Factors influencing the use of skilled delivery services in the Ada-Foah subdistrict in the Greater Accra Region of Ghana

Abstract

Skilled delivery uptake plays a crucial role in reducing global maternal mortality rates. While the Sustainable Development Goals set a target for a Maternal Mortality Ratio (MMR) of under 70 per 100,000 live births by 2030, Ghana’s MMR remains worryingly high at 319. In the Ada-Foah sub-district, reports indicate a concerningly low use of skilled birth attendants. This study aimed to uncover the reasons behind this low uptake of skilled delivery in the region. Researchers carried out a cross-sectional survey at 10 Child Welfare Clinics in Ada-Foah, sampling 295 mothers who gave birth between January and December of the previous year. They collected data using structured questionnaires and analyzed it with descriptive statistics, chi-square tests, and binary logistic regression, all at a significance level of 0.05. Findings revealed a high skilled delivery uptake rate of 80%. Statistical analysis showed that marital status, partner’s education level, and the participant’s employment status significantly influenced uptake. When it comes to skilled delivery, several key factors come into play, such as cost, availability of transport, the attitude of staff, past attendance at antenatal care, and how affordable the services are. Interestingly, the identity of the main decision-maker in healthcare didn’t seem to have a strong link to the choices made regarding delivery. The uptake of skilled delivery is shaped by a complex mix of socio-demographic factors, cultural views, accessibility, and the overall quality of care. To keep improving these rates, it’s essential for the health authorities in the district, opinion leaders, NGOs, and community members to take focused actions that tackle transport and affordability issues while also boosting the quality of maternal care services.