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Quality of Antenatal Care Services in the Birim North District of Ghana: Contribution of the Community-Based Health Planning and Services Program

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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.

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Acknowledgments

We thank all the participants of this study. We also thank Ms. Juliana Sackey, the Birim North District Director of Health Services, Ms. Patience Bekoe, the Birim North District Public Health Nurse, Ms. Irene Nyanuba, the Birim North District Nutrition Technical Officer, and the research assistants.

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Authors and Affiliations

  1. 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

    Sharon Naariyong, Krishna C. Poudel, Mosuir Rahman, Junko Yasuoka, Keiko Otsuka & Masamine Jimba

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  1. Sharon Naariyong
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  2. Krishna C. Poudel
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  3. Mosuir Rahman
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  4. Junko Yasuoka
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Correspondence to Krishna C. Poudel.

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Naariyong, S., Poudel, K.C., Rahman, M. et al. Quality of Antenatal Care Services in the Birim North District of Ghana: Contribution of the Community-Based Health Planning and Services Program. Matern Child Health J 16, 1709–1717 (2012). https://doi.org/10.1007/s10995-011-0880-z

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