Kenneth Setorwu Adde1, Kwamena Sekyi Dickson1, Hubert Amu2. 1. Department of Population and Health, University of Cape Coast, Cape Coast, Ghana. 2. Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Abstract
INTRODUCTION: Maternal mortality is an issue of global public health concern with over 300,000 women dying globally each year. In sub-Saharan Africa (SSA), these deaths mainly occur around childbirth and the first 24hours after delivery. The place of delivery is, therefore, important in reducing maternal deaths and accelerating progress towards attaining the 2030 sustainable development goals (SDGs) related to maternal health. In this study, we examined the prevalence and determinants of the place of delivery among reproductive age women in SSA. MATERIALS AND METHODS: This was a cross-sectional study among women in their reproductive age using data from the most recent demographic and health surveys of 28 SSA countries. Frequency, percentage, chi-square, and logistic regression were used in analysing the data. All analyses were done using STATA. RESULTS: The overall prevalence of health facility delivery was 66%. This ranged from 23% in Chad to 94% in Gabon. More than half of the countries recorded a less than 70% prevalence of health facility delivery. The adjusted odds of health facility delivery were lowest in Chad. The probability of giving birth at a health facility also declined with increasing age but increased with the level of education and wealth status. Women from rural areas had a lower likelihood (AOR = 0.59, 95%CI = 0.57-0.61) of delivering at a health facility compared with urban women. CONCLUSIONS: Our findings point to the inability of many SSA countries to meet the SDG targets concerning reductions in maternal mortality and improving the health of reproductive age women. The findings thus justify the need for peer learning among SSA countries for the adaption and integration into local contexts, of interventions that have proven to be successful in improving health facility delivery among reproductive age women.
INTRODUCTION: Maternal mortality is an issue of global public health concern with over 300,000 women dying globally each year. In sub-Saharan Africa (SSA), these deaths mainly occur around childbirth and the first 24hours after delivery. The place of delivery is, therefore, important in reducing maternal deaths and accelerating progress towards attaining the 2030 sustainable development goals (SDGs) related to maternal health. In this study, we examined the prevalence and determinants of the place of delivery among reproductive age women in SSA. MATERIALS AND METHODS: This was a cross-sectional study among women in their reproductive age using data from the most recent demographic and health surveys of 28 SSA countries. Frequency, percentage, chi-square, and logistic regression were used in analysing the data. All analyses were done using STATA. RESULTS: The overall prevalence of health facility delivery was 66%. This ranged from 23% in Chad to 94% in Gabon. More than half of the countries recorded a less than 70% prevalence of health facility delivery. The adjusted odds of health facility delivery were lowest in Chad. The probability of giving birth at a health facility also declined with increasing age but increased with the level of education and wealth status. Women from rural areas had a lower likelihood (AOR = 0.59, 95%CI = 0.57-0.61) of delivering at a health facility compared with urban women. CONCLUSIONS: Our findings point to the inability of many SSA countries to meet the SDG targets concerning reductions in maternal mortality and improving the health of reproductive age women. The findings thus justify the need for peer learning among SSA countries for the adaption and integration into local contexts, of interventions that have proven to be successful in improving health facility delivery among reproductive age women.
Authors: M L Abel Ntambue; K Françoise Malonga; Michèle Dramaix-Wilmet; Philippe Donnen Journal: BMC Pregnancy Childbirth Date: 2012-07-10 Impact factor: 3.007
Authors: Alfred Kwesi Manyeh; David Etsey Akpakli; Vida Kukula; Rosemond Akepene Ekey; Solomon Narh-Bana; Alexander Adjei; Margaret Gyapong Journal: BMC Res Notes Date: 2017-07-11
Authors: Xiaomei Zhang; Muhammad Khalid Anser; Rolle Remi Ahuru; Zizai Zhang; Michael Yao-Ping Peng; Romanus Osabohien; Mumal Mirza Journal: Front Public Health Date: 2022-04-14
Authors: Evelyn Acquah; Samuel H Nyarko; Ebenezer N K Boateng; Kwamena Sekyi Dickson; Isaac Yeboah Addo; David Adzrago Journal: BMC Public Health Date: 2022-08-16 Impact factor: 4.135