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| Title: | Determinants of Antenatal Case Use in Ghana |
| Authors: | Overbosch, G.B. 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] |
