ArticleBMC pregnancy and childbirth2021
Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis.
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 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Inequity in uptake of maternal health care services in developing countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Universal Health Coverage and Health Equity in West Africa: Tracking Progress Toward SDG 3.8 in Ghana and Liberia.Public health challenges · 2026Article
- Correlates of self-reported pregnancy complications: a cross-sectional study in two districts in Northern Ghana.Archives of public health = Archives belges de sante publique · 2026Article
- Who gets to deliver in a health facility? An investigation of wealth-based inequities in institutional delivery in Ghana.BMJ open · 2026Article
- A scoping review of the health and health-related sustainable development goals (HHSDGs) in Ghana: progress and challenges.BMC public health · 2026Article
- Trends and inequalities in HIV testing uptake among pregnant women during antenatal care in Ghana: a decomposition analysis from 2008 to 2022.Tropical medicine and health · 2026Article
- Trends and inequalities in health facility deliveries among women of reproductive age in Ghana, 1993-2022.Frontiers in reproductive health · 2026Article
- Article
- 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
- Decomposing socioeconomic inequality in skilled birth attendant utilization in Ethiopia: A secondary data analysis.PloS one · 2025Article
- Who gets missed in Zambia's antenatal HIV testing? Persistent inequities despite routine screening policies in Zambia.PLOS global public health · 2025Article
- Prevalence and determinants of skilled birth attendance among young women aged 15-24 years in Northern Nigeria: evidence from multiple indicator cluster survey 2011 to 2021.BMC public health · 2024Article
- Demographic and economic inequality of antenatal care coverage in 4 African countries with a high maternal mortality rate.Archives of public health = Archives belges de sante publique · 2024Article
- Socioeconomic inequalities in skilled attendance at birth and caesarean section rates in Myanmar 2015-2016: a cross-sectional study.BMJ open · 2024Article
- Measuring socioeconomic inequalities in postnatal health checks for newborns in Ethiopia: a decomposition analysis.Frontiers in public health · 2024Article
- Situation Analysis of a New Effort of Community-Based Health Planning and Services (CHPS) for Maternal Health in Upper West Region in Rural Ghana.International journal of environmental research and public health · 2023Article
- Cost of childbirth in Upper West Region of Ghana: a cross-sectional study.BMC pregnancy and childbirth · 2022Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEquitable access to skilled birth attendance during delivery is vital for reducing global maternal deaths to 70 deaths per 100, 000 to achieve the Sustainable Development Goals (SDGs) by 2030. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequalities in access to skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assesses the socioeconomic inequalities in access and use of skilled birth attendants during delivery in Ghana.
methodsResearch was conducted through literature reviews and document reviews, and a secondary data analysis of the 2014 Ghana Demographic and Health Survey (GDHS), a nationally representative survey. A total of 1305 women aged 15-49 years, who had a live birth the year before to the survey in the presence of a skilled birth attendant were analysed using concentration indices and curves. The indices were further decomposed to identify the major socioeconomic factors contributing most to the inequalities.
resultsThe results found that access to skilled birth attendants was more among women from rich households showing a pro-rich utilization. The decomposition analysis revealed that household wealth index, educational level of both mother and husband/partner, area of residence and mother's health insurance coverage were the major contributing factors to socioeconomic inequalities in accessing skilled birth attendants during child delivery among Ghanaian women.
conclusionThis study confirms that a mother's socioeconomic status is vital to reducing maternal deaths. Therefore, it is worthy to focus attention on policy interventions to reduce the observed inequalities as revealed in the study.
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