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  1. (-FY2017) Aid Strategies
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Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors

http://hdl.handle.net/10685/00000929
http://hdl.handle.net/10685/00000929
553ed43e-1481-4ee9-9953-f4352b24e89d
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Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-06-14
タイトル
タイトル Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors
タイトル
タイトル Continuum of Care in a Maternal, Newborn and Child Health Program in Ghana: Low Completion Rate and Multiple Obstacle Factors
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Yeji, Francis

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en Yeji, Francis

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内容記述タイプ Abstract
内容記述 Background
Slow progress has been made in achieving the Millennium Development Goals 4 and 5 in
Ghana. Ensuring continuum of care (at least four antenatal visits; skilled birth attendance;
postnatal care within 48 hours, at two weeks, and six weeks) for mother and newborn is crucial
in helping Ghana achieve these goals and beyond. This study examined the levels and
factors associated with continuum of care (CoC) completion among Ghanaian women aged
15–49.
Methods
A retrospective cross-sectional survey was conducted among women who experienced live
births between January 2011 and April 2013 in three regions of Ghana. In a two-stage random
sampling method, 1,500 women with infants were selected and interviewed about
maternal and newborn service usage in line with CoC. Multiple logistic regression models
were used to assess factors associated with CoC completion.
Results
Only 8.0% had CoC completion; the greatest gap and contributor to the low CoC was
detected between delivery and postnatal care within 48 hours postpartum. About 95% of women had a minimum of four antenatal visits and postnatal care at six weeks postpartum.
A total of 75% had skilled assisted delivery and 25% received postnatal care within 48
hours. Factors associated with CoC completion at 95% CI were geographical location
(OR = 0.35, CI 0.13–0.39), marital status (OR = 0.45; CI 0.22–0.95), education (OR = 2.71;
CI 1.11–6.57), transportation (OR = 1.97; CI 1.07–3.62), and beliefs about childhood illnesses
(OR = 0.34; CI0.21–0.61).
Conclusion
The continuum of care completion rate is low in the study site. Efforts should focus on
increasing postnatal care within 48 hours and overcoming the known obstacles to increasing
the continuum of care completion rate.
Introduction
書誌情報 PLOS ONE
en : PLOS ONE

p. 1-23, 発行日 2015-12-09
出版者
出版者 PLOS
DOI
識別子タイプ DOI
関連識別子 10.1371/journal.pone.0142849
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