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Socioeconomic determinants of use of reproductive health services in Ghana

Author

Listed:
  • Gordon Abekah-Nkrumah

    (University of Ghana Business School)

  • Patience Aseweh Abor

    (University of Ghana Business School)

Abstract

Background The study examines trends in the consumption of reproductive health services (use of modern contraceptives, health facility deliveries, assisted deliveries, first trimester antenatal visit and 4+ antenatal visits) and their determinants using four rounds of Ghana Demographic and Health Surveys (1993, 1998, 2003 and 2008) data. Methods The study uses cross-sectional and pooled probit and negative bionomial regressions models to estimate the determinants of use of the above listed reproductive health services for the period from 1993 to 2008. Results Summary statistics suggest that the above-listed reproductive health services have consistently improved from 1993 to 2008. However, use of traditional methods of contraception increased in urban centers between 2003 and 2008, although the reverse was the case in rural areas. Regression results suggest that place of residence, access to and availability of health services, religion, and birth order are significant correlates of use of reproductive health services. Additionally, the study suggests that the number of living children has the largest effect on use of modern contraception. The effect of a partner’s education on use of modern contraception is higher than that of the woman, and a much stronger correlation exists between household wealth and use of reproductive health inputs than expected. Conclusion The study associates the increasing use of traditional contraceptives in urban centers and the much stronger effect of household wealth with urban poverty and the increasing indirect cost of health services, and argues for interventions to improve quality of service in public facilities and reduce inequities in the distribution of health facilities. Finally, the study advocates for family planning-related interventions that involve and target partners given the importance of partner education in the use of modern contraception.

Suggested Citation

  • Gordon Abekah-Nkrumah & Patience Aseweh Abor, 2016. "Socioeconomic determinants of use of reproductive health services in Ghana," Health Economics Review, Springer, vol. 6(1), pages 1-15, December.
    • Handle: RePEc:spr:hecrev:v:6:y:2016:i:1:d:10.1186_s13561-016-0085-7
    DOI: 10.1186/s13561-016-0085-7
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    References listed on IDEAS

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    1. World Bank, 2012. "World Development Indicators 2012," World Bank Publications - Books, The World Bank Group, number 6014.
    2. Glei, Dana A. & Goldman, Noreen & Rodríguez, Germán, 2003. "Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter?," Social Science & Medicine, Elsevier, vol. 57(12), pages 2447-2463, December.
    3. Christiaensen, Luc & Alderman, Harold, 2004. "Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income?," Economic Development and Cultural Change, University of Chicago Press, vol. 52(2), pages 287-312, January.
    4. Gordon Abekah-Nkrumah & Marta Guerriero & Purnima Purohit, 2014. "ICTs and maternal healthcare utilization. Evidence from Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 41(7), pages 518-541, July.
    5. Marty Makinen & Stephanie Sealy & Ricardo A. Bitrán & Sam Adjei & Rodrigo Muñoz, 2011. "Private Health Sector Assessment in Ghana," World Bank Publications - Books, The World Bank Group, number 5956.
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    Cited by:

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    3. Martin Amogre Ayanore & Milena Pavlova & Regien Biesma & Wim Groot, 2017. "Stakeholder's experiences, expectations and decision making on reproductive care: An ethnographic study of three districts in northern Ghana," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-21, November.

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