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Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model
Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, in...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2019
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| _version_ | 1867613229898792960 |
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| access_status_str | Open Access |
| author | Kpodotsi, Aseye |
| author2 | Alaba, Olufunke |
| author_browse | Alaba, Olufunke Kpodotsi, Aseye |
| author_facet | Alaba, Olufunke Kpodotsi, Aseye |
| author_sort | Kpodotsi, Aseye |
| collection | Thesis |
| description | Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities and the underlying factors related to the inequalities in the use of skilled birth attendants during delivery in Ghana. This study analysed data from the 2014 Ghana Demographic and Health Survey (GDHS) using a decomposable health concentration index. Concentration index (CI) and concentration curves were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors causing the inequalities. Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that, wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women. This study suggests that factors such as wealth, area of residence and education are worthy of increased attention in programmatic efforts, and policy interventions, because they are amenable to the reduction of observed inequality. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/29388 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:50.328Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/29388 Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model Kpodotsi, Aseye Alaba, Olufunke Hunter, Jo Adam Public Health Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities and the underlying factors related to the inequalities in the use of skilled birth attendants during delivery in Ghana. This study analysed data from the 2014 Ghana Demographic and Health Survey (GDHS) using a decomposable health concentration index. Concentration index (CI) and concentration curves were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors causing the inequalities. Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that, wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women. This study suggests that factors such as wealth, area of residence and education are worthy of increased attention in programmatic efforts, and policy interventions, because they are amenable to the reduction of observed inequality. 2019-02-06T13:14:51Z 2019-02-06T13:14:51Z 2018 2019-02-06T07:39:29Z Master Thesis Masters MPH http://hdl.handle.net/11427/29388 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Kpodotsi, Aseye Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| thesis_degree_str | Master's |
| title | Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| title_full | Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| title_fullStr | Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| title_full_unstemmed | Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| title_short | Socioeconomic inequalities in the use of skilled birth delivery during childbirth in Ghana: a decomposition model |
| title_sort | socioeconomic inequalities in the use of skilled birth delivery during childbirth in ghana a decomposition model |
| topic | Public Health |
| url | http://hdl.handle.net/11427/29388 |
| work_keys_str_mv | AT kpodotsiaseye socioeconomicinequalitiesintheuseofskilledbirthdeliveryduringchildbirthinghanaadecompositionmodel |