What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data

Bright Opoku AHINKORAH, Abdul Aziz SEIDU, Eugene BUDU*, Ebenezer AGBAGLO, Francis APPIAH, Collins ADU, Anita Gracious ARCHER, Edward Kwabena AMEYAW

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

7 Citations (SciVal)

Abstract

Background

In Ghana, home delivery among women in urban areas is relatively low compared to rural areas. However, the few women who deliver at home in urban areas still face enormous risk of infections and death, just like those in rural areas. The present study investigated the factors associated with home delivery among women who live in urban areas in Ghana.

Materials and methods

Data for this study was obtained from the 2014 Ghana Demographic and Health Survey. We used data of 1,441 women who gave birth in the 5 years preceding the survey and were dwelling in urban areas. By the use of Stata version 14.2, we conducted both descriptive and multivariable logistic regression analyses.

Results

We found that 7.9% of women in urban areas in Ghana delivered at home. The study revealed that, compared to women who lived in the Northern region, women who lived in the Brong Ahafo region [AOR = 0.38, CI = 0.17–0.84] were less likely to deliver at home. The likelihood of home delivery was high among women in the poorest wealth quintile [AOR = 2.02, CI = 1.06–3.86], women who professed other religions [AOR = 3.45; CI = 1.53–7.81], and those who had no antenatal care visits [AOR = 7.17; 1.64–31.3]. Conversely, the likelihood of home delivery was lower among women who had attained secondary/higher education [AOR = 0.30; 0.17–0.53], compared to those with no formal education.

Conclusion

The study identified region of residence, wealth quintile, religion, antenatal care visits, and level of education as factors associated with home delivery among urban residents in Ghana. Therefore, health promotion programs targeted at home delivery need to focus on these factors. We also recommend that a qualitative study should be conducted to investigate the factors responsible for the differences in home delivery in terms of region, as the present study could not do so.

Original languageEnglish
Article numbere0244811
Number of pages14
JournalPLoS ONE
Volume16
Issue number1
DOIs
Publication statusE-pub ahead of print - 4 Jan 2021
Externally publishedYes

Bibliographical note

We acknowledge Measure DHS for providing us with the data.

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