Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors
Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve th...
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| Veröffentlicht in: | PloS one 2015-12, Vol.10 (12), p.e0142849-e0142849 |
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| creator | Yeji, Francis Shibanuma, Akira Oduro, Abraham Debpuur, Cornelius Kikuchi, Kimiyo Owusu-Agei, Seth Gyapong, Margaret Okawa, Sumiyo Ansah, Evelyn Asare, Gloria Quansah Nanishi, Keiko Williams, John Addei, Sheila Tawiah, Charlotte Yasuoka, Junko Enuameh, Yeetey Sakeah, Evelyn Wontuo, Peter Jimba, Masamine Hodgson, Abraham |
| description | Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve these goals and beyond. This study examined the levels and factors associated with continuum of care (CoC) completion among Ghanaian women aged 15-49.
A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and newborn service usage in line with CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.
Only 8.0% had CoC completion; the greatest gap and contributor to the low CoC was detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum. A total of 75% had skilled assisted delivery and 25% received postnatal care within 48 hours. Factors associated with CoC completion at 95% CI were geographical location (OR = 0.35, CI 0.13-0.39), marital status (OR = 0.45; CI 0.22-0.95), education (OR = 2.71; CI 1.11-6.57), transportation (OR = 1.97; CI 1.07-3.62), and beliefs about childhood illnesses (OR = 0.34; CI0.21-0.61).
The continuum of care completion rate is low in the study site. Efforts should focus on increasing postnatal care within 48 hours and overcoming the known obstacles to increasing the continuum of care completion rate. |
| doi_str_mv | 10.1371/journal.pone.0142849 |
| format | Article |
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A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and newborn service usage in line with CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.
Only 8.0% had CoC completion; the greatest gap and contributor to the low CoC was detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum. A total of 75% had skilled assisted delivery and 25% received postnatal care within 48 hours. Factors associated with CoC completion at 95% CI were geographical location (OR = 0.35, CI 0.13-0.39), marital status (OR = 0.45; CI 0.22-0.95), education (OR = 2.71; CI 1.11-6.57), transportation (OR = 1.97; CI 1.07-3.62), and beliefs about childhood illnesses (OR = 0.34; CI0.21-0.61).
The continuum of care completion rate is low in the study site. Efforts should focus on increasing postnatal care within 48 hours and overcoming the known obstacles to increasing the continuum of care completion rate.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0142849</identifier><identifier>PMID: 26650388</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Births ; Child health ; Child Health - standards ; Childbirth & labor ; Children ; Childrens health ; Continuity of Patient Care - standards ; Cross-Sectional Studies ; Demographic aspects ; Female ; Geographical distribution ; Ghana ; Health aspects ; Health care policy ; Health services ; Humans ; Illnesses ; Infant, Newborn ; Infants ; Maternal & child health ; Maternal Health Services - standards ; Medical research ; Medicine ; Middle Aged ; Mortality ; Newborn babies ; Newborn infants ; Patient care ; Postpartum ; Pregnancy ; Prenatal care ; Prenatal Care - standards ; R&D ; Random sampling ; Regression analysis ; Regression models ; Research & development ; Sampling methods ; Socioeconomic Factors ; Surveys ; Training ; Womens health ; Young Adult</subject><ispartof>PloS one, 2015-12, Vol.10 (12), p.e0142849-e0142849</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Yeji et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Yeji et al 2015 Yeji et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-2f717c29fb8e5be15d727e93b04c63c7cb60e33731ab186914553d313fa973893</citedby><cites>FETCH-LOGICAL-c758t-2f717c29fb8e5be15d727e93b04c63c7cb60e33731ab186914553d313fa973893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674150/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674150/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26650388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yeji, Francis</creatorcontrib><creatorcontrib>Shibanuma, Akira</creatorcontrib><creatorcontrib>Oduro, Abraham</creatorcontrib><creatorcontrib>Debpuur, Cornelius</creatorcontrib><creatorcontrib>Kikuchi, Kimiyo</creatorcontrib><creatorcontrib>Owusu-Agei, Seth</creatorcontrib><creatorcontrib>Gyapong, Margaret</creatorcontrib><creatorcontrib>Okawa, Sumiyo</creatorcontrib><creatorcontrib>Ansah, Evelyn</creatorcontrib><creatorcontrib>Asare, Gloria Quansah</creatorcontrib><creatorcontrib>Nanishi, Keiko</creatorcontrib><creatorcontrib>Williams, John</creatorcontrib><creatorcontrib>Addei, Sheila</creatorcontrib><creatorcontrib>Tawiah, Charlotte</creatorcontrib><creatorcontrib>Yasuoka, Junko</creatorcontrib><creatorcontrib>Enuameh, Yeetey</creatorcontrib><creatorcontrib>Sakeah, Evelyn</creatorcontrib><creatorcontrib>Wontuo, Peter</creatorcontrib><creatorcontrib>Jimba, Masamine</creatorcontrib><creatorcontrib>Hodgson, Abraham</creatorcontrib><creatorcontrib>Ghana EMBRACE Implementation Research Project Team</creatorcontrib><title>Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve these goals and beyond. This study examined the levels and factors associated with continuum of care (CoC) completion among Ghanaian women aged 15-49.
