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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Determinants of Antenatal Case Use in Ghana
Authors:Overbosch, G.B.ISNI
Nsowah-Nuawah, N.N.N.
Van den Boom, G.J.M.
Damnyag, L.
Year:2004
Periodical:Journal of African Economies
Volume:13
Issue:2
Period:June
Pages:277-301
Language:English
Geographic term:Ghana
Subjects:maternal and child health care
pregnancy
Women's Issues
Peoples of Africa (Ethnic Groups)
Economics and Trade
Health and Nutrition
Cultural Roles
divorce
Health, Nutrition, and Medicine
economics
External link:https://jae.oxfordjournals.org/content/13/2/277.full.pdf
Abstract:This paper investigates the determinants of antenatal care use in Ghana. In particular, it studies how economic factors affect the demand for antenatal care and the probability that the number of visits falls below the recommended number of four. It uses data from the Ghana Living Standard Survey, Round 4, held in 1998/1999. Estimation results from a nested three-level multinomial logit model (care or no care; doctor or nurse or midwife; sufficient or insufficient visits) show that indeed living standard, cost of consultation and in particular travel distance to the provider have a significant impact on the demand and sufficiency of antenatal care. In addition, pregnant women with more schooling have a higher propensity to seek sufficient antenatal care from all providers, while women of higher parity tend to use less antenatal care from less expensive providers. These results suggest that adequate antenatal care use in Ghana can be promoted effectively by extending the supply of antenatal care services in the rural areas, by general education policies and by specific policies that increase reproductive health knowledge. Furthermore, contrary to findings elsewhere, the study's estimates provide little support for a special targeting of antenatal care according to religious background. Bibliogr., sum. [Journal abstract]
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