Spatial inequalities in skilled attendance at birth in Ghana: a multilevel analysis integrating health facility databases with household survey data.

ABSTRACT:

Objective

This study aimed at using survey data to predict skilled attendance at birth (SBA) across Ghana from healthcare quality and health facility accessibility.

Methods

Through a cross-sectional, observational study, we used a random intercept mixed effects multilevel logistic modelling approach to estimate the odds of having SBA and then applied model estimates to spatial layers to assess the probability of SBA at high-spatial resolution across Ghana. We combined data from the Demographic and Health Survey (DHS), routine birth registers, a service provision assessment of emergency obstetric care services, gridded population estimates and modelled travel time to health facilities.

Results

Within an hour's travel, 97.1% of women sampled in the DHS could access any

SUBMITTER: Dotse-Gborgbortsi W 

PROVIDER: S-EPMC7613541 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature