
AB  - The study focused on examining the awareness level of pregnant women about the free maternal and child health care services, evaluate the effectiveness of the free maternal and child health care policy and to identify factors accountable for low patronage in accessing maternal and child health care services in the Adaklu District, Ghana. A descriptive cross sectional survey was conducted among 300 purposively selected maternal mothers. Both descriptive and exploratory factor analyses were the main analytical tools. Results show that majority respondents were aware of the free maternal and child health care policy. Concerning the effectiveness of the free maternal and child health care policy, 95 out of the 244 respondents who are aware of the exemption policy indicated they policy is highly effective; 107 of them which represent 43.9% said it is effective and finally, 42 of them which represent 17.2% indicated that the policy is not effective. Finally, six salient factors account for the factors accountable for the low patronage of maternal and child health care in the Adaklu District. The first factor is awareness factor, the second is perception factor, the third is access factor, the fourth is restriction factor, and the fifth is attitudinal factor and lastly success factor. The study emphasizes the need to intensify greater awareness on the effects of delivering at home and also government should endeavor to establish more health centres in every community thus making accessibility of maternal and child health care to maternal mothers in remote areas in the country.
VL  - 1
IS  - 1
ER  -

Copy | Download