ArticleBMC pregnancy and childbirth2019
Access and utilization of maternal healthcare in a rural district in the forest belt of Ghana.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.
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Who cites it
69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Utilization of maternal healthcare services in low- and middle-income countries: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Pooled it
- Article
- Trends and inequalities in health facility deliveries among women of reproductive age in Ghana, 1993-2022.Frontiers in reproductive health · 2026Article
- Utilization, satisfaction, and perceived maternal health benefits of group antenatal care in Karu LGA, North Central, Nigeria.BMC pregnancy and childbirth · 2025Article
- Mapping Geographic Disparities in Healthcare Access Barriers Among Married Women in Pakistan: Evidence from a Nationally Representative Survey.Healthcare (Basel, Switzerland) · 2025Article
- Environmental factors affecting the delivery practices of hospital-based intrapartum care.African journal of primary health care & family medicine · 2025Article
- Awareness and Utilization of Maternal and Child Health Services Among Women of Reproductive Age in Osogbo, Nigeria.Cureus · 2025Article
- Inequalities and factors associated with maternal healthcare services utilisation in Mozambique: evidence from the Demographic and Health Survey 2022-2023.BMJ global health · 2025Article
- Do Maternal Factors Modify the Associations Between Iron Supplementation and Low Birth Weight in Sub-Saharan Africa?Food science & nutrition · 2025Article
- Global dominance of non-institutional delivery and the risky impact on maternal mortality spike in 25 Sub-Saharan African Countries.Global health research and policy · 2025Article
- Correlates of maternal health services utilization among adolescent mothers in Ghana: analysis of Ghana maternal health survey 2017.BMC pregnancy and childbirth · 2025Article
- Article
- Article
- Providers perspectives on a team-based maternal health care delivery in Ghana: A qualitative study.PLOS global public health · 2025Article
- Article
- Spatial disparities of antenatal care utilization among pregnant women in sub-Saharan Africa-Bayesian geo-additive modelling approach.Frontiers in public health · 2025Article
- Health insurance enrollment and maternal health service utilization using Ghana Demographic and Health Survey, 2022.PloS one · 2025Article
- Evaluation of The Utilization of The iPosyandu Application in Enhancing Midwives' Competence in Early Pregnancy Detection Services: Mixed Methods Study.International journal of women's health · 2025Article
- Non-adherence to antenatal iron supplementation and its determinants among pregnant women in 35 sub-saharan African countries: a generalized linear mixed-effects modeling with robust Poisson regression analysis.BMC pregnancy and childbirth · 2024Article
9 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoor maternal health delivery in developing countries results in more than half a million maternal deaths during pregnancy, childbirth or within a few weeks of delivery. This is partly due to unavailability and low utilization of maternal healthcare services in limited-resource settings. The aim of this study was to investigate the access and utilization of maternal healthcare in Amansie-West district in the Ashanti Region of Ghana.
methodsAn analytical cross-sectional study, involving 720 pregnant women systematically sampled from antenatal clinics in five sub-districts was conducted from February to May 2015 in the Amansie-West district. Data on participants' socio-economic characteristics, knowledge level and access and utilization of maternal health care services were collected with a structured questionnaire. Odds ratios were estimated to describe the association between explanatory variables and maternal healthcare using generalized estimating equations (GEE).
results68.5, 83.6 and 33.6% of the women had > 3 antenatal care visits, utilized skilled delivery and postnatal care services respectively. The mothers' knowledge level of pregnancy emergencies and newborn danger signs was low. Socio-economic characteristics and healthcare access influenced the utilization of maternal healthcare. Compared to the lowest wealth quintile, being in the highest wealth quintile was associated with higher odds of receiving postnatal care (adjusted odds ratio [aOR]; 95%CI: 2.84; 1.63, 4.94). Use of health facility as a main source of healthcare was also associated with higher odds of antenatal care and skilled delivery.
conclusionThis study demonstrates suboptimal access and utilization of maternal healthcare in rural districts of Ghana, which are influenced by socio-economic characteristics of pregnant mothers. This suggests the need for tailored intervention to improve maternal healthcare utilization for mothers in this and other similar settings.
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