A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and newborn service usage in line with CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.
Only 8.0% had CoC completion; the greatest gap and contributor to the low CoC was detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum. A total of 75% had skilled assisted delivery and 25% received postnatal care within 48 hours. Factors associated with CoC completion at 95% CI were geographical location (OR = 0.35, CI 0.13-0.39), marital status (OR = 0.45; CI 0.22-0.95), education (OR = 2.71; CI 1.11-6.57), transportation (OR = 1.97; CI 1.07-3.62), and beliefs about childhood illnesses (OR = 0.34; CI0.21-0.61).
The continuum of care completion rate is low in the study site. Efforts should focus on increasing postnatal care within 48 hours and overcoming the known obstacles to increasing the continuum of care completion rate.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Births</subject><subject>Child health</subject><subject>Child Health - standards</subject><subject>Childbirth & labor</subject><subject>Children</subject><subject>Childrens health</subject><subject>Continuity of Patient Care - standards</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Female</subject><subject>Geographical distribution</subject><subject>Ghana</subject><subject>Health aspects</subject><subject>Health care policy</subject><subject>Health services</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Maternal & child health</subject><subject>Maternal Health Services - standards</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Newborn babies</subject><subject>Newborn infants</subject><subject>Patient care</subject><subject>Postpartum</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal Care - standards</subject><subject>R&D</subject><subject>Random sampling</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Research & development</subject><subject>Sampling methods</subject><subject>Socioeconomic Factors</subject><subject>Surveys</subject><subject>Training</subject><subject>Womens health</subject><subject>Young 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Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yeji, Francis</au><au>Shibanuma, Akira</au><au>Oduro, Abraham</au><au>Debpuur, Cornelius</au><au>Kikuchi, Kimiyo</au><au>Owusu-Agei, Seth</au><au>Gyapong, Margaret</au><au>Okawa, Sumiyo</au><au>Ansah, Evelyn</au><au>Asare, Gloria Quansah</au><au>Nanishi, Keiko</au><au>Williams, John</au><au>Addei, Sheila</au><au>Tawiah, Charlotte</au><au>Yasuoka, Junko</au><au>Enuameh, Yeetey</au><au>Sakeah, Evelyn</au><au>Wontuo, Peter</au><au>Jimba, Masamine</au><au>Hodgson, Abraham</au><aucorp>Ghana EMBRACE Implementation Research Project Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-12-09</date><risdate>2015</risdate><volume>10</volume><issue>12</issue><spage>e0142849</spage><epage>e0142849</epage><pages>e0142849-e0142849</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance; postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial in helping Ghana achieve these goals and beyond. This study examined the levels and factors associated with continuum of care (CoC) completion among Ghanaian women aged 15-49.
A retrospective cross-sectional survey was conducted among women who experienced live births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random sampling method, 1,500 women with infants were selected and interviewed about maternal and newborn service usage in line with CoC. Multiple logistic regression models were used to assess factors associated with CoC completion.
Only 8.0% had CoC completion; the greatest gap and contributor to the low CoC was detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum. A total of 75% had skilled assisted delivery and 25% received postnatal care within 48 hours. Factors associated with CoC completion at 95% CI were geographical location (OR = 0.35, CI 0.13-0.39), marital status (OR = 0.45; CI 0.22-0.95), education (OR = 2.71; CI 1.11-6.57), transportation (OR = 1.97; CI 1.07-3.62), and beliefs about childhood illnesses (OR = 0.34; CI0.21-0.61).
The continuum of care completion rate is low in the study site. Efforts should focus on increasing postnatal care within 48 hours and overcoming the known obstacles to increasing the continuum of care completion rate.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26650388</pmid><doi>10.1371/journal.pone.0142849</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-12, Vol.10 (12), p.e0142849-e0142849 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1747320505 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adolescent Adult Births Child health Child Health - standards Childbirth & labor Children Childrens health Continuity of Patient Care - standards Cross-Sectional Studies Demographic aspects Female Geographical distribution Ghana Health aspects Health care policy Health services Humans Illnesses Infant, Newborn Infants Maternal & child health Maternal Health Services - standards Medical research Medicine Middle Aged Mortality Newborn babies Newborn infants Patient care Postpartum Pregnancy Prenatal care Prenatal Care - standards R&D Random sampling Regression analysis Regression models Research & development Sampling methods Socioeconomic Factors Surveys Training Womens health Young Adult |
| title | Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors |
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