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Determinants of Antenatal Care Use in Ghana

Author

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  • G.B. Overbosch
  • N.N.N. Nsowah-Nuamah
  • G.J.M. van den Boom
  • L. Damnyag

Abstract

The paper investigates the determinants of antenatal care use in Ghana. In particular, we study how economic factors affect the demand for antenatal care and the probability that the number of visits falls below the recommended number of four. Estimation results from a nested three-level multinomial logit model (care or no care; doctor or nurse or midwife; sufficient or insufficient visits) show that indeed living standard, cost of consultation and in particular travel distance to the provider have a significant impact on the demand and sufficiency of antenatal care. In addition, pregnant women with more schooling have a higher propensity to seek sufficient antenatal care from all providers, while women of higher parity tend to use less antenatal care from less expensive providers. These results suggest that adequate antenatal care use in Ghana can be promoted effectively by extending the supply of antenatal care services in the rural area, by general education policies and by specific policies that increase reproductive health knowledge. Furthermore, contrary to findings elsewhere, our estimates provide little support for a special targeting of antenatal care according to religious background. Copyright 2004, Oxford University Press.

Suggested Citation

  • G.B. Overbosch & N.N.N. Nsowah-Nuamah & G.J.M. van den Boom & L. Damnyag, 2004. "Determinants of Antenatal Care Use in Ghana," Journal of African Economies, Centre for the Study of African Economies, vol. 13(2), pages 277-301, June.
    • Handle: RePEc:oup:jafrec:v:13:y:2004:i:2:p:277-301
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    Cited by:

    1. Machio Phyllis Mumia, 2017. "Determinants of Neonatal and Under-five Mortality in Kenya: Do Antenatal and Skilled Delivery Care Services Matter?," Working Papers 340, African Economic Research Consortium, Research Department.
    2. Patience Aseweh Abor & Gordon Abekah‐Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio‐economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 38(7), pages 628-648, June.
    3. Fredrick Manang & Chikako Yamauchi, 2015. "The impact of access to health facilities on maternal care use and health status: Evidence from longitudinal data from rural Uganda," GRIPS Discussion Papers 15-19, National Graduate Institute for Policy Studies.

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