scholarly journals Prevalence and Determinants of Rural-Urban Utilization of Skilled Delivery Services in Northern Ghana

Scientifica ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Mahama Saaka ◽  
Jones Akuamoah-Boateng
Keyword(s):  
Health Facility ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Northern Region ◽  
Northern Ghana ◽  
Skilled Delivery ◽  
Birth Attendance ◽  
Delivery Services ◽  
Study Population

Background. There are wide differences in the uptake of skilled delivery services between urban and rural women in the northern region of Ghana. This study assessed the rural-urban differences in the prevalence of and factors associated with uptake of skilled delivery in the northern region of Ghana. Methods. The study population comprised postpartum women who had delivered within the last three months prior to the study. The dataset was analyzed using the chi-square test and multivariable logistic regression. Results. The odds of skilled birth attendance (SBA) adjusted for confounding variables in urban areas were higher compared with their rural counterparts (AOR = 1.59; CI: 1. 07–2.37; p=0.02). The determinants of skilled delivery were similar but of different levels and strength in rural and urban areas. The main drivers that explained the relatively high skilled delivery coverage in the urban areas were higher frequency of antenatal care (ANC) attendance, proximity (physical access) to health facility, and greater proportion of women attaining higher educational level of at least secondary school. Distance from health facility less than 4 km was the greatest independent contributor to the variance in skilled delivery in the urban areas, whereas frequency of ANC attendance was the greatest independent contributor in the rural areas. Conclusions. This study identified underlying determinants accounting for rural-urban differences in skilled delivery, and covariate effect was more dominant than coefficient effect. Therefore, urban-rural differences in SBA outcomes were primarily due to differences in the levels of critical determinants rather than the nature of the determinants themselves. Therefore, improving skilled delivery outcomes in this study population and other similar settings will not require different policy frameworks and interventions in dealing with rural-urban disparities in SBA outcomes. However, context-specific tailored approaches and strategies including targeting mechanisms have to be designed differently to reduce the rural-urban differences.

Impact of Elected Women Representatives of Panchayati Raj in Physical and Financial and Business Assets Development of Rural Women: A Study among the Rural Women’s of Tiruvannamalai District, Tamil Nadu[1]

2017 ◽  
Vol 4 (24) ◽  
Author(s):  
Kalaichelvi Sivaraman ◽  
Rengasamy Stalin
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Direct Democracy ◽  
Tamil Nadu ◽  
Local Level ◽  
Rural And Urban Areas ◽  
The Government ◽  
The Impact ◽  
Panchayati Raj

This research paper is the part of Research Project entitled “Impact of Elected Women Representatives in the Life and Livelihood of the Women in Rural Areas: With Special Reference to Tiruvannamalai District, Tamil Nadu” funded by University of Madras under UGC-UPE Scheme.The 73rd and 74th amendments of the Constitution of India were made by the government to strengthen the position of women and to create a local-level legal foundation for direct democracy for women in both rural and urban areas. The representation for women in local bodies through reservation policies amendment in Constitution of India has stimulated the political participation of women in rural areas. However, when it’s comes to the argument of whether the women reservation in Panchayati Raj helps or benefits to the life and livelihood development of women as a group? The answer is hypothetical because the studies related to the impact of women representatives of Panchayati Raj in the life and livelihood development of women was very less. Therefore, to fill the gap in existing literature, the present study was conducted among the rural women of Tiruvannamalai district to assess the impact of elected women representatives in the physical and financial and business development of the women in rural areas. The findings revealed that during the last five years because of the women representation in their village Panjayati Raj, the Physical Asset of the rural women were increased or developed moderately (55.8%) and Highly (23.4%) and the Financial and Business Asset of the rural women were increased or developed moderately (60.4%) and Highly (18.7%).

scholarly journals Knowledge and intake of folic acid to prevent neural tube defects among pregnant women in urban China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mingming Cui ◽  
Xiao-Lin Lu ◽  
Yan-Yu Lyu ◽  
Fang Wang ◽  
Xiao-Lu Xie ◽  
...  
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Unplanned Pregnancy ◽  
Urban China ◽  
Cross Sectional

