Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data
Background Maternal mortality remains a significant public health challenge in many low and middle‐income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana. Methods A total of 1240 deaths of women...
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| Veröffentlicht in: | The International journal of health planning and management 2020-11, Vol.35 (6), p.1512-1531 |
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| container_title | The International journal of health planning and management |
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| creator | Sumankuuro, Joshua Wulifan, Joseph K. Angko, William Crockett, Judith Derbile, Emmanuel K. Ganle, John K. |
| description | Background
Maternal mortality remains a significant public health challenge in many low and middle‐income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana.
Methods
A total of 1240 deaths of women aged 15‐49 were involved in the survey across all regions in Ghana. Binary and multivariate logistic regression analyses were employed; confidence level was set at 95%.
Results
The results show that the prevalence of maternal death was 13.2% (164/1240). After adjusting for potential covariates, women aged 20‐29 years (aOR = 4.270, 95%CI= 1.864 – 9.781, p=0.001), bled during labour/delivery (aOR= 0.241, 95%CI = 0.059 – 0.992, p=0.049), and those who used traditional/herbal medicines during pregnancy were more likely to die compared to non‐users (aOR= 3.461, 95%CI = 1.651 – 7.258, p=0.001).
Conclusion
Our findings highlight the need to intensify maternal education regarding the value to be gained by increasing skilled healthcare during complications in pregnancy to allow effective management of complications during labour/delivery. Also, education for pregnant women and their families on possible adverse effects of using unapproved traditional/herbal medicines during pregnancy as well as a need to seek timely care before the onset of labour to allow healthcare providers ample opportunity to address labour and birth complications, is urgently required. |
| doi_str_mv | 10.1002/hpm.3054 |
| format | Article |
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Maternal mortality remains a significant public health challenge in many low and middle‐income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana.
Methods
A total of 1240 deaths of women aged 15‐49 were involved in the survey across all regions in Ghana. Binary and multivariate logistic regression analyses were employed; confidence level was set at 95%.
Results
The results show that the prevalence of maternal death was 13.2% (164/1240). After adjusting for potential covariates, women aged 20‐29 years (aOR = 4.270, 95%CI= 1.864 – 9.781, p=0.001), bled during labour/delivery (aOR= 0.241, 95%CI = 0.059 – 0.992, p=0.049), and those who used traditional/herbal medicines during pregnancy were more likely to die compared to non‐users (aOR= 3.461, 95%CI = 1.651 – 7.258, p=0.001).
Conclusion
Our findings highlight the need to intensify maternal education regarding the value to be gained by increasing skilled healthcare during complications in pregnancy to allow effective management of complications during labour/delivery. Also, education for pregnant women and their families on possible adverse effects of using unapproved traditional/herbal medicines during pregnancy as well as a need to seek timely care before the onset of labour to allow healthcare providers ample opportunity to address labour and birth complications, is urgently required.</description><identifier>ISSN: 0749-6753</identifier><identifier>EISSN: 1099-1751</identifier><identifier>DOI: 10.1002/hpm.3054</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Autopsies ; Autopsy ; Childbirth & labor ; Complications ; Confidence intervals ; Drugs ; Education ; Ghana ; haemorrhage ; Health administration ; Health care ; Health status ; Health surveys ; Herbal medicine ; Maternal characteristics ; Maternal death ; maternal health ; Maternal mortality ; Mortality ; Polls & surveys ; Pregnancy ; Pregnancy complications ; Public health ; Regression analysis ; Side effects ; Statistical analysis ; verbal autopsy ; Womens health</subject><ispartof>The International journal of health planning and management, 2020-11, Vol.35 (6), p.1512-1531</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2414-f5d59ff6efdf06847136ce42fc44714e2d75a433ec18b92879276dd0130e435b3</citedby><cites>FETCH-LOGICAL-c2414-f5d59ff6efdf06847136ce42fc44714e2d75a433ec18b92879276dd0130e435b3</cites><orcidid>0000-0002-8967-1091 ; 0000-0002-8382-3437 ; 0000-0003-2039-4345</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhpm.3054$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhpm.3054$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,30980,45555,45556</link.rule.ids></links><search><creatorcontrib>Sumankuuro, Joshua</creatorcontrib><creatorcontrib>Wulifan, Joseph K.</creatorcontrib><creatorcontrib>Angko, William</creatorcontrib><creatorcontrib>Crockett, Judith</creatorcontrib><creatorcontrib>Derbile, Emmanuel K.</creatorcontrib><creatorcontrib>Ganle, John K.</creatorcontrib><title>Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data</title><title>The International journal of health planning and management</title><description>Background
Maternal mortality remains a significant public health challenge in many low and middle‐income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana.
Methods
A total of 1240 deaths of women aged 15‐49 were involved in the survey across all regions in Ghana. Binary and multivariate logistic regression analyses were employed; confidence level was set at 95%.
Results
The results show that the prevalence of maternal death was 13.2% (164/1240). After adjusting for potential covariates, women aged 20‐29 years (aOR = 4.270, 95%CI= 1.864 – 9.781, p=0.001), bled during labour/delivery (aOR= 0.241, 95%CI = 0.059 – 0.992, p=0.049), and those who used traditional/herbal medicines during pregnancy were more likely to die compared to non‐users (aOR= 3.461, 95%CI = 1.651 – 7.258, p=0.001).
