Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.

<h4>Background</h4>Globally, about 810 women die every day due to pregnancy and its related complications. Although the death of women during pregnancy or childbirth has declined from 342 deaths to 211 deaths per 100,000 live births between 2000 and 2017, maternal mortality is still high...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vincent Bio Bediako, Ebenezer N K Boateng, Bernard Afriyie Owusu, Kwamena Sekyi Dickson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b8400a1f22934688bced4f4231e00b1a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b8400a1f22934688bced4f4231e00b1a
record_format	dspace
spelling	oai:doaj.org-article:b8400a1f22934688bced4f4231e00b1a2021-12-02T20:09:59ZMultilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.1932-620310.1371/journal.pone.0253603https://doaj.org/article/b8400a1f22934688bced4f4231e00b1a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253603https://doaj.org/toc/1932-6203<h4>Background</h4>Globally, about 810 women die every day due to pregnancy and its related complications. Although the death of women during pregnancy or childbirth has declined from 342 deaths to 211 deaths per 100,000 live births between 2000 and 2017, maternal mortality is still higher, particularly in sub-Saharan Africa and South Asia, where 86% of all deaths occur.<h4>Methods</h4>A secondary analysis was carried out using the 2014 Ghana Demographic and Health Survey. A sample total of 4,290 women who had a live birth in the 5 years preceding the survey was included in the analysis. GIS software was used to explore the spatial distribution of unskilled birth attendance in Ghana. The Geographic Weighted Regression (GWR) was employed to model the spatial relationship of some predictor of unskilled birth attendance. Moreover, a multilevel binary logistic regression model was fitted to identify factors associated with unskilled birth attendance.<h4>Results</h4>In this study, unskilled birth attendance had spatial variations across the country. The hotspot, cluster and outlier analysis identified the concerned districts in the north-eastern part of Ghana. The GWR analysis identified different predictors of unskilled birth attendance across districts of Ghana. In the multilevel analysis, mothers with no education, no health insurance coverage, and mothers from households with lower wealth status had higher odds of unskilled birth attendance. Being multi and grand multiparous, perception of distance from the health facility as not a big problem, urban residence, women residing in communities with medium and higher poverty level had lower odds of unskilled birth attendance.<h4>Conclusion</h4>Unskilled birth attendance had spatial variations across the country. Areas with high levels of unskilled birth attendance had mothers who had no formal education, not health insured, mothers from poor households and communities, primiparous women, mothers from remote and border districts could get special attention in terms of allocation of resources including skilled human power, and improved access to health facilities.Vincent Bio BediakoEbenezer N K BoatengBernard Afriyie OwusuKwamena Sekyi DicksonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253603 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vincent Bio Bediako Ebenezer N K Boateng Bernard Afriyie Owusu Kwamena Sekyi Dickson Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
description	<h4>Background</h4>Globally, about 810 women die every day due to pregnancy and its related complications. Although the death of women during pregnancy or childbirth has declined from 342 deaths to 211 deaths per 100,000 live births between 2000 and 2017, maternal mortality is still higher, particularly in sub-Saharan Africa and South Asia, where 86% of all deaths occur.<h4>Methods</h4>A secondary analysis was carried out using the 2014 Ghana Demographic and Health Survey. A sample total of 4,290 women who had a live birth in the 5 years preceding the survey was included in the analysis. GIS software was used to explore the spatial distribution of unskilled birth attendance in Ghana. The Geographic Weighted Regression (GWR) was employed to model the spatial relationship of some predictor of unskilled birth attendance. Moreover, a multilevel binary logistic regression model was fitted to identify factors associated with unskilled birth attendance.<h4>Results</h4>In this study, unskilled birth attendance had spatial variations across the country. The hotspot, cluster and outlier analysis identified the concerned districts in the north-eastern part of Ghana. The GWR analysis identified different predictors of unskilled birth attendance across districts of Ghana. In the multilevel analysis, mothers with no education, no health insurance coverage, and mothers from households with lower wealth status had higher odds of unskilled birth attendance. Being multi and grand multiparous, perception of distance from the health facility as not a big problem, urban residence, women residing in communities with medium and higher poverty level had lower odds of unskilled birth attendance.<h4>Conclusion</h4>Unskilled birth attendance had spatial variations across the country. Areas with high levels of unskilled birth attendance had mothers who had no formal education, not health insured, mothers from poor households and communities, primiparous women, mothers from remote and border districts could get special attention in terms of allocation of resources including skilled human power, and improved access to health facilities.
format	article
author	Vincent Bio Bediako Ebenezer N K Boateng Bernard Afriyie Owusu Kwamena Sekyi Dickson
author_facet	Vincent Bio Bediako Ebenezer N K Boateng Bernard Afriyie Owusu Kwamena Sekyi Dickson
author_sort	Vincent Bio Bediako
title	Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
title_short	Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
title_full	Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
title_fullStr	Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
title_full_unstemmed	Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.
title_sort	multilevel geospatial analysis of factors associated with unskilled birth attendance in ghana.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b8400a1f22934688bced4f4231e00b1a
work_keys_str_mv	AT vincentbiobediako multilevelgeospatialanalysisoffactorsassociatedwithunskilledbirthattendanceinghana AT ebenezernkboateng multilevelgeospatialanalysisoffactorsassociatedwithunskilledbirthattendanceinghana AT bernardafriyieowusu multilevelgeospatialanalysisoffactorsassociatedwithunskilledbirthattendanceinghana AT kwamenasekyidickson multilevelgeospatialanalysisoffactorsassociatedwithunskilledbirthattendanceinghana
_version_	1718375086404141056

Multilevel geospatial analysis of factors associated with unskilled birth attendance in Ghana.

Ejemplares similares