ArticleBMJ open2017
Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 29 citations in OpenAlex.
- Trends, determinants and inequality of utilization of maternal healthcare services in Bangladesh: an analysis of demographic and health surveys from 2004 to 2022.BMC pregnancy and childbirth · 2026Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Article
- Trends of risk factors associated with childhood stunting and anaemia in Ghana: evidence from the Demographic Health Survey and Multiple Indicator Cluster Survey (2003-2017).Public health nutrition · 2024Article
- Evolution in key indicators of maternal and child health across the wealth gradient in 41 sub-Saharan African countries, 1986-2019.BMC medicine · 2024Article
- Is socioeconomic inequality in antenatal care coverage widening or reducing between- and within-socioeconomic groups? A case of 19 countries in sub-Saharan Africa.SSM - population health · 2023Article
- Decomposition Analysis of Antenatal Care Utilization Inequities in Kembata Tembaro Zone, Southern Ethiopia.Annals of global health · 2023Article
- Practice environment determinants of job satisfaction among midwives at healthcare facilities in Accra Metropolis: A multicentre study.PloS one · 2023Article
- Skilled birth attendant utilization trends, determinant and inequality gaps in Ethiopia.BMC women's health · 2022Article
- Decomposing maternal socioeconomic inequalities in Zimbabwe; leaving no woman behind.BMC pregnancy and childbirth · 2022Article
- The unfinished agenda and inequality gaps in antenatal care coverage in Ethiopia.BMC pregnancy and childbirth · 2022Article
- Explaining socioeconomic disparities and gaps in the use of antenatal care services in 36 countries in sub-Saharan Africa.Health policy and planning · 2021Article
- The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana.Global health action · 2021Article
- Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.PloS one · 2021Article
- Article
- Socioeconomic inequalities in maternal health care utilization in Ghana.International journal for equity in health · 2019Article
- Trends and projections of universal health coverage indicators in Ghana, 1995-2030: A national and subnational study.PloS one · 2019Article
- Determinants of antenatal care attendance among women residing in highly disadvantaged communities in northern Jordan: a cross-sectional study.Reproductive health · 2018Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo achieve universal coverage of reproductive healthcare and drastic reduction in maternal mortality, adequate attention and resources should be given to young women. This study therefore aimed to examine the inequality trends in the use of antenatal care (ANC) services and skilled birth attendance (SBA) within a subgroup of Ghanaian women aged 15-24 years between 2003 and 2014.
designThis is a cross-sectional study that used data from the Ghana Demographic and Health Surveys (DHS) 2003, 2008 and 2014. We applied regression-based total attributable fraction (TAF) as an index for measuring multiple dimensions of inequality in the use of ANC and SBA.
settingGhana.
participantsYoung women aged 15-24 years with at least one previous birth experience in the past 5 years prior to the surveys.
main outcome measuresANC visits and skilled attendance at birth.
resultsUrbanicity-related, education-related and wealth-related inequality in non-use of SBA declined between 2003 and 2008, but increased between 2008 and 2014. A consistent decline was observed in urbanicity-related inequality in non-use of four or more ANC visits from 2003 through 2008 to 2014. A similar reduction was observed for education-related inequality in relation to the same outcome. In contrast, wealth-related inequality in ANC usage increased over time.
conclusionsThe rise in urbanicity-related, education-related and wealth-related inequality in the usage of SBA between 2008 and 2014 threatens the sustainability of the general progress made in the usage of maternal health services in Ghana within the same period.
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