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Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana

A Thesis Submitted to the Department Of Community Health, School Of Medical Sciences, College Of Health Sciences, Kwame Nkrumah University of Science and Technology in Partial Fulfillment of Requirements for Masters of Public Health (MPH) Degree in Health Education and Promotion,

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Main Author: Nyaki, Dorice Fabian
Format: Thesis
Language:English
Published: 2015
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access_status_str Open Access
author Nyaki, Dorice Fabian
author_browse Nyaki, Dorice Fabian
author_facet Nyaki, Dorice Fabian
author_sort Nyaki, Dorice Fabian
collection Thesis
description A Thesis Submitted to the Department Of Community Health, School Of Medical Sciences, College Of Health Sciences, Kwame Nkrumah University of Science and Technology in Partial Fulfillment of Requirements for Masters of Public Health (MPH) Degree in Health Education and Promotion,
format Thesis
id oai:ir.knust.edu.gh:123456789/6782
institution KNUST (Ghana)
language English
last_indexed 2026-06-10T12:31:23.640Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
publishDate 2015
publishDateRange 2015
publishDateSort 2015
record_format dspace
source_str KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
spelling oai:ir.knust.edu.gh:123456789/6782 Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana Nyaki, Dorice Fabian Equity Health Maternal health care Social determinants of health A Thesis Submitted to the Department Of Community Health, School Of Medical Sciences, College Of Health Sciences, Kwame Nkrumah University of Science and Technology in Partial Fulfillment of Requirements for Masters of Public Health (MPH) Degree in Health Education and Promotion, Ghana is one of the countries that adopted the 2011 Rio Political Declaration, in which the Member States expressed their determination to achieve social and health equity through action on social determinants of health. The aim of this study was to examine inequity in utilization of maternal health care services in Kumasi Metropolis, Ghana. This was a descriptive cross sectional study which used questionnaires as a data collection technique and tool. A multistage sampling was used to sample women who had given birth within a year prior to the study. The inequity in utilization of maternal health care services was assessed with respect to socio demographic, facility-related and socio cultural factors. Univariate and multivariate logistic regression analyses were carried out to elicit the impact of each factor towards inequity in the utilization of maternal health care services. A significant difference was observed among the high socio economic group which in this study were determined by being educated and employed and the low socio economic group, which in this study were determined by being uneducated and unemployed with respect to distance to the health facility (aOR= 1.81, 95% CI = 1.09-3.00) and affordability of the services (aOR = 0.35, 95% CI = 0.18-0.67). Parity, marital status and attitude of medical personnels were also seen to significantly influence utilization of maternal health care services. Age, attendance to the health facility, place of delivery, seeking permission and setting were not significantly (P > 0.05) determining inequity in the utilization of maternal health care services. The study showed evidence of the inequity in the utilization of maternal health care services in Kumasi metropolis. A more rigorous system in which concrete actions are taken to address the maternal health inequities and reduce maternal mortality is recommended. KNUST 2015-02-09T14:04:42Z 2023-04-20T07:02:10Z 2015-02-09T14:04:42Z 2023-04-20T07:02:10Z 2015-02-09 Thesis https://ir.knust.edu.gh/handle/123456789/6782 en application/pdf
spellingShingle Equity
Health
Maternal health care
Social determinants of health
Nyaki, Dorice Fabian
Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title_full Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title_fullStr Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title_full_unstemmed Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title_short Equity in Utilization of Maternal Health Care Services in the Kumasi Metropolis, Ghana
title_sort equity in utilization of maternal health care services in the kumasi metropolis ghana
topic Equity
Health
Maternal health care
Social determinants of health
url https://ir.knust.edu.gh/handle/123456789/6782
work_keys_str_mv AT nyakidoricefabian equityinutilizationofmaternalhealthcareservicesinthekumasimetropolisghana