Examining antenatal health literacy in ghana jody r. In the context of global maternal and child health priorities abouzahr 2003, there is a growing need to evaluate whether health insurance has contributed to greater use of maternal health care. Understanding why some policy issues remain and are maintained whiles others drop off the agenda is an. This study assessed male involvement in maternal health care services and associated factors in anomabo in the central region of ghana. The ghanaian government implemented the national health insurance scheme in 2004 and the aim of this study is to evaluate its early effects on maternal and. At the regional level, fanta worked with ghs to establish technical teams to oversee quality and capacity building of district, facility, and community service providers. Ghana national community health worker training manual module 3. The funding for the 2017 gmhs was provided by the government of ghana, the united states agency for international development usaid. Improving maternal, neonatal, and child health in ghana. Understanding why some policy issues remain and are maintained whiles others drop off the agenda. Available data sources data from civil registration vital statistics system crvs.
Ghanas maternal mortality ratio declined from 760 per 100,000 live births. Institutional maternal mortality rate has reduced from 216 per 100,000 live births in 1990 to 164 per 100,000 live births in. Adolescent sexual and reproductive health in ghana. The 2014 ghana demographic and health survey gdhs is the sixth in a series of demographic and health surveys conducted in ghana in 1988, 1993, 1998, 2003, and 2008.
K doku2 1department of anthropology, university college london, 14 taviton st, london, uk, wc1h 0bw 2p o box 060, institute of psychiatry, kings college london, denmark hill, london, se5 8af. Malaria care seeking behavior of individuals in ghana under the. Male involvement in maternal health care at anomabo. In addition, the ministry of health of ghana completed in november 1997 its. In particular, the report addresses the prevailing demographic situation and describes trends in fertility, family planning, and maternal and. Ghana 3 ghana maternal and newborn health disparities in 2015, 884,000 babies were born in ghana, or around 2,400 every day. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. More than one in 10 pregnancyrelated deaths in ghana are the result of unsafe abortions. Ghana is currently working towards achievement of the millennium development goals. Ghana officially the republic of ghana, is a country located along the gulf of guinea and. Nine hundred and fiftyfive 955 maternal deaths were recorded nationwide in the year 2016, dr patrick kumahaboagye, director, family health division, ghana health service, has disclosed. This report highlights important trends in key population, family planning, and health indicators in ghana over the past four to five decades.
Ghana national newborn health strategy and action plan 3 increase the proportion of babies receiving the first postnatal visit within 48 hours from 56% in 2011 to 90%. Medical illnesses in ghana overlap with those in developed countries, but infection, trauma, and womens health. Though maternal health care has improved over the past 20 years, the pace has been slow and extra effort is required for ghana to achieve the mdg 5 target of reducing maternal mortality rate by three quarters by 2015. Status though maternal health care has improved over the past 20 years, the pace has been slow and extra effort is required for ghana to achieve the mdg 5 target of reducing maternal mortality rate by three quarters by 2015. While our results indicate that in ghana health insurance affects frequency of antenatal care, the effect is not statistically significant for the timing of antenatal care. There is no penalty for failing to enroll and individuals are not automatically part of the scheme. Development of health policy is a complex process that does not necessarily follow a particular format and a predictable trajectory. The utilisation rate reported by the ghana health service in 2011 was about 66% which is confirmed by populationbased data of the 2011 multiple indicator cluster survey. Although ghana has reduced the national overall underfive mortality rate in the last decade, this. We shall measure our progress by the improvement in the health of our people. We analysed data from the whsaii n2814, a crosssectional household survey. Other organizations such as the world health organization, unaids, united nations population fund, london school of hygiene and tropical medicine and saving newborn lives also provided data. Ghana national newborn health strategy and action plan 20142018. The government of ghana introduced the national health insurance scheme nhis in 2004 with the goal of achieving.
