Trial reportBMC public health2023
Effects of a community-level intervention on maternal health care utilization in a resource-poor setting of Northern Ghana.
Trial report in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Effectiveness of couple-based maternity education on husbands' involvement in maternity continuum of care service utilization in rural communities of Central Ethiopia: Protocol of cluster randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Trends, sex and socioeconomic inequalities, and future projections of under-five mortality in Ghana from 1992 to 2035.Scientific reports · 2026Article
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Prevalence and associated factors of skilled birth attendants in Bangladesh: A combined statistical and machine learning analysis.PloS one · 2026Article
- Effects of a large-scale participatory learning and action programme in women's groups on knowledge and behaviour related to pregnancy and childcare: a cluster-randomized controlled trial in Bihar, India.SSM - population health · 2025Article
- The hidden curriculum: examining gender disparities in career trajectories of female medical graduates from Nepal.BMC public health · 2025Article
- Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Maternal and child health care access to skilled delivery services among Ghanaian rural mothers.Research in health services & regions · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to assess the effects of health education and community-level participatory interventions at the community level and the use of community maternal health promoters on the utilization of maternal health care services in poor rural settings of northern Ghana.
methodsA randomized controlled survey design was conducted from June 2019 to July 2020 in two rural districts of northern Ghana. A multistage cluster sampling technique was used to select the participants. Data were collected from a repeated cross-sectional household survey. Descriptive analysis, bivariate and covariates adjusted simple logistic regression analyses were performed using STATA version 16 statistical software.
resultsAt post-intervention, the two groups differed significantly in terms of ANC (p = 0.001), skilled delivery (SD) (p = 0.003), and PNC (p < 0.0001). Women who received health education on obstetric danger signs had improved knowledge by 50% at the end of the study. Women who received the health education intervention (HEI) on practices related to ANC and skilled delivery had increased odds to utilize ANC (AOR = 4.18; 95% CI = 2.48-7.04) and SD (AOR = 3.90; 95% CI = 1.83-8.29) services. Institutional delivery and PNC attendance for at least four times significantly increased from 88.5 to 97.5% (p < 0.0001), and 77.3-96.7% (p < 0.0001) respectively at postintervention. Women who had received the HEI were significantly more likely to have good knowledge about obstetric danger signs (AOR = 10.17; 95% CI = 6.59-15.69), and BPCR (AOR = 2.10; 95% CI = 1.36-3.24). Women who had obtained tertiary education were significantly more likely to make at least four visits to ANC (AOR = 2.38; 95% CI = 0.09-1.67).
conclusionsThis study suggests that the use of health education and participatory sessions led by community-based facilitators could be a potentially effective intervention to improve the knowledge of women about obstetric danger signs and encourage the uptake of maternity care services in resource-poor settings of Ghana.
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