Evidence map›Paper›PMID 33413169›Full record

ArticleBMC pregnancy and childbirth2021

Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey.

Francis Appiah, Tarif Salihu, Justice Ofosu Darko Fenteng, Andrews Ohene Darteh, Patience Kannor, Patience Ansomah Ayerakwah, Edward Kwabena Ameyaw

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Francis AppiahDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana. Engman477@yahoo.com.ORCID http://orcid.org/0000-0003-1465-5211
Tarif SalihuDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Justice Ofosu Darko FentengBerekum College of Education, Berekum, Bono Region, Ghana.
Andrews Ohene DartehBerekum College of Education, Berekum, Bono Region, Ghana.
Patience KannorDepartment of Community Medicine, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Patience Ansomah AyerakwahDepartment of Optometry, University of Cape Coast, Cape Coast, Ghana.
Edward Kwabena AmeyawSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
University of Cape Coast · GHHoly Family Hospital · GHUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal mortality is high in Ghana, averaging 310 maternal deaths per 100,000 live births in 2017. This is partly due to inadequate postnatal care especially among rural communities. Ghana can avert the high maternal deaths if women meet the World Health Organisation's recommended early postnatal care check-up. Despite the association between geographical location and postnatal care utilisation, no study has been done on determinants of postnatal care among rural residents in Ghana. Therefore, this study determined the prevalence and correlates of postnatal care utilization among women in rural Ghana.

methodsThe study utilised women's file of the 2014 Ghana Demographic and Health Survey (GDHS). Following descriptive computation of the prevalence, binary logistic regression was fitted to assess correlates of postnatal care at 95% confidence interval. The results were presented in adjusted odds ratio (AOR). Any AOR less than 1 was interpreted as reduced likelihood of PNC attendance whilst AOR above 1 depicted otherwise. All analyses were done using Stata version 14.0.

resultsThe study revealed that 74% of the rural women had postnatal care. At the inferential level, women residing in Savanna zone had higher odds of postnatal care compared to those in the Coastal zone [AOR = 1.80, CI = 1.023-3.159], just as among the Guan women as compared to the Akan [AOR = 7.15, CI = 1.602-31.935]. Women who were working were more probable to utilise postnatal care compared to those not working [AOR = 1.45, CI = 1.015-2.060]. Those who considered distance as unproblematic were more likely to utilise postnatal care compared to those who considered distance as problematic [AOR = 1.63, CI = 1.239-2.145].

conclusionsThe study showed that ethnicity, ecological zone, occupation and distance to health facility predict postnatal care utilisation among rural residents of Ghana. The study points to the need for government to increase maternal healthcare facilities in rural settings in order to reduce the distance covered by women in seeking postnatal care.

Indexed as

AdolescentAdultConfidence IntervalsFemaleGhanaHealth Services AccessibilityHealth Services Needs and DemandHealth SurveysHumansLogistic ModelsMaternal MortalityMiddle AgedOdds RatioPostnatal CareRural PopulationSocioeconomic FactorsCorrelatesGhanaPostnatal carePrevalencePublic healthReproductive healthRural women

Identifiers

PMID33413169
PMCPMC7791732
OpenAlexW3119628763

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.