Journal of Epidemiology and Global Health

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Volume 3, Issue 4, December 2013, Pages 279 - 288

Determinants of access to antenatal care and birth outcomes in Kumasi, Ghana

Authors
N. Ntui Asundepa, *, ofuobi14@uab.edu, April P. Carsona, Cornelius Archer Turpinb, Berhanu Tameruc, Ada T. Agidid, Kui Zhange, Pauline E. Jollya
aDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA
bKomfo Anokye Teaching Hospital, Kumasi, Ghana
cCenter for Computational Epidemiology, Bioinformatics and Risk Analysis (CCEBRA), Tuskegee University, Tuskegee, AL 36088, USA
dDepartment of Chemistry, Spelman College, Atlanta, GA 30314, USA
eDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham (UAB), Birmingham, AL 35294, USA
*Corresponding author. Address: Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, RPHB 217, Birmingham, AL 35294, USA. Tel.: +1 205 934 1823; fax: +1 205 975 3329.
Corresponding Author
N. Ntui Asundepofuobi14@uab.edu
Received 8 December 2012, Revised 25 August 2013, Accepted 9 September 2013, Available Online 10 October 2013.
DOI
10.1016/j.jegh.2013.09.004How to use a DOI?
Keywords
Pregnancy outcome; Antenatal care; Barriers; Determinants; Kumasi
Abstract

This study aimed to investigate factors that influence antenatal care utilization and their association with adverse pregnancy outcomes (defined as low birth weight, stillbirth, preterm delivery or small for gestational age) among pregnant women in Kumasi. A quantitative cross-sectional study was conducted of 643 women aged 19–48 years who presented for delivery at selected public hospitals and private traditional birth attendants from July–November 2011. Participants’ information and factors influencing antenatal attendance were collected using a structured questionnaire and antenatal records. Associations between these factors and adverse pregnancy outcomes were assessed using chi-square and logistic regression.

Nineteen percent of the women experienced an adverse pregnancy outcome. For 49% of the women, cost influenced their antenatal attendance. Cost was associated with increased likelihood of a woman experiencing an adverse outcome (adjusted OR = 2.15; 95% CI = 1.16–3.99; p = 0.016). Also, women with >5 births had an increased likelihood of an adverse outcome compared with women with single deliveries (adjusted OR = 3.77; 95% CI = 1.50–9.53; p = 0.005). The prevalence of adverse outcomes was lower than previously reported (44.6 versus 19%). Cost and distance were associated with adverse outcomes after adjusting for confounders. Cost and distance could be minimized through a wider application of the Ghana National Health Insurance Scheme.

Copyright
© 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
3 - 4
Pages
279 - 288
Publication Date
2013/10/10
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2013.09.004How to use a DOI?
Copyright
© 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - N. Ntui Asundep
AU  - April P. Carson
AU  - Cornelius Archer Turpin
AU  - Berhanu Tameru
AU  - Ada T. Agidi
AU  - Kui Zhang
AU  - Pauline E. Jolly
PY  - 2013
DA  - 2013/10/10
TI  - Determinants of access to antenatal care and birth outcomes in Kumasi, Ghana
JO  - Journal of Epidemiology and Global Health
SP  - 279
EP  - 288
VL  - 3
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.09.004
DO  - 10.1016/j.jegh.2013.09.004
ID  - Asundep2013
ER  -