Evidence suggests most health facilities are faced with management challenges in the delivery of services. Selfreported health, elderly population, wellbeing, ghana. June 2012 volume 46, number 2supplement ghana medical journal 29 mental health research in ghana. May 29, 2018 a free maternal health policy was implemented in ghana in july 2008 under the national health insurance scheme nhis. This study analysed the overall cost of providing health services in selected primary health centres and how much of the cost is attributed to the. The objective of the survey was to provide reliable estimates of fertility levels and preferences, family planning. Ghana maternal health survey 2017 key indicators report.
The objective of the maternal and child health and nutrition improvement project for ghana is to improve utilization of communitybased health and nutrition services by women of reproductive age, especially pregnant women, and children under the age of. The ghana health service has the mandate to collect data from all facilities offering services. The effects of ghanas national health insurance scheme on. Presented at the maiden annual health forum of civil society organizations in health, october 16, 2008, alisa hotel, accra. A similar finding was observed in a regression analysis of timing of antenatal care in ghana dixon et al. This report provides a comprehensive overview of current knowledge on adolescent sexual and reproductive health issues in ghana, with a focus on hiv prevention. Percentage of births attended by skilled health personnel doctors, nurses or midwives.
Gender and access to health services the case of ghana malin hagman abstract with nearly 600 000 women dying every year from complications arising from pregnancy, maternal mortality is a pressing issue. Ghana national newborn health strategy and action plan. As shown in graph 1, there has been a consistent decline in the underfive mortality rate since 1990. Mens involvement in maternal healthcare in accra, ghana.
Solvedhealth issues in ghana health issues in ghana. Nov 18, 2014 improving maternal, neonatal, and child health in ghana. Therefore, agenda setting and selecting of alternatives are critical processes of policy development and can give insights into how and why policies are made. The study was comprised of 185 expectant and lactating mothers, 15 traditional birth attendants and 20 healthcare providers i. The ghana health service confirmed nine additional cases bringing the total to 214. Ghana national reproductive, maternal, neonatal and child health framework. In june 2014, a small team from the csis global health policy center traveled to ghana to examine u. The 2017 gmhs is the second maternal health survey conducted in ghana since 2007. Ghana 2017 maternal health survey key findings sr251. The 2017 ghana maternal health survey 2017 gmhs was implemented by the ghana statistical service gss and the ghana health service ghs from 15 june through 12 october 2017. The 2020 coronavirus pandemic in ghana is an ongoing viral pandemic of coronavirus disease. Investigating the impact of the national health insurance scheme on maternal health indicators negligible.
In 1987 the ghana safe motherhood programme was introduced as a pilot programme and later expanded to cover the whole country. The 2017 ghana maternal health survey 2017 gmhs was the second of its kind following the original conducted in 2007 2007 gmhs. The policy allows all pregnant women to have free registration with the nhis after which they would be entitled to free services throughout pregnancy, childbirth and 3. The effect of the national health insurance scheme nhis on. The survey was planned to collect information on maternal health and mortality in ghana through data collection at the household and individual womans level. Jul 14, 2010 unsafe abortion a major cause of maternal death in ghana lack of awareness of abortion law is a barrier to better health. The implementation of the scheme was accompanied by increased access and use of health care services. This strategy is intended to improve reproductive health through services and activities that are derived from the following six strategic objectives. The national health insurance scheme was implemented in 2004 to improve financial access, especially for the poorest and most vulnerable groups 10,11.
Health workforce requirements for universal health coverage and. The effect of the national health insurance scheme nhis. Nutrition profile background ghana is a mature and stable democracy, ranked in the lowermiddle income status. The role of policy actors and contextual factors in policy. The institutional maternal mortality ratio reported by the ghana health service declined from 230 per 100,000 in 2007 to 170 in 2011. In this case study of the mobile technology for health motech program in ghana, we assess the platforms effectiveness in delivering. Apr 10, 2015 the study was comprised of 185 expectant and lactating mothers, 15 traditional birth attendants and 20 healthcare providers i. Cost of maternal health services in selected primary care.
