Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey
Abstract Introduction Evidence 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 r...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05504-w |
| _version_ | 1797863305456386048 |
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| author | Kwamena Sekyi Dickson Ebenezer N. K. Boateng Kenneth Setorwu Adde Edward Kwabena Ameyaw Michelle L. Munro-Kramer |
| author_facet | Kwamena Sekyi Dickson Ebenezer N. K. Boateng Kenneth Setorwu Adde Edward Kwabena Ameyaw Michelle L. Munro-Kramer |
| author_sort | Kwamena Sekyi Dickson |
| collection | DOAJ |
| description | Abstract Introduction Evidence 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. Methods We 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. Results Districts 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. Conclusion The 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. |
| first_indexed | 2024-04-09T22:33:27Z |
| format | Article |
| id | doaj.art-fbdea488f5fb4d4e85e665b6da74d4c6 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-09T22:33:27Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-fbdea488f5fb4d4e85e665b6da74d4c62023-03-22T12:38:30ZengBMCBMC Pregnancy and Childbirth1471-23932023-03-0123111610.1186/s12884-023-05504-wNon-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health SurveyKwamena Sekyi Dickson0Ebenezer N. K. Boateng1Kenneth Setorwu Adde2Edward Kwabena Ameyaw3Michelle L. Munro-Kramer4Department of Population and Health, University of Cape CoastDepartment of Geography and Regional Planning, University of Cape CoastDepartment of Population and Health, University of Cape CoastInstitute of Policy Studies and School of Graduate Studies, Lingnan UniversityUniversity of Michigan School of NursingAbstract Introduction Evidence 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. Methods We 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. Results Districts 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. Conclusion The 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.https://doi.org/10.1186/s12884-023-05504-wAntenatal careReproductive healthWomenGeospatial analysisGhanaSocial demography |
| spellingShingle | Kwamena Sekyi Dickson Ebenezer N. K. Boateng Kenneth Setorwu Adde Edward Kwabena Ameyaw Michelle L. Munro-Kramer Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey BMC Pregnancy and Childbirth Antenatal care Reproductive health Women Geospatial analysis Ghana Social demography |
| title | Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey |
| title_full | Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey |
| title_fullStr | Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey |
| title_full_unstemmed | Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey |
| title_short | Non-adherence to WHO’s recommended 8-contact model: geospatial analysis of the 2017 Maternal Health Survey |
| title_sort | non adherence to who s recommended 8 contact model geospatial analysis of the 2017 maternal health survey |
| topic | Antenatal care Reproductive health Women Geospatial analysis Ghana Social demography |
| url | https://doi.org/10.1186/s12884-023-05504-w |
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