Conclusion
Our findings highlight the need to intensify maternal education regarding the value to be gained by increasing skilled healthcare during complications in pregnancy to allow effective management of complications during labour/delivery. Also, education for pregnant women and their families on possible adverse effects of using unapproved traditional/herbal medicines during pregnancy as well as a need to seek timely care before the onset of labour to allow healthcare providers ample opportunity to address labour and birth complications, is urgently required.</description><subject>Autopsies</subject><subject>Autopsy</subject><subject>Childbirth & labor</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Drugs</subject><subject>Education</subject><subject>Ghana</subject><subject>haemorrhage</subject><subject>Health administration</subject><subject>Health care</subject><subject>Health status</subject><subject>Health surveys</subject><subject>Herbal medicine</subject><subject>Maternal characteristics</subject><subject>Maternal death</subject><subject>maternal health</subject><subject>Maternal mortality</subject><subject>Mortality</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Side effects</subject><subject>Statistical analysis</subject><subject>verbal autopsy</subject><subject>Womens health</subject><issn>0749-6753</issn><issn>1099-1751</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp10E1Lw0AQBuBFFKxV8CcsePGSul_JJt5K0VZoseDHwcuyzc7SlCRbdxMl_97ECoLgaQbmmYF5EbqkZEIJYTfbfTXhJBZHaERJlkVUxvQYjYgUWZTImJ-isxB2hPQzmo3Q29qDKfLG-YCdxZVuwNe6xJXzjS6LpsNFjedbXetbDB-FgToHbL2rcLMFzAiVeL5aPOFX8Jt-bdo2bh86bHSjz9GJ1WWAi586Ri_3d8-zRbR8nD_MpssoZ4KKyMYmzqxNwBpLklRIypMcBLO56HsBzMhYC84hp-kmY6nMmEyMIZQTEDze8DG6Ptzde_feQmhUVYQcylLX4NqgmBCUxTIhaU-v_tCda4d_B5VwknDB09-DuXcheLBq74tK-05RooaQVR-yGkLuaXSgn0UJ3b9OLdarb_8FwcV65A</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Sumankuuro, Joshua</creator><creator>Wulifan, Joseph K.</creator><creator>Angko, William</creator><creator>Crockett, Judith</creator><creator>Derbile, Emmanuel K.</creator><creator>Ganle, John K.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8967-1091</orcidid><orcidid>https://orcid.org/0000-0002-8382-3437</orcidid><orcidid>https://orcid.org/0000-0003-2039-4345</orcidid></search><sort><creationdate>202011</creationdate><title>Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data</title><author>Sumankuuro, Joshua ; Wulifan, Joseph K. ; Angko, William ; Crockett, Judith ; Derbile, Emmanuel K. ; Ganle, John K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2414-f5d59ff6efdf06847136ce42fc44714e2d75a433ec18b92879276dd0130e435b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Autopsies</topic><topic>Autopsy</topic><topic>Childbirth & labor</topic><topic>Complications</topic><topic>Confidence intervals</topic><topic>Drugs</topic><topic>Education</topic><topic>Ghana</topic><topic>haemorrhage</topic><topic>Health administration</topic><topic>Health care</topic><topic>Health status</topic><topic>Health surveys</topic><topic>Herbal medicine</topic><topic>Maternal characteristics</topic><topic>Maternal death</topic><topic>maternal health</topic><topic>Maternal mortality</topic><topic>Mortality</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Side effects</topic><topic>Statistical analysis</topic><topic>verbal autopsy</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sumankuuro, Joshua</creatorcontrib><creatorcontrib>Wulifan, Joseph K.</creatorcontrib><creatorcontrib>Angko, William</creatorcontrib><creatorcontrib>Crockett, Judith</creatorcontrib><creatorcontrib>Derbile, Emmanuel K.</creatorcontrib><creatorcontrib>Ganle, John K.</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of health planning and management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sumankuuro, Joshua</au><au>Wulifan, Joseph K.</au><au>Angko, William</au><au>Crockett, Judith</au><au>Derbile, Emmanuel K.</au><au>Ganle, John K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data</atitle><jtitle>The International journal of health planning and management</jtitle><date>2020-11</date><risdate>2020</risdate><volume>35</volume><issue>6</issue><spage>1512</spage><epage>1531</epage><pages>1512-1531</pages><issn>0749-6753</issn><eissn>1099-1751</eissn><abstract>Background
Maternal mortality remains a significant public health challenge in many low and middle‐income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana.
Methods
A total of 1240 deaths of women aged 15‐49 were involved in the survey across all regions in Ghana. Binary and multivariate logistic regression analyses were employed; confidence level was set at 95%.
Results
The results show that the prevalence of maternal death was 13.2% (164/1240). After adjusting for potential covariates, women aged 20‐29 years (aOR = 4.270, 95%CI= 1.864 – 9.781, p=0.001), bled during labour/delivery (aOR= 0.241, 95%CI = 0.059 – 0.992, p=0.049), and those who used traditional/herbal medicines during pregnancy were more likely to die compared to non‐users (aOR= 3.461, 95%CI = 1.651 – 7.258, p=0.001).
Conclusion
Our findings highlight the need to intensify maternal education regarding the value to be gained by increasing skilled healthcare during complications in pregnancy to allow effective management of complications during labour/delivery. Also, education for pregnant women and their families on possible adverse effects of using unapproved traditional/herbal medicines during pregnancy as well as a need to seek timely care before the onset of labour to allow healthcare providers ample opportunity to address labour and birth complications, is urgently required.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><doi>10.1002/hpm.3054</doi><tpages>20</tpages><orcidid>https://orcid.org/0000-0002-8967-1091</orcidid><orcidid>https://orcid.org/0000-0002-8382-3437</orcidid><orcidid>https://orcid.org/0000-0003-2039-4345</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Autopsies Autopsy Childbirth & labor Complications Confidence intervals Drugs Education Ghana haemorrhage Health administration Health care Health status Health surveys Herbal medicine Maternal characteristics Maternal death maternal health Maternal mortality Mortality Polls & surveys Pregnancy Pregnancy complications Public health Regression analysis Side effects Statistical analysis verbal autopsy Womens health |
| title | Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data |
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