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.

中文翻译：

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哪些因素影响居住在城市地区的妇女上门送货？2014年加纳人口与健康调查数据分析

背景

在加纳，与农村地区相比，城市地区妇女的家庭送货率相对较低。但是，像农村地区一样，少数在城市地区在家分娩的妇女仍然面临着巨大的感染和死亡风险。本研究调查了加纳城市地区妇女与送货上门相关的因素。

材料和方法

该研究的数据来自2014年加纳人口与健康调查。我们使用了在调查之前的5年中出生并居住在城市地区的1,441名妇女的数据。通过使用Stata版本14.2，我们进行了描述性和多变量logistic回归分析。

结果

我们发现，加纳市区有7.9％的妇女在家中分娩。该研究表明，与居住在北部地区的妇女相比，居住在布隆阿哈福地区的妇女[AOR = 0.38，CI = 0.17–0.84]在家分娩的可能性较小。在最贫穷的五分之一人口中，妇女分娩的可能性很高[AOR = 2.02，CI = 1.06-3.86]，自称其他宗教的妇女[AOR = 3.45；CI = 1.53–7.81]，而那些没有接受产前检查的人[AOR = 7.17；1.64-31.3]。相反，受过中等/高等教育的妇女的家庭送货的可能性较低[AOR = 0.30; 0.17–0.53]，而那些没有接受正规教育的人。

结论

该研究确定了居住地区，五分之一财富，宗教信仰，产前检查和教育水平是与加纳城市居民上门交付相关的因素。因此，针对送货上门的健康促进计划需要关注这些因素。我们还建议应进行定性研究，以调查造成地区送货上门差异的因素，因为本研究无法做到这一点。