Evidence map›Paper›PMID 36934240›Full record

ArticleBMC pregnancy and childbirth2023

Non-adherence to WHO's recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey.

Kwamena Sekyi Dickson, Ebenezer N K Boateng, Kenneth Setorwu Adde, Edward Kwabena Ameyaw, Michelle L Munro-Kramer

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Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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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

5 authors.

Kwamena Sekyi DicksonDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.ORCID http://orcid.org/0000-0002-3152-2317
Ebenezer N K BoatengDepartment of Geography and Regional Planning, University of Cape Coast, Cape Coast, Ghana. ebenezer.boateng@stu.ucc.edu.gh.ORCID http://orcid.org/0000-0002-3911-5345
Kenneth Setorwu AddeDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.ORCID http://orcid.org/0000-0003-2475-7326
Edward Kwabena AmeyawInstitute of Policy Studies and School of Graduate Studies, Lingnan University, Hong Kong, Hong Kong.ORCID http://orcid.org/0000-0002-6617-237X
Michelle L Munro-KramerUniversity of Michigan School of Nursing, Ann Arbor, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEvidence shows that most women in Ghana do not meet the minimum 8-contact model for antenatal care as recommended by WHO with only 31.2%-41.9% of them meeting the recommendation. To the best of our knowledge, no study in Ghana has examined women's noncompliance with the WHO's recommended 8-contact model for antenatal care using geospatial analysis, as this study sets out to do.

methodsWe sourced data from the recent version of the Ghana Maternal Health Survey which was executed in 2017. A sample of 10,077 women with complete data participated in this study. The link between the explanatory variables and the outcome variable was investigated using binary and multivariate logistic regression models and Spatial analyses such as spatial autocorrelation (Moran's I), hotspot, cluster and outlier analysis, and geographically weighted regression were conducted using ArcMap version 10.7.

resultsDistricts found in the north-eastern and south-western parts of the country were more likely to experience noncompliance with ANC. Women staying within the middle belt without health insurance were more likely (17-29%) to be noncompliant with ANC. Women with low community socioeconomic status were found to be more likely (17-34%) to be noncompliant with ANC in the eastern parts of Ghana.

conclusionThe study has shown that in order to achieve targets one and three of Sustainable Development Goal 3, the government of Ghana, the Ministry of Health, together with the Ghana Health Service may have to intensify health education in the identified areas to highlight the importance of adherence to the WHO recommendations on ANC 8-contact model.

Indexed as

Maternal HealthMaternal Health ServicesFemaleGhanaHealth SurveysHumansPregnancyPrenatal CareWorld Health OrganizationAntenatal careGeospatial analysisGhanaReproductive healthSocial demographyWomen

Identifiers

PMID36934240
PMCPMC10024456

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