Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model

dc.contributor.advisorAlaba, Olufunke
dc.contributor.advisorHunter, Jo Adam
dc.contributor.authorKpodotsi, Aseye
dc.date.accessioned2019-02-06T13:14:51Z
dc.date.available2019-02-06T13:14:51Z
dc.date.issued2018
dc.date.updated2019-02-06T07:39:29Z
dc.description.abstractEquitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities and the underlying factors related to the inequalities in the use of skilled birth attendants during delivery in Ghana. This study analysed data from the 2014 Ghana Demographic and Health Survey (GDHS) using a decomposable health concentration index. Concentration index (CI) and concentration curves were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors causing the inequalities. Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that, wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women. This study suggests that factors such as wealth, area of residence and education are worthy of increased attention in programmatic efforts, and policy interventions, because they are amenable to the reduction of observed inequality.
dc.identifier.apacitationKpodotsi, A. (2018). <i>Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/29388en_ZA
dc.identifier.chicagocitationKpodotsi, Aseye. <i>"Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2018. http://hdl.handle.net/11427/29388en_ZA
dc.identifier.citationKpodotsi, A. 2018. Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kpodotsi, Aseye AB - Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities and the underlying factors related to the inequalities in the use of skilled birth attendants during delivery in Ghana. This study analysed data from the 2014 Ghana Demographic and Health Survey (GDHS) using a decomposable health concentration index. Concentration index (CI) and concentration curves were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors causing the inequalities. Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that, wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women. This study suggests that factors such as wealth, area of residence and education are worthy of increased attention in programmatic efforts, and policy interventions, because they are amenable to the reduction of observed inequality. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model TI - Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model UR - http://hdl.handle.net/11427/29388 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/29388
dc.identifier.vancouvercitationKpodotsi A. Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model. []. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/29388en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Health
dc.titleSocioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPH
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