Dataset Information

Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.

ABSTRACT:

Objectives

To investigate how the quality of maternal health services and travel times to health facilities affect birthing service utilisation in Eastern Region, Ghana.

Design

The study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data.

Setting

131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana.

Participants

Women who gave birth in health facilities in the Eastern Region, Ghana in 2017.

Outcome measures

The count of women giving birth, the quality of birthing care services and the geographic coverage of birthing care services.

Results

As travel time from women's place of residence to the health facility increased up to two2 hours, the utilisation rate markedly decreased. Higher quality of maternal health services haves a larger, positive effect on utilisation rates than service proximity. The quality of maternal health services was higher in hospitals than in primary care facilities. Most women (88.6%) travelling via mechanised transport were within two2 hours of any birthing service. The majority (56.2%) of women were beyond the two2 -hour threshold of critical comprehensive emergency obstetric and newborn care (CEmONC) services. Few CEmONC services were in urban centres, disadvantaging rural populations.

Conclusions

To increase birthing service utilisation in Ghana, higher quality health facilities should be located closer to women, particularly in rural areas. Beyond Ghana, routinely collected birth records could be used to understand the interaction of service proximity and quality.

SUBMITTER: Dotse-Gborgbortsi W

PROVIDER: S-EPMC9853258 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.

Dotse-Gborgbortsi Winfred W Tatem Andrew J AJ Matthews Zoe Z Alegana Victor A VA Ofosu Anthony A Wright Jim A JA

BMJ open 20230118 1

<h4>Objectives</h4>To investigate how the quality of maternal health services and travel times to health facilities affect birthing service utilisation in Eastern Region, Ghana.<h4>Design</h4>The study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data.<h4>Setting</h4>131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana.<h ...[more]

PMID: 36657766

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Dataset Information

Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.

Objectives

Design

Setting

Participants

Outcome measures

Results

Conclusions

Publications

Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data.

Similar Datasets

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