Abstract
To compare the quality of antenatal care (ANC) between Community-based Health Planning and Services (CHPS) and non-CHPS areas
in the Birim North District of Ghana. A cross-sectional study was conducted in May, 2010. We collected data from 600 women
(300 from CHPS areas and 300 from non-CHPS areas) recruited from six CHPS and six non-CHPS areas, using a structured questionnaire.
Participants were aged 15–49 years, had at least one child within 18 months old, and resided in the district for at least
2 years before data collection. Outcomes included: (1) index of ANC utilization (dichotomized as full and partial), (2) receipt
of anti-malarial drugs, (3) testing for HIV infection, and (4) index of knowledge about pregnancy danger signs (expressed
in tertiles). Descriptive statistics and multivariate logistic regression methods were employed in the analysis. Multivariate
analysis revealed that participants in the CHPS areas were 2.7 times (95% CI: 1.66–4.35) more likely to have full utilization
score, 4.5 times (95% CI: 2.37–8.51) more likely to receive HIV testing, and 3.7 times (95% CI: 1.72–7.94) more likely to
receive anti-malarial prophylaxis during the ANC period. However, scoring high on the index of knowledge was not significantly
associated with the CHPS exposure (OR: 1.2; 95% CI: 0.69–2.00). The CHPS intervention might be useful to improve the quality
of ANC. Therefore, increasing the CHPS intervention coverage in non-CHPS areas might serve as a basis for improving the quality
of ANC in the Birim North and other rural districts of Ghana.
in the Birim North District of Ghana. A cross-sectional study was conducted in May, 2010. We collected data from 600 women
(300 from CHPS areas and 300 from non-CHPS areas) recruited from six CHPS and six non-CHPS areas, using a structured questionnaire.
Participants were aged 15–49 years, had at least one child within 18 months old, and resided in the district for at least
2 years before data collection. Outcomes included: (1) index of ANC utilization (dichotomized as full and partial), (2) receipt
of anti-malarial drugs, (3) testing for HIV infection, and (4) index of knowledge about pregnancy danger signs (expressed
in tertiles). Descriptive statistics and multivariate logistic regression methods were employed in the analysis. Multivariate
analysis revealed that participants in the CHPS areas were 2.7 times (95% CI: 1.66–4.35) more likely to have full utilization
score, 4.5 times (95% CI: 2.37–8.51) more likely to receive HIV testing, and 3.7 times (95% CI: 1.72–7.94) more likely to
receive anti-malarial prophylaxis during the ANC period. However, scoring high on the index of knowledge was not significantly
associated with the CHPS exposure (OR: 1.2; 95% CI: 0.69–2.00). The CHPS intervention might be useful to improve the quality
of ANC. Therefore, increasing the CHPS intervention coverage in non-CHPS areas might serve as a basis for improving the quality
of ANC in the Birim North and other rural districts of Ghana.
- Content Type Journal Article
- Pages 1-9
- DOI 10.1007/s10995-011-0880-z
- Authors
- Sharon Naariyong, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Krishna C. Poudel, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Mosuir Rahman, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Junko Yasuoka, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Keiko Otsuka, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Masamine Jimba, Department of Community and Global Health, School of International Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-0033 Japan
- Journal Maternal and Child Health Journal
- Online ISSN 1573-6628
- Print ISSN 1092-7875