ArticlePloS one2020
"I couldn't buy the items so I didn't go to deliver at the health facility" Home delivery among rural women in northern Ghana: A mixed-method analysis.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of homebirth preference and associated factors among pregnant women in Ethiopia: Systematic review and meta-analysis.PloS one · 2023Pooled it
- Trend and social determinants of non-facility births in Northwestern Nigeria: pooled analysis of demographic and health survey 2003-2018.BMC public health · 2026Article
- Social determinants of antenatal care utilization: an analysis of 2022 Ghana demographic and health survey.BMC pregnancy and childbirth · 2026Article
- Home birth and its associated factors among mothers aged 15-49 years in Somalia: a nationwide population-based cross-sectional study.BMC women's health · 2025Article
- Obstetric violence informed by theories of intersectionality, oppression, and power dynamics-a Ghanaian's perspectives.AJOG global reports · 2025Article
- A qualitative study of the perception of quality of free maternal healthcare policy among primary healthcare providers in Ghana.BMC health services research · 2025Article
- Qualitative application of the diffusion of innovation theory to maternity waiting homes in rural Zambia.Implementation science communications · 2025Article
- Spatial variation and determinants of skilled birth attendant delivery among women of reproductive age in Ethiopia: a spatial and multilevel analysis.BMC pregnancy and childbirth · 2025Article
- Predictors associated with giving birth at home among women in Ethiopia.The Pan African medical journal · 2025Article
- Infant mortality in Ghana: investing in health care infrastructure and systems.Health affairs scholar · 2024Article
- A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis.PLOS global public health · 2024Article
- "I don't like to be seen by a male provider": health workers' strike, economic, and sociocultural reasons for home birth in settings with free maternal healthcare in Nigeria.International health · 2023Article
- Article
- Influence of Sociodemographic Factors and Obstetric History on Choice of Place of Delivery: A Retrospective Study Among Post-Natal Women in Ghana.International journal of MCH and AIDS · 2023Article
- Factors associated with home delivery preference among pregnant women in Ethiopia: a cross-sectional study.Global health action · 2022Article
- Why do women attend antenatal care but give birth at home? a qualitative study in a rural Ghanaian District.PloS one · 2021Article
- Decrease in Admissions and Change in the Diagnostic Landscape in a Newborn Care Unit in Northern Ghana During the COVID-19 Pandemic.Frontiers in pediatrics · 2021Article
- What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data.PloS one · 2021Article
- Trends and correlates of maternal, newborn and child health services utilization in primary healthcare facilities: an explorative ecological study using DHIMSII data from one district in the Volta region of Ghana.BMC pregnancy and childbirth · 2020Article
- Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey.BMC pregnancy and childbirth · 2020Article
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Abstract
backgroundMaternal mortality remains a major challenge to health systems in low and middle-incoming countries. Some pregnant women develop potentially life-threatening complications during childbirth. Therefore, home delivery is a precursor for maternal mortality. In this study, we aimed at not only estimating the percentage of deliveries occurring at home and examining the factors associated with home delivery, but we also explored the reasons for home delivery among women in rural Ghana.
methodsThe study was conducted among mothers with delivery experience in selected communities in the Builsa South district located in the Upper East Region of Ghana. Both quantitative and qualitative data were collected using semi-structured questionnaires and Focus Group Discussion (FGD) guide respectively. A total of 456 mothers participated in this study. Regression models were used in the quantitative analysis whereas a thematic analysis approach was used to analyze the qualitative data.
resultsOf the 423 mothers in the quantitative research, 38.1% (95% CI: 33.5-42.8) delivered their index child at home. In adjusted analysis, women who were not exposed to information (AOR = 13.64, p<0.001) and women with 2 (AOR = 4.64, p = 0.014), 3 (AOR = 4.96, p = 0.025) or at least 4 living children (AOR = 9.59, p = 0.001) had higher odds of delivering at home. From the qualitative analysis, the poor attitude of nurses (midwives), lack of, and cost of transportation, cost of delivery kits, and traditional beliefs and practices were cited as reasons for home delivery.
conclusionDespite the government's efforts to provide free maternal care services to women in Ghana, a significant proportion of rural women still deliver at home due to other 'hidden costs'. Addressing poor staff attitude, transportation challenges, and negative traditional beliefs and practices through awareness creation may contribute to improving health facility delivery by rural pregnant women in Ghana.
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