IDEAS home Printed from https://ideas.repec.org/a/eme/ijsepp/v38y2011i7p628-648.html
   My bibliography  Save this article

The socio‐economic determinants of maternal health care utilization in Ghana

Author

Listed:
  • Patience Aseweh Abor
  • Gordon Abekah‐Nkrumah
  • Kojo Sakyi
  • Charles K.D. Adjasi
  • Joshua Abor

Abstract

Purpose - The study aims to examine the socio‐economic determinants of maternal health services utilization in Ghana. Design/methodology/approach - Probit and ordered probit models are employed in this study. Findings - The results generally indicate that most women in Ghana undertake the required visits for antenatal services and also take both doses of the tetanus toxoid vaccine as required by World Health Organization. However, the results show low levels of usage in terms of the other maternal health care services (i.e. prenatal care, delivery at a health facility, and postnatal care). There is clearly an urgent need to develop innovative strategies that will help upscale intervention especially for improvement in the use of these services by women in Ghana. The regression results reveal that utilization of maternal health services and intensity of use of antenatal services are influenced by age of mother, type of birth, education of mother, ethnicity, economic status, geographic location, residence, and religious affiliation. Obviously, this suggests that more than medical factors are responsible for the differences in the use of maternal health services by women in Ghana as well as the decision on the number of visits to undertake with respect to antenatal visits. Originality/value - The findings of this study have important implications for health policy formulation targeted at improving maternal health care service utilization.

Suggested Citation

  • 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.
  • Handle: RePEc:eme:ijsepp:v:38:y:2011:i:7:p:628-648
    DOI: 10.1108/03068291111139258
    as

    Download full text from publisher

    File URL: https://www.emerald.com/insight/content/doi/10.1108/03068291111139258/full/html?utm_source=repec&utm_medium=feed&utm_campaign=repec
    Download Restriction: Access to full text is restricted to subscribers

    File URL: https://www.emerald.com/insight/content/doi/10.1108/03068291111139258/full/pdf?utm_source=repec&utm_medium=feed&utm_campaign=repec
    Download Restriction: Access to full text is restricted to subscribers