Abstract Background The prevalence of neural tube defects (NTDs) in China declined during 2000–2017 with periconceptional folic acid (FA) supplementation, which is effective in reducing the risk of birth defects. We aimed to assess the knowledge and actual use of FA among Chinese pregnant women and to explore factors associated with FA use before pregnancy. Methods All data were collected in face-to-face interviews during health visits among pregnant women. We collected information about knowledge and use of FA supplements and demographic, socioeconomic, and health status. One maternity and childcare hospital was chosen in each of four cities: Beijing, Huaibei, Kunming, and Haikou. In total, 435 pregnant women were randomly recruited for interviews conducted from June to December 2016. Results A total of 428 pregnant women were included in this survey. Of these, 82.0% (351/428) knew that FA can prevent NTDs, and 75.9% (325/428) knew the correct time to take FA. Overall, 65.9% (282/428) of women knew both that FA can prevent NTDs and the recommended time to take FA before pregnancy. Approximately 95.1% (407/428) of women reported having ever taken FA, only 46.3% (198/428) had begun to take FA supplementation before conception, and 64.5% (109/169) of women from rural areas failed to take FA before pregnancy. Women living in northern China (odds ratio [OR] = 1.81, 95% confidence interval [CI], 1.18–2.77), those with unplanned pregnancy (OR = 1.99, 95% CI 1.30–3.04), and highly educated women (OR = 2.37, 95% CI 1.45–3.88) were more likely to know about FA. Women who were homemakers (OR = 1.94, 95% CI 1.21–3.11) and had unplanned pregnancy (OR = 6.18, 95% CI 4.01–9.53) were less likely to begin taking FA before pregnancy. Conclusions Our survey showed that most pregnant women knew about FA. Although preconception intake of FA can help to reduce NTDs, improving the rate of FA intake before pregnancy is needed in urban areas of China, especially among homemakers and women from rural areas or with unplanned pregnancy. Campaigns are needed to increase awareness about FA and FA use before pregnancy among rural women, homemakers, and those with unplanned pregnancy and lower education levels.

scholarly journals Maternity incentive scheme on safe delivery services in rural area of Kavre district

2015 ◽  
Vol 5 (2) ◽  
pp. 30-35
Author(s):  
A Baniya ◽  
D Chhetri ◽  
B Pokhrel
Keyword(s):  
Rural Area ◽  
Low Income ◽  
Rural Women ◽  
Child Death ◽  
Reproductive Age ◽  
Incentive Scheme ◽  
Hospital Services ◽  
Safe Delivery ◽  
Birth Attendance ◽  
Delivery Services

Maternity incentive schemes were to encourage mothers to use skilled birth attendance for the best prevention of maternal and child death whereas the pregnant women should have access to high quality prenatal care which, they can afford and where, they are treated with respect. The objective of the study was to determine the knowledge and utilization of maternal incentives scheme on delivery services at rural area of Nepal. This study was cross-sectional descriptive in nature and Study was conducted in Panchkhal VDC, Kavre district of Nepal.The numbers of married women of reproductive age group were the study population. The sample size was taken as 96. Most of the respondent had primary education (38.5%) and illiterate (15.6%). Highest mobilization of sources which provided throughout the health institute disseminates the MIS information During the study seventy nine mothers went to hospital for treatment. Utilization of incentive helps to change the delivery behavior (practice) of women (78%) within the hospital services by the skilled birth attendants. The 54.2% were not getting money (private hospital) for delivery and 13.5% respondents used money in nutrition and transport, 11.5% used in medicine and 1.0% respondent didn’t spend money. Low income and poor women (63%) have been more benefited from the incentive scheme followed by Janajati (12.5%), Dalit (12.5%) and rural women (9.4%) respectively. Importance of maternity incentive scheme (MIS) on safe delivery services (SDS) needs to be disseminated in rural community through integrated health education program. Most of the respondents reported that only incentive is not the matter of utilization of hospital services, but the issue of mother and child health.

scholarly journals Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eugene Budu
Keyword(s):  
Maternal Health ◽  
Health Survey ◽  
Rural Women ◽  
Rural Areas ◽  
Statistical Significance ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Home Births ◽  
Factors Associated

Abstract Background Home births is one of the factors associated with maternal mortality. This study examined the predictors of home births among rural women in Ghana. Methods Data for this study was obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. For the purpose of this study, a sample size of 2,101 women in the rural areas who had given birth within five years prior to the survey and had responses on variables was considered. Data processing, management and analysis were carried out using STATA version 14.0. This study carried out bivariate and multivariate analyses and results were tested at 95% confidence interval. The Adjusted odds ratios were used to present the results and the level of statistical significance was assessed using 95% confidence intervals. Results Home births was found to be high among women who resided in the Northern region compared to those in the Western region [AOR, 1.81 CI = 1.10–2.98]. Similarly, the likelihood of home birth was high among women with four or more births [AOR, 1.46 CI = 1.03–2.05] and Traditionalists [AOR, 2.50 CI = 1.54–4.06]. Conversely, giving birth at home was low among women with higher level of education [AOR = 0.58, CI = 0.43–0.78], those with rich wealth status [AOR = 0.19, CI = 0.10–0.38], those with four or more ANC visits [AOR = 0.11, CI = 0.15–0.23] and those who were covered by NHIS [AOR = 0.58, CI = 0.46–0.72]. Conclusions Over the years, there have been efforts by governments in Ghana to make maternal health services free in the country. However, a substantial proportion of women still undergo home births. To reduce the utilization of home births in Ghana, it is essential that government and non-governmental organisations make the cost of delivery services part of the free maternal health care policy and take into consideration the factors associated with the high rates of home births among rural women in Ghana.

