ArticleBMC pregnancy and childbirth2019
Does knowledge on socio-cultural factors associated with maternal mortality affect maternal health decisions? A cross-sectional study of the Greater Accra region 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 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Quality and women's satisfaction with maternal referral practices in sub-Saharan African low and lower-middle income countries: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
- Nexus between sociocultural practices and maternal mortality in Pakistan: a geospatial analysis using Spatial Durbin model and multiscale geographically weighted regression.BMC public health · 2026Article
- The maternal health knowledge of pregnant women attending the antenatal clinics in the Western Cape: A cross-sectional study.Journal of public health in Africa · 2026Article
- Understanding decision-making around human and livestock health in sub-Saharan Africa: A systematic literature review.Dialogues in health · 2025Review
- A policy in stagnation: addressing inequalities in the distribution of emergency obstetric and neonatal care in Ghana.Frontiers in global women's health · 2025Article
- Do socio-cultural practices by elderly women influence obstetric complications? A study in Limpopo province.Curationis · 2024Article
- Socio-economic and cultural factors associated with the utilization of maternal healthcare services in Togo: a cross-sectional study.Reproductive health · 2023Article
- "Journal of patient experience · 2023Article
- Culture and community perceptions on diet for maternal and child health: a qualitative study in rural northern Ghana.BMC nutrition · 2021Article
- Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.PloS one · 2021Article
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Abstract
backgroundThe concern of all maternal health stakeholders is to improve maternal health and reduce maternal deaths to the barest minimum. This remains elusive in low and middle-income countries as the majority of factors that drive maternal deaths stem from the socio-cultural environment especially in rural settings. This study was aimed at finding out if knowledge on socio-cultural factors related to maternal mortality affects maternal health decisions in rural Ghana.
methodsCommunity-based cross-sectional in design, the study involved 233 participants from 3 rural districts in the Greater Accra Region. Mixed-method of data collection was employed after informed consent. Quantitative data were analyzed using simple statistics, Fisher's Exact Test of independence and crude odds ratio were used to interpret the results, whilst the FGDs were recorded, transcribed and analyzed based on themes.
resultsStatistically, significant relationship exists between all the socio-cultural factors studied (Traditional Birth Attendants (TBAs), religious beliefs and practices, herbal concoctions, and pregnancy and childbirth-related taboos) and maternal health decisions (p = 0.001 for all the variables) with very strong associations between maternal health decisions and knowledge on pregnancy and childbirth related taboos, TBA patronage, and religious beliefs and practices (OR = 21.06; 13; 7.28 respectively). However, misconceptions on factors associated with maternal mortality deeply rooted in rural communities partly explain why maternal morbidity and mortality are persistent in Ghana.
conclusionMeaningful and successful interventions on maternal mortality can only be achieved if misconceptions on causes of maternal mortality especially in rural areas of the country are tackled through mass education of communities. This should be done consistently over a long period of time for sustained behavioral change.
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