    File URL: https://libkey.io/10.1108/03068291111139258?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Wong, Emelita L. & Popkin, Barry M. & Guilkey, David K. & Akin, John S., 1987. "Accessibility, quality of care and prenatal care use in the Philippines," Social Science & Medicine, Elsevier, vol. 24(11), pages 927-944, January.
    2. Rahaman, M.M. & Aziz, K.M. & Munshi, M.H. & Patwari, Y. & Rahman, M., 1982. "A diarrhea clinic in rural Bangladesh: influence of distance, age, and sex on attendance and diarrheal mortality," American Journal of Public Health, American Public Health Association, vol. 72(10), pages 1124-1128.
    3. 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.
    4. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
    5. Fosu, Gabriel B., 1994. "Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data," Social Science & Medicine, Elsevier, vol. 38(9), pages 1209-1220, May.
    6. Raghupathy, Shobana, 1996. "Education and the use of maternal health care in Thailand," Social Science & Medicine, Elsevier, vol. 43(4), pages 459-471, August.
    7. Gage, Anastasia J., 2007. "Barriers to the utilization of maternal health care in rural Mali," Social Science & Medicine, Elsevier, vol. 65(8), pages 1666-1682, October.
    8. Navaneetham, K. & Dharmalingam, A., 2002. "Utilization of maternal health care services in Southern India," Social Science & Medicine, Elsevier, vol. 55(10), pages 1849-1869, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. David Kofi Ampah & Francis Kwaw Andoh & Ferdinand Ahiakpor, 2024. "Maternal employment and household healthcare utilisation: the role of ICT," SN Business & Economics, Springer, vol. 4(10), pages 1-27, October.
    2. Jin-Won Noh & Young-mi Kim & Lena J Lee & Nabeel Akram & Farhana Shahid & Young Dae Kwon & Jelle Stekelenburg, 2019. "Factors associated with the use of antenatal care in Sindh province, Pakistan: A population-based study," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-11, April.
    3. Onuekwusi, G. C. & Odoemelam, L. E., 2019. "Determinants of Maternal Health Care Services Utilisation Among Rural Women in Abia State," Nigerian Journal of Rural Sociology, Rural Sociological Association of Nigeria, vol. 19(2), June.
    4. Sheabo Dessalegn, S., 2017. "Social capital and maternal health care use in rural Ethiopia," Other publications TiSEM bb0ec225-4ec3-4028-90d6-1, Tilburg University, School of Economics and Management.
    5. John Kuumuori Ganle & Raymond Fitzpatrick & Easmon Otupiri & Michael Parker, 2016. "Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(4), pages 235-253, October.
    6. Ganle, John Kuumuori & Dery, Isaac & Manu, Abubakar A. & Obeng, Bernard, 2016. "‘If I go with him, I can't talk with other women’: Understanding women's resistance to, and acceptance of, men's involvement in maternal and child healthcare in northern Ghana," Social Science & Medicine, Elsevier, vol. 166(C), pages 195-204.
    7. Bove, Riley M. & Vala-Haynes, Emily & Valeggia, Claudia R., 2012. "Women's health in urban Mali: Social predictors and health itineraries," Social Science & Medicine, Elsevier, vol. 75(8), pages 1392-1399.
    8. Monica Lambon-Quayefio & Nkechi Owoo, 2014. "Examining the Influence of Antenatal Care Visits and Skilled Delivery on Neonatal Deaths in Ghana," Applied Health Economics and Health Policy, Springer, vol. 12(5), pages 511-522, October.
    9. Nkechi Owoo & Monica Lambon-Quayefio, 2013. "National health insurance, social influence and antenatal care use in Ghana," Health Economics Review, Springer, vol. 3(1), pages 1-12, December.
    10. Bansal, Prateek & Daziano, Ricardo A. & Sunder, Naveen, 2019. "Arriving at a decision: A semi-parametric approach to institutional birth choice in India," Journal of choice modelling, Elsevier, vol. 31(C), pages 86-103.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Barman, Bikash & Saha, Jay & Chouhan, Pradip, 2020. "Impact of education on the utilization of maternal health care services: An investigation from National Family Health Survey (2015–16) in India," Children and Youth Services Review, Elsevier, vol. 108(C).
    2. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.
    3. Mandal, Biswajit, 2015. "Demand for Maternal health inputs in West Bengal-Inference from NFHS 3," MPRA Paper 68224, University Library of Munich, Germany.
    4. Habtom, GebreMichael Kibreab & Ruys, Pieter, 2007. "The choice of a health care provider in Eritrea," Health Policy, Elsevier, vol. 80(1), pages 202-217, January.
    5. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    6. Roy, Ramananda & Bhattacharyya, Bhaskar & Mandal, Biswajit, 2022. "Demand for Maternal Health Care in The Eastern States of India: Evidence From A National Health Survey," MPRA Paper 116649, University Library of Munich, Germany.
    7. Adjiwanou, Vissého & Bougma, Moussa & LeGrand, Thomas, 2018. "The effect of partners' education on women's reproductive and maternal health in developing countries," Social Science & Medicine, Elsevier, vol. 197(C), pages 104-115.
    8. Güneş, Pınar Mine, 2015. "The role of maternal education in child health: Evidence from a compulsory schooling law," Economics of Education Review, Elsevier, vol. 47(C), pages 1-16.
    9. Nkechi Owoo & Monica Lambon-Quayefio, 2013. "National health insurance, social influence and antenatal care use in Ghana," Health Economics Review, Springer, vol. 3(1), pages 1-12, December.
    10. Bansal, Prateek & Daziano, Ricardo A. & Sunder, Naveen, 2019. "Arriving at a decision: A semi-parametric approach to institutional birth choice in India," Journal of choice modelling, Elsevier, vol. 31(C), pages 86-103.
    11. Eric Arthur, 2012. "Wealth and antenatal care use: implications for maternal health care utilisation in Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    12. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Li-Mei, 2003. "National Health Insurance and the antenatal care use: a case in Taiwan," Health Policy, Elsevier, vol. 64(1), pages 99-112, April.
    13. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    14. Navaneetham K, 2007. "Utilization Of Maternal Health Care In South India," Working Papers id:940, eSocialSciences.
    15. Sharmistha Self & Richard Grabowski, 2018. "Factors influencing maternal health care in Nepal: the role of socioeconomic interaction," Asia-Pacific Sustainable Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 25(2), pages 53-75, December.
    16. Sheabo Dessalegn, S., 2017. "Social capital and maternal health care use in rural Ethiopia," Other publications TiSEM bb0ec225-4ec3-4028-90d6-1, Tilburg University, School of Economics and Management.
    17. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.
    18. Jeffrey E. Harris & Sandra G. Sosa-Rubi, 2009. "Impact of "Seguro Popular" on Prenatal Visits in Mexico, 2002-2005: Latent Class Model of Count Data with a Discrete Endogenous Variable," NBER Working Papers 14995, National Bureau of Economic Research, Inc.
    19. Ying Liang & Minglei Guo, 2015. "Utilization of Health Services and Health-Related Quality of Life Research of Rural-to-Urban Migrants in China: A Cross-Sectional Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(1), pages 277-295, January.
    20. Esso–Hanam Atake, 2021. "Socio‐economic inequality in maternal health care utilization in Sub‐Saharan Africa: Evidence from Togo," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 288-301, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eme:ijsepp:v:38:y:2011:i:7:p:628-648. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Emerald Support (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.