scholarly journals Rural and urban prevalence of sexual assault against women in an African population

2019 ◽  
Vol 18 (3) ◽  
pp. 628-635
Author(s):  
Adeleke NA ◽  
Adebimpe WO ◽  
Farinloye EO ◽  
Olowookere AS
Keyword(s):  
Sexual Assault ◽  
Urban Area ◽  
Rural Area ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Medical Science ◽  
Public Health Issue ◽  
Rural And Urban ◽  
Urban And Rural Areas

Background: Sexual assault is about the most dehumanizing form of gender based violence against women worldwide. Nigeria and many other countries in Africa do not have National data on women sexual assault. This survey is aimed at generating data on sexual assault against women in Osun state, Nigeria. Objective: To determine the patterns of sexual assault against women in Urban and Rural areas of Osun State in South western Nigeria. Methodology: A cross section survey using interviewer administered questionnaire was carried out among selected 1,200 women aged 15 years and above in urban and rural areas, between August and December 2014. The questionnaire was patterned after WHO Multi-country study on women’s health and domestic violence data instrument. The data were analyzed using SPSS version 17.0. Results: Mean age of the respondents was 23.75 ±(13.22) years in rural area, in the urban area it was 27.69 ±(10.23) years. 46 % and 54 % were married in urban and rural areas respectively. The prevalence of completed rape was 10.0 % in urban and 9.2 % in rural, while that of attempted rape was 31.4 % and 20.0 % in the urban and rural area respectively. Women in the rural areas experienced repeat sexual assault and suffered non-genital injuries more the in urban area. Having partner and living in urban area were associated with female sexual assault. Conclusions: Sexual assault against women constitutes public health issue in Osun state with rural women incurring greater negative health consequences. Primary prevention strategies should focus at young men and women in both rural and urban areas of the state. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.628-635

scholarly journals Non-starch polysaccharide intakes in Mexican villagers and residents of Mexico City

1997 ◽  
Vol 77 (3) ◽  
pp. 345-357 ◽  
Author(s):  
Claudia P. Sanchez-Castillo ◽  
David Grubb ◽  
Maria De Lourdes Solano ◽  
Michael F. Franklin ◽  
W. Philip T. James
Keyword(s):  
Rural Communities ◽  
Mexico City ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Density Ratio ◽  
Food Composition ◽  
World Health ◽  
Men And Women ◽  
Food Composition Tables

A study was performed in a rural Mexican community and in Mexico City to investigate possible differences in non-starch polysaccharide (NSP) intakes. One hundred and fourteen women (fifty-five rural and fitty-nine urban) and forty-three men (twenty-four rural and nineteen urban) completed 24 h recall questionnaires for three consecutive days with NSP intakes being estimated from a specially prepared set of new food composition tables. Potential underestimation of intakes was assessed by estimating individual BMR and dividing the estimated energy intakes by BMR to give a ratio. Excluding severe underrecording (ratio < 1·01) suggested NSP intakes of 21·8 and 17·3 g/d in rural men and women and 17·7 and 15·6 g/d in urban men and women respectively. NSP sources differed, with a marked fall in intake from pulses in the urban areas but a compensatory increase of tortilla intakes and a rise in NSP-rich fruit consumption. Both soluble- and insoluble-NSP intakes were higher in rural areas. NSP intakes scaled by probable energy intakes of moderately active adults in developing countries suggest that NSP intakes in Mexico are similar to adjusted values in Africa, i.e. 26·9 g/d in Mexico v. 28·5 g/d in Africa in rural men and 22·9 v. 21·0 g/d respectively in rural women. The NSP: energy density ratio (g/MJ) of the rural diet conformed with the World Health Organization (1990) goal. Data available on urban and rural communities for three countries showed that in each case the intake of NSP was lowest in the urban community.

