ORCID Profile
0000-0002-8668-4671
Current Organisations
Ghana Health Service
,
University of Cape Coast
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Publisher: Public Library of Science (PLoS)
Date: 15-09-2021
DOI: 10.1371/JOURNAL.PONE.0257401
Abstract: In spite of the countless initiatives of the Ghana government to improve the quality of maternal healthcare, Upper West Region still records poor childbirth outcomes. This study, therefore, explored women’s perception of the quality of maternal healthcare they receive in the Wa Municipality of the Upper West Region of Ghana. This is a qualitative cross-sectional study of 62 women who accessed maternal healthcare in the Wa Municipality of Ghana. We analysed the transcripts using the analytic inductive technique. An inter-coding technique (testing for inter-coding agreement) was employed. The iterative coding process resulted in a coding scheme with four main themes. We used peer-debriefing technique in ensuring credibility and trustworthiness. Logistics and equipment referral service empathic service delivery inadequacy of care providers affordability of service satisfaction with services received as well as experience and service delivery were the parameters used by the women in assessing quality maternity care. A number of gaps were reported in the healthcare system including limited healthcare providers, limited beds and inefficient referral system. Conversely, some of them reported that some healthcare providers offered empathetic healthcare. Contrary views were expressed with respect to satisfaction with maternity care. Government and all stakeholders seeking to enhance quality of maternal health and accelerate the attainment of the third Sustainable Development Goal need to reconsider the financing of service delivery at health institutions. Indeed, our findings have illustrated that routine workshops on empathetic healthcare are required in efforts to increase the rate of facility-based childbirth, and thereby subside maternal mortality and all adverse pregnancy outcomes.
Publisher: Springer Science and Business Media LLC
Date: 12-03-2021
DOI: 10.1186/S12884-021-03651-6
Abstract: Increasing the use of healthcare is a significant step in improving health outcomes in both the short and long term. However, the degree of the relationship between utilization of health services and health outcomes is affected by the quality of the services rendered, the timeliness of treatment and follow-up care. In this study, we investigated whether the National Health Insurance Scheme (NHIS) is helping pregnant women in accessing health services in Ghana. Data for the study were obtained from the women’s file of the 2014 Ghana Demographic and Health Survey. All women with birth history and aged 15–49 constituted our s le ( n = 4271). We employed binary logistic regression analysis in investigating whether the NHIS was helping pregnant women in accessing health service. Statistical significance was set at .05. Most women had subscribed to the NHIS [67.0%]. Of the subscribed women, 78.2% indicated that the NHIS is helping pregnant women in accessing healthcare. Women who had subscribed to the NHIS were more likely to report that it is helping pregnant women in accessing health service [aOR = 1.70, CI = 1.38–2.10]. We further noted that women who had at least four antenatal visits were more likely to indicate that NHIS is helping pregnant women in accessing health services [aOR = 3.01, CI = 2.20–4.14]. Women with secondary level of education [aOR= 1.42 CI: 1.04–1.92] and those in the richest wealth quintile [aOR = 3.51 CI = 1.94–6.34] had higher odds of indicating that NHIS is helping pregnant women in accessing healthcare. However, women aged 45–49 [aOR = 0.49 CI = 0.26–0.94], women in the Greater Accra [aOR = 0.29 CI = 0.16–0.53], Eastern [aOR = 0.12 CI = 0.07–0.21], Northern [aOR = 0.29 CI = 0.12–0.66] and Upper East [aOR = 0.17 CI = 0.09–0.31] regions had lower odds of reporting that NHIS is helping pregnant women in accessing health services. To enhance positive perception towards the use of health services among pregnant women, non-subscribers need to be encouraged to enrol on the NHIS. Together with non-governmental organizations dedicated to maternal and child health issues, the Ghana Health Service’s Maternal and Child Health Unit could strengthen efforts to educate pregnant women on the importance of NHIS in maternity care.
