Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis

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dc.contributor.authorKpodotsi, Aseye
dc.contributor.authorBaku, Elizabeth A.
dc.contributor.authorAdams, Jo H.
dc.contributor.authorAlaba, Olufunke
dc.date.accessioned2022-01-21T10:17:21Z
dc.date.available2022-01-21T10:17:21Z
dc.date.issued2021-12-31
dc.date.updated2022-01-02T04:09:14Z
dc.description.abstractBackground Equitable access to skilled birth attendance during delivery is vital for reducing global maternal deaths to 70 deaths per 100, 000 to achieve the Sustainable Development Goals (SDGs) by 2030. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequalities in access to skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assesses the socioeconomic inequalities in access and use of skilled birth attendants during delivery in Ghana. Methods Research was conducted through literature reviews and document reviews, and a secondary data analysis of the 2014 Ghana Demographic and Health Survey (GDHS), a nationally representative survey. A total of 1305 women aged 15–49 years, who had a live birth the year before to the survey in the presence of a skilled birth attendant were analysed using concentration indices and curves. The indices were further decomposed to identify the major socioeconomic factors contributing most to the inequalities. Results The results found that access to skilled birth attendants was more among women from rich households showing a pro-rich utilization. The decomposition analysis revealed that household wealth index, educational level of both mother and husband/partner, area of residence and mother’s health insurance coverage were the major contributing factors to socioeconomic inequalities in accessing skilled birth attendants during child delivery among Ghanaian women. Conclusion This study confirms that a mother’s socioeconomic status is vital to reducing maternal deaths. Therefore, it is worthy to focus attention on policy interventions to reduce the observed inequalities as revealed in the study.en_US
dc.identifier.apacitationKpodotsi, A., Baku, Elizabeth A., Adams, Jo H., & Alaba, O. (2021). Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis. <i>BMC Pregnancy and Childbirth</i>, 21(1), 850. http://hdl.handle.net/11427/35553en_ZA
dc.identifier.chicagocitationKpodotsi, Aseye, Elizabeth A. Baku, Jo H. Adams, and Olufunke Alaba "Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis." <i>BMC Pregnancy and Childbirth</i> 21, 1. (2021): 850. http://hdl.handle.net/11427/35553en_ZA
dc.identifier.citationKpodotsi, A., Baku, Elizabeth A., Adams, Jo H. & Alaba, O. 2021. Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis. <i>BMC Pregnancy and Childbirth.</i> 21(1):850. http://hdl.handle.net/11427/35553en_ZA
dc.identifier.ris TY - Journal Article AU - Kpodotsi, Aseye AU - Baku, Elizabeth A. AU - Adams, Jo H. AU - Alaba, Olufunke AB - Background Equitable access to skilled birth attendance during delivery is vital for reducing global maternal deaths to 70 deaths per 100, 000 to achieve the Sustainable Development Goals (SDGs) by 2030. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequalities in access to skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assesses the socioeconomic inequalities in access and use of skilled birth attendants during delivery in Ghana. Methods Research was conducted through literature reviews and document reviews, and a secondary data analysis of the 2014 Ghana Demographic and Health Survey (GDHS), a nationally representative survey. A total of 1305 women aged 15–49 years, who had a live birth the year before to the survey in the presence of a skilled birth attendant were analysed using concentration indices and curves. The indices were further decomposed to identify the major socioeconomic factors contributing most to the inequalities. Results The results found that access to skilled birth attendants was more among women from rich households showing a pro-rich utilization. The decomposition analysis revealed that household wealth index, educational level of both mother and husband/partner, area of residence and mother’s health insurance coverage were the major contributing factors to socioeconomic inequalities in accessing skilled birth attendants during child delivery among Ghanaian women. Conclusion This study confirms that a mother’s socioeconomic status is vital to reducing maternal deaths. Therefore, it is worthy to focus attention on policy interventions to reduce the observed inequalities as revealed in the study. DA - 2021-12-31 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Pregnancy and Childbirth KW - Inequity KW - Socioeconomic inequality KW - Skilled birth attendants KW - Maternal health care utilization KW - Childbirth KW - Child delivery KW - Ghana LK - https://open.uct.ac.za PY - 2021 T1 - Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis TI - Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis UR - http://hdl.handle.net/11427/35553 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12884-021-04290-7
dc.identifier.urihttp://hdl.handle.net/11427/35553
dc.identifier.vancouvercitationKpodotsi A, Baku Elizabeth A, Adams Jo H, Alaba O. Socioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysis. BMC Pregnancy and Childbirth. 2021;21(1):850. http://hdl.handle.net/11427/35553.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDepartment of Public Health and Family Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Pregnancy and Childbirthen_US
dc.source.journalissue1en_US
dc.source.journalvolume21en_US
dc.source.pagination850en_US
dc.source.urihttps://bmcpregnancychildbirth.biomedcentral.com/
dc.subjectInequityen_US
dc.subjectSocioeconomic inequalityen_US
dc.subjectSkilled birth attendantsen_US
dc.subjectMaternal health care utilizationen_US
dc.subjectChildbirthen_US
dc.subjectChild deliveryen_US
dc.subjectGhanaen_US
dc.titleSocioeconomic inequalities in access and use of skilled birth attendants during childbirth in Ghana: a decomposition analysisen_US
dc.typeJournal Articleen_US
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