scholarly journals Challenges experienced by midwives working in rural communities in the Upper East Region of Ghana: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Peter Adatara ◽  
Philemon Adoliwine Amooba ◽  
Agani Afaya ◽  
Solomon Mohammed Salia ◽  
Mabel Apaanye Avane ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Qualitative Content Analysis ◽  
Maternal Mortality Ratio ◽  
Physical Space ◽  
Sub Saharan Africa ◽  
Northern Ghana ◽  
Maternal Deaths ◽  
East Region ◽  
Upper East Region

Abstract Background In 2017, a total of 295,000 women lost their lives due to pregnancy and childbirth across the globe, with sub-Saharan Africa and South Asia accounting for approximately 86 % of all maternal deaths. The maternal mortality ratio in Ghana is exceptionally high, with approximately 308 deaths/100,000 live births in 2017. Most of these maternal deaths occur in rural areas than in urban areas. Thus, we aimed to explore and gain insights into midwives’ experiences of working and providing women-centred care in rural northern Ghana. Methods A qualitative descriptive exploratory design was used to explore the challenges midwives face in delivering women-centred midwifery care in low-resource, rural areas. A total of 30 midwives practicing in the Upper East Region of Ghana were purposefully selected. Data were collected using individual semistructured interviews and analysed through qualitative content analysis. Results Five main themes emerged from the data analysis. These themes included were: inadequate infrastructure (lack of bed and physical space), shortage of midwifery staff, logistical challenges, lack of motivation, and limited in-service training opportunities. Conclusions Midwives experience myriad challenges in providing sufficient women-centred care in rural Ghana. To overcome these challenges, measures such as providing adequate beds and physical space, making more equipment available, and increasing midwifery staff strength to reduce individual workload, coupled with motivation from facility managers, are needed.

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

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244811
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Ebenezer Agbaglo ◽  
Francis Appiah ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Home Delivery ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Factors Associated ◽  
At Home

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.

scholarly journals The position of women in the Far East villages in the period of «late» socialism

2019 ◽  
Vol 8 (2) ◽  
pp. 292-295
Author(s):  
Andrey Aleksandrovich Grinko
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Far East ◽  
Geographical Location ◽  
Well Being ◽  
The Far East ◽  
Late Socialism ◽  
The One ◽  
Working And Living Conditions

The paper analyzes the transformation of the female rural population position of the Far East in the USSR in 1970 - the first half of 1980 under the influence of a set of factors. The peculiarities of the geographical location of the region, its level of development, acceleration of life processes in rural areas, rapid dissemination of information and other factors had a significant impact on rural women. This influence was controversial and ambiguous. On the one hand, the role of a woman in the family changed, her activity as an employee increased, her well-being, cultural and educational level increased. On the other hand, becoming more independent, the woman aspired to better working and living conditions, career growth, free time increase, but in rural areas it was difficult. Despite the special attention of the state to the Far East and the activities aimed at the development of rural areas, life in the villages did not meet the urban views of local residents. The result of this transformation was a focus on childlessness for a large part of young people and moving to urban areas. Against the background of the village it was perceived as an incomparably better place of residence.

scholarly journals An evaluation of economic and education determinants on utilization of skilled delivery services by Maasai Women in Kiekonyokie sub location of Kajiado County in Kenya

2018 ◽  
Vol 5 (2) ◽  
pp. 437
Author(s):  
Laban Lebahati Simel ◽  
Lakshmi Nanduri ◽  
Pamela A. Juma ◽  
Blasio Omuga
Keyword(s):  
Maternal Health ◽  
Health Facility ◽  
Poverty Reduction ◽  
Economic Status ◽  
Statistical Significance ◽  
Cross Sectional ◽  
Skilled Delivery ◽  
Delivery Services ◽  
Qualitative Methodologies ◽  
High Level

Background: Maternal health is one of the eight Millennium Development Goals,is central to poverty reduction and overall development efforts and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. This research paper aimed to study economic and education determinants on the utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya.Methods: The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. Results: Utilization of skilled delivery was higher among women who had a source of income (34%) compared to women who had no source of income (19%) indicating a statistical significance p=0.003. Women who had higher level of education were more likely to use skilled delivery 50% compared to 22% who had no education at all hence p=0.002. Education level had a statistical significance, (p-0.002). 69% of those who delivered in the hospital paid > 500 shillings compared to 8% of those who paid < 500 shillings. The amount paid for skilled delivery had a statistical significance, (p<0.001). 97.7% of the Maasai women in the Kajiado North study takes more than 1hour to reach to the nearest health facility while less than (1%) of them in this study takes less than 30minutes to reach to the health facility. Conclusions: In conclusion this study shows that high level of illiteracy, low economic status, distance away, cost to pay for skilled delivery hindered skilled delivery service utilization among the Maasai women. 

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