Publisher: Hindawi Limited
Date: 28-04-2019
DOI: 10.1155/2019/6716938
Abstract: Background . Despite the high antenatal care attendance rate in Ghana, skilled birth attendance is relatively low. There is limited evidence on whether antenatal care attendance translates into skilled birth attendance in the Ghanaian research discourse. This study investigates whether antenatal care attendance translates into skilled birth. Methods . We extracted data from the 2014 Ghana Demographic and Health Survey. Data were analysed using descriptive and binary logistic regression analyses at 5% confidence interval. Results . The descriptive findings indicated a vast variation between antenatal care attendance and skilled birth attendance. Skilled birth attendance was consistently low across almost all sociodemographic characteristics as compared to antenatal care attendance. The binary logistic regression analysis however indicated higher inclination toward skilled birth attendance among women who had at least four antenatal care visits [OR=5.87, CI=4.86-7.08]. The category of women noted to have higher tendencies of skilled birth attendance was those with higher/tertiary education [OR=9.13, CI=2.19-37.93], the rich [OR=4.27, CI=3.02-6.06], urban residents [OR=2.35, CI=1.88-2.93], women with maximum of four children [OR=1.36, CI=1.08-1.72], and those using modern contraceptives [OR=1.24, CI=1.03-1.50]. Conclusion. We recommend that interventions to enhance skilled birth attendance must target women who do not achieve at least four antenatal visits, those with low wealth standing, those not using contraceptives, and women without formal education. Again, an in-depth qualitative study is envisaged to deepen the understanding of these dynamics in the rural setting.
Publisher: SAGE Publications
Date: 16-10-2020
Abstract: Although insights on bride price and domestic violence have been explored in Ghana, very little is known about payment of bride price and the justification of sexual violence. We investigated the payment of bride price and justification of sexual violence among women ( N = 4,222) in Ghana, dwelling on the 2014 Ghana Demographic and Health Survey. Two binary logistic regression models were fitted. We adjusted for significant sociodemographic variables. The findings revealed that women whose partners had paid their bride price had higher odds [ OR = 1.54 CI = 1.174, 2.00] of justifying sexual violence, compared to those whose partners had not paid. We found that women with primary [AOR = 0.55 CI = 0.44–0.71] and secondary/higher [AOR = 0.47 CI = 0.36–0.60] levels of education had lower odds of accepting sexual violence. Women in the rich wealth quintile [AOR = 0.32 CI = 0.22, 0.46] had lower odds of justifying sexual violence. Our study has illustrated the need for women to appreciate that payment of bride price does not imply that their fundamental human rights have been bought by men, but they rather become partners. This information can form part of premarriage counselling and human rights initiatives by the Ministry of Gender and Social Protection. That is, the content of marriage counselling may be expanded to include issues on IPV, its implications, and legal consequences. Such information can develop personal realization and urge women to report any violent advances to the police and appropriate authorities for the required legal action to be taken. This may deter others to desist from violence perpetration against women. At the community level, chiefs and other leaders of high repute can be made anti-IPV ambassadors. The Ministry of Health and other nongovernmental anti-violence organizations can also collaborate to strengthen education on anti-sexual violence programs by using the mass media.
Publisher: Springer Science and Business Media LLC
Date: 22-10-2020
DOI: 10.1186/S12889-020-09660-Y
Abstract: Global commitment to stop Human Immunodeficiency Virus (HIV) and ensure access to HIV treatment calls for women empowerment, as these efforts play major roles in mother-to-child transmission. We examined the association between women’s healthcare decision-making capacity and uptake of HIV testing in sub-Saharan Africa. We used data from the current Demographic and Health Surveys (DHS) of 28 countries in sub-Saharan Africa, conducted between January 1, 2010 and December 31, 2018. At the descriptive level, we calculated the prevalence of HIV testing in each of the countries. This was followed by the distribution of HIV testing across the socio-demographic characteristics of women. Finally, we used binary logistic regression assess the likelihood of HIV testing uptake by women’s health care decision-making capacity and socio-demographic characteristics. The results were presented as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR) with their corresponding 95% confidence intervals signifying precision. Statistical significance was set at p -value 0.05. We found that prevalence of HIV testing uptake in the 28 sub-Saharan African countries was 64.4%, with Congo DR having the least (20.2%) and the highest occurred in Rwanda (97.4%). Women who took healthcare decisions alone [COR = 3.183, CI = 2.880–3.519] or with their partners [COR = 2.577, CI = 2.335–2.844] were more likely to test for HIV, compared to those whose healthcare decisions were taken by others, and this persisted after controlling for significant covariates: [AOR = 1.507, CI = 1.321–1.720] and [AOR = 1.518, CI = 1.334–1.728] respectively. Sub-Saharan African countries intending to improve HIV testing need to incorporate women’s healthcare decision-making capacity strategies. These strategies can include education and counselling. This is essential because our study indicates that the capacity of women to make healthcare decisions has an association with decision to test for their HIV status.
Publisher: Elsevier BV
Date: 08-2020
Publisher: Public Library of Science (PLoS)
Date: 15-01-2020
Publisher: Public Library of Science (PLoS)
Date: 10-10-2019
Publisher: Elsevier BV
Date: 04-2020
No related grants have been discovered for Linus Baatiema.