Author: Appiah-Kubi, Kojo

Source: Policy & Politics, Volume 32, Number 3, 1 July 2004 , pp. 387-407(21)

Publisher: Policy Press

Abstract:

Despite more than a decade of the Safe Motherhood Initiative in Ghana, access and utilisation levels of modern healthcare services by expecting mothers remain very low, even though considerable progress has been made over time. Using Andersen's behavioural model (1968, 1995) as the conceptual framework, the study examines, with data from Ghana DHS (GSS and MI, 1999), user-related social, economic and demographic factors that influence access and utilisation of safe motherhood services. The bivariate and multivariate analyses reveal that education of mother and spouse, regional location of residence and socioeconomic status exert the strongest impact and are significant in predicting the use of safe motherhood services and thus differentials in health among expecting mothers. The implications of these results for improved maternal healthcare are discussed.

Spanish
A pesar de que ya ha pasado más de una década desde la iniciativa en Ghana de la protección de la maternidad, el acceso y los niveles de uso por las futuras madres de los modernos servicios de la asistencia sanitaria permanecen muy bajos, a pesar del considerable progreso que se ha hecho con el tiempo. Utilizando el modelo de comportamiento de Andersen (1968, 1995) como el marco conceptual, el estudio examina, con fecha de Ghana DHS (GSS/MI, 1999), factores sociales, económicos y demográficos relacionados con el usuario que influyen en el acceso y uso de los servicios de la protección de la maternidad. Los análisis bivariable y multivariable (estadístico) revelan que la educación de la madre y esposa, el lugar regional de residencia y el estado socioeconómico ejercen el mayor impacto y son significativos para predecir el uso de los servicios de la protección de la maternidad y por lo tanto diferenciales en la salud entre las futuras madres. Se discuten las implicaciones de estos resultados para el mejoramiento de la asistencia sanitaria de la maternidad.

French
Bien que l'initiative Maternité sans danger existe depuis plus de dix ans au Ghana, le niveau d'accès et d'utilisation des services de santé modernes par les femmes enceintes demeure très bas, malgré les progrès considérables accomplis au fil des années. En partant du modèle de comportement de Andersen (1968, 1995) comme cadre conceptuel, l'étude examine, avec les données du Ghana DHS (GSS et MI, 1999), les facteurs sociaux, économiques et démographiques pertinents aux utilisateurs qui influencent l'accès et l'utilisation des services Maternité sans danger. Les analyses bivariées et multivariées révèlent que l'éducation de la mère et de la femme, le site régional de la résidence et le statut socioéconomique exercent une influence très forte et ont une importance non négligeable dans la prédiction de l'utilisation des services de Maternité sans danger et donc de différentiels dans la santé chez les femmes enceintes. L'article examine les implications de ces résultats pour l'amélioration des soins maternels.

Keywords: GHANA; SAFE MOTHERHOOD SERVICE; ACCESS AND UTILISATION OF HEALTH SERVICES; PRENATAL CARE; IMMUNISATION; ASSISTED DELIVERY

Document Type: Research article

DOI: http://dx.doi.org/10.1332/0305573041223744

Publication date: 2004-07-01

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