Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014
Identifieur interne : 000063 ( Main/Exploration ); précédent : 000062; suivant : 000064Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014
Auteurs : Benedict Oppong Asamoah ; Anette AgardhSource :
- BMJ Open [ 2044-6055 ] ; 2017.
Abstract
To achieve universal coverage of reproductive healthcare and drastic reduction in maternal mortality, adequate attention and resources should be given to young women. This study therefore aimed to examine the inequality trends in the use of antenatal care (ANC) services and skilled birth attendance (SBA) within a subgroup of Ghanaian women aged 15–24 years between 2003 and 2014.
This is a cross-sectional study that used data from the Ghana Demographic and Health Surveys (DHS) 2003, 2008 and 2014. We applied regression-based total attributable fraction (TAF) as an index for measuring multiple dimensions of inequality in the use of ANC and SBA.
Ghana.
Young women aged 15–24 years with at least one previous birth experience in the past 5 years prior to the surveys.
ANC visits and skilled attendance at birth.
Urbanicity-related, education-related and wealth-related inequality in non-use of SBA declined between 2003 and 2008, but increased between 2008 and 2014. A consistent decline was observed in urbanicity-related inequality in non-use of four or more ANC visits from 2003 through 2008 to 2014. A similar reduction was observed for education-related inequality in relation to the same outcome. In contrast, wealth-related inequality in ANC usage increased over time.
The rise in urbanicity-related, education-related and wealth-related inequality in the usage of SBA between 2008 and 2014 threatens the sustainability of the general progress made in the usage of maternal health services in Ghana within the same period.
Url:
DOI: 10.1136/bmjopen-2016-011663
PubMed: 28174219
PubMed Central: 5306510
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014</title><author><name sortKey="Asamoah, Benedict Oppong" sort="Asamoah, Benedict Oppong" uniqKey="Asamoah B" first="Benedict Oppong" last="Asamoah">Benedict Oppong Asamoah</name></author><author><name sortKey="Agardh, Anette" sort="Agardh, Anette" uniqKey="Agardh A" first="Anette" last="Agardh">Anette Agardh</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28174219</idno><idno type="pmc">5306510</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306510</idno><idno type="RBID">PMC:5306510</idno><idno type="doi">10.1136/bmjopen-2016-011663</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000411</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000411</idno><idno type="wicri:Area/Pmc/Curation">000410</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000410</idno><idno type="wicri:Area/Pmc/Checkpoint">000027</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000027</idno><idno type="wicri:Area/Ncbi/Merge">000A88</idno><idno type="wicri:Area/Ncbi/Curation">000A88</idno><idno type="wicri:Area/Ncbi/Checkpoint">000A88</idno><idno type="wicri:Area/Main/Merge">000063</idno><idno type="wicri:Area/Main/Curation">000063</idno><idno type="wicri:Area/Main/Exploration">000063</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Inequality trends in maternal health services for young Ghanaian women with childbirth history between 2003 and 2014</title><author><name sortKey="Asamoah, Benedict Oppong" sort="Asamoah, Benedict Oppong" uniqKey="Asamoah B" first="Benedict Oppong" last="Asamoah">Benedict Oppong Asamoah</name></author><author><name sortKey="Agardh, Anette" sort="Agardh, Anette" uniqKey="Agardh A" first="Anette" last="Agardh">Anette Agardh</name></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To achieve universal coverage of reproductive healthcare and drastic reduction in maternal mortality, adequate attention and resources should be given to young women. This study therefore aimed to examine the inequality trends in the use of antenatal care (ANC) services and skilled birth attendance (SBA) within a subgroup of Ghanaian women aged 15–24 years between 2003 and 2014.</p></sec><sec><title>Design</title><p>This is a cross-sectional study that used data from the Ghana Demographic and Health Surveys (DHS) 2003, 2008 and 2014. We applied regression-based total attributable fraction (TAF) as an index for measuring multiple dimensions of inequality in the use of ANC and SBA.</p></sec><sec><title>Setting</title><p>Ghana.</p></sec><sec><title>Participants</title><p>Young women aged 15–24 years with at least one previous birth experience in the past 5 years prior to the surveys.</p></sec><sec><title>Main outcome measures</title><p>ANC visits and skilled attendance at birth.</p></sec><sec><title>Results</title><p>Urbanicity-related, education-related and wealth-related inequality in non-use of SBA declined between 2003 and 2008, but increased between 2008 and 2014. A consistent decline was observed in urbanicity-related inequality in non-use of four or more ANC visits from 2003 through 2008 to 2014. A similar reduction was observed for education-related inequality in relation to the same outcome. In contrast, wealth-related inequality in ANC usage increased over time.</p></sec><sec><title>Conclusions</title><p>The rise in urbanicity-related, education-related and wealth-related inequality in the usage of SBA between 2008 and 2014 threatens the sustainability of the general progress made in the usage of maternal health services in Ghana within the same period.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alkema, L" uniqKey="Alkema L">L Alkema</name></author><author><name sortKey="Chou, D" uniqKey="Chou D">D Chou</name></author><author><name sortKey="Hogan, D" uniqKey="Hogan D">D Hogan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kassebaum, Nj" uniqKey="Kassebaum N">NJ Kassebaum</name></author><author><name sortKey="Bertozzi Villa, A" uniqKey="Bertozzi Villa A">A Bertozzi-Villa</name></author><author><name sortKey="Coggeshall, Ms" uniqKey="Coggeshall M">MS 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M">M Aikins</name></author><author><name sortKey="Aryeetey, R" uniqKey="Aryeetey R">R Aryeetey</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agardh, Anette" sort="Agardh, Anette" uniqKey="Agardh A" first="Anette" last="Agardh">Anette Agardh</name><name sortKey="Asamoah, Benedict Oppong" sort="Asamoah, Benedict Oppong" uniqKey="Asamoah B" first="Benedict Oppong" last="Asamoah">Benedict Oppong Asamoah</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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