Maternal mortality in 20002017 world health organization. Despite some gains and a dramatic increase in the number of health facilities, healthcare and particularly maternal healthcare has not improved as much as it should. Addaekorankye management and public administration department central university college, accra, ghana abstract the study examined the challenges of financing health care in ghana. Qatars health system has undergone a momentous journey of transformation in recent. Membership of the nhis is legally mandatory, but in practice membership is voluntary. Health, university of ghana, legon, accra lg, ghana. Ghana on young peoples sexual and reproductive health, including the behaviors that put young people at risk and the factors that protect them. Health issues in ghana current health issues in ghana ghana is currently working towards attainment of the millennium development goals. Ghana is a developing country in west africa with a population of about 25 million. This study uses data from the ghana demographic and health survey gdhs of 1993 to examine factors determining the use of maternalchild health mch services in rural ghana. May 30, 2015 development of health policy is a complex process that does not necessarily follow a particular format and a predictable trajectory. Unsafe abortion a major cause of maternal death in ghana. The rate of infant mortality in ghana was 49 deaths per 1,000 live births in 2012, with an underfive mortality rate of 72 deaths per 1,000 live births.
Random sampling procedures were employed in selecting 100 adult male. The who country health profile of ghana provides key statistics and links to health topical databases, plus news, features and bulletin journal articles on the. Additional information about the 2017 gmhs may be obtained from the ghana statistical service, head office. The 2017 ghana maternal health survey gmhs is designed to provide data for monitoring the maternal health situation in ghana. To describe sexual and reproductive health among women in accra and explore the burden of sexual and reproductive ill health among this urban population. Ghana maternal health survey 2007 ghana statistical service accra, ghana ghana health service accra, ghana macro international inc. This poses a challenge in the economic evaluation of programmes and inhibits policy makers in making decisions about allocation of resources to improve health care. A study on aspects of cultural practices related to childbearing in nakpala. With its wet, tropical climate, mosquitoes are a regular threat in ghana and malaria is the number one killer disease among 900.
The monograph on mortality in ghana is one of the additional eight. For the majority of coverage indicators, unicef global databases were used. Timed and targeted counselling for health and nutrition in pregnancy and the first year of life. In ghana, for instance, the maternal mortality ratio in 2005 was estimated at 560 maternal. Using nationally representative data from the demographic and health surveys dhs, this paper assesses the impact of health insurance on use of antenatal care and facilitybased delivery care in. The policy allows all pregnant women to have free registration with the nhis after which they would be entitled to free services throughout pregnancy, childbirth and 3 months postpartum. Globally, male involvement in maternal health care services remains a challenge to effective maternal health care accessibility and utilization. Abstract the primary objective of the 2014 gdhs was to generate recent reliable information on fertility, family planning, infant and child mortality, maternal and child health. Structure of health care in ghana two governmental bodies oversee health care infrastructure and delivery in ghana the ministry of health moh and ghana health services ghs.
Ghana maternal and child health and nutrition improvement project english abstract. Ghana has a mixed record in terms of health outcomes. Increasing equitable access to health care is a main challenge african policy makers are facing. It also identified various funding mechanisms available to finance health care in ghana. Predictors of selfreported health among the elderly in ghana. The implementation of the free maternal health policy in. Republic of ghana, ministry of health ghana national. National health research agenda ghana health service. Until 1996, the moh oversaw the direct provision of health service delivery in ghana. In particular, the report addresses the prevailing demographic situation and describes trends in fertility, family planning, and maternal and child health, including infant and child mortality.
Unsafe abortion a major cause of maternal death in ghana lack of awareness of abortion law is a barrier to better health. Results from a time use and health study article pdf available in the american journal of tropical medicine and hygiene 874. Male involvement in maternal health care at anomabo, central. Health care delivery in ghana is provided by both the public and private sectors, with the public sector. To achieve the targets for the reduction of child mortality, which forms mdg 4, ghana should reduce underfive deaths per 1,000 live births to 43, and increase measles immunisation to 100 per cent by 2015. To get the targets for the reduction of child mortality, ghana is dropping underfive deaths and increasing measles immunization. There is a paucity of knowledge on the cost of health care services in ghana. A free maternal health policy was implemented in ghana in july 2008 under the national health insurance scheme nhis. From household to delivery room gloria abena ampim master of philosophy in gender and development spring 20 faculty of psychology department of health promotion and development.