(mysql): SET NAMES 'utf8'  
(mysql): SELECT * FROM sessions WHERE session_id = 'jgrfidldmfk2esr5ohjav6dkp1'  
(mysql): SELECT * FROM journals WHERE path = 'ajrh'  
(mysql): SELECT * FROM site  
(mysql): SELECT v.* FROM versions v LEFT JOIN plugin_settings ps ON lower(v.product_class_name) = ps.plugin_name AND ps.setting_name = 'enabled' AND ((journal_id = '1') OR v.sitewide = 1) WHERE v.current = 1 AND (ps.setting_value = '1' OR v.lazy_load <> 1)  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.generic.usageStats.UsageStatsLoader'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.generic.pln.classes.tasks.Depositor'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.importexport.crossref.CrossrefInfoSender'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.importexport.crossref.CrossrefInfoSender'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.importexport.datacite.DataciteInfoSender'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'plugins.importexport.medra.MedraInfoSender'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'classes.tasks.ReviewReminder'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'classes.tasks.SubscriptionExpiryReminder'  
(mysql): SELECT last_run FROM scheduled_tasks WHERE class_name = 'classes.tasks.OpenAccessNotification'  
(mysql): SELECT pa.*, a.*, COALESCE(stl.setting_value, stpl.setting_value) AS section_title, COALESCE(sal.setting_value, sapl.setting_value) AS section_abbrev FROM published_articles pa INNER JOIN articles a ON pa.article_id = a.article_id LEFT JOIN sections s ON s.section_id = a.section_id LEFT JOIN section_settings stpl ON (s.section_id = stpl.section_id AND stpl.setting_name = 'title' AND stpl.locale = 'en_US') LEFT JOIN section_settings stl ON (s.section_id = stl.section_id AND stl.setting_name = 'title' AND stl.locale = 'en_US') LEFT JOIN section_settings sapl ON (s.section_id = sapl.section_id AND sapl.setting_name = 'abbrev' AND sapl.locale = 'en_US') LEFT JOIN section_settings sal ON (s.section_id = sal.section_id AND sal.setting_name = 'abbrev' AND sal.locale = 'en_US') INNER JOIN article_settings ast ON a.article_id = ast.article_id WHERE ast.setting_name = 'pub-id::publisher-id' AND ast.setting_value = '504' ORDER BY pa.issue_id, a.article_id  
(mysql): SELECT pa.*, a.*, COALESCE(stl.setting_value, stpl.setting_value) AS section_title, COALESCE(sal.setting_value, sapl.setting_value) AS section_abbrev FROM published_articles pa, articles a LEFT JOIN sections s ON s.section_id = a.section_id LEFT JOIN section_settings stpl ON (s.section_id = stpl.section_id AND stpl.setting_name = 'title' AND stpl.locale = 'en_US') LEFT JOIN section_settings stl ON (s.section_id = stl.section_id AND stl.setting_name = 'title' AND stl.locale = 'en_US') LEFT JOIN section_settings sapl ON (s.section_id = sapl.section_id AND sapl.setting_name = 'abbrev' AND sapl.locale = 'en_US') LEFT JOIN section_settings sal ON (s.section_id = sal.section_id AND sal.setting_name = 'abbrev' AND sal.locale = 'en_US') WHERE pa.article_id = a.article_id AND a.article_id = 504  
(mysql): SELECT g.*, a.file_name, a.original_file_name, a.file_stage, a.file_type, a.file_size, a.date_uploaded, a.date_modified FROM article_galleys g LEFT JOIN article_files a ON (g.file_id = a.file_id) WHERE g.article_id = 504 ORDER BY g.seq  
(mysql): SELECT * FROM article_galley_settings WHERE galley_id = '418'  
(mysql): SELECT * FROM article_settings WHERE article_id = '504'  
(mysql): SELECT s.*, a.file_name, a.original_file_name, a.file_type, a.file_size, a.date_uploaded, a.date_modified FROM article_supplementary_files s LEFT JOIN article_files a ON (s.file_id = a.file_id) WHERE s.article_id = 504 ORDER BY s.seq  
(mysql): SELECT i.* FROM issues i INNER JOIN issue_settings ist ON i.issue_id = ist.issue_id WHERE ist.setting_name = 'pub-id::publisher-id' AND ist.setting_value = '39' ORDER BY i.issue_id  
(mysql): SELECT i.* FROM issues i WHERE issue_id = 39  
(mysql): SELECT * FROM issue_settings WHERE issue_id = '39'  
(mysql): SELECT iss.subscription_id FROM institutional_subscriptions iss, subscriptions s, subscription_types st WHERE POSITION(UPPER(LPAD(iss.domain, LENGTH(iss.domain)+1, '.')) IN UPPER(LPAD('216.73.217.111', LENGTH('216.73.217.111')+1, '.'))) != 0 AND iss.domain != '' AND iss.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)  
(mysql): SELECT isip.subscription_id FROM institutional_subscription_ip isip, subscriptions s, subscription_types st WHERE ((isip.ip_end IS NOT NULL AND '3628718447' >= isip.ip_start AND '3628718447' <= isip.ip_end AND isip.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)) OR (isip.ip_end IS NULL AND '3628718447' = isip.ip_start AND isip.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)))  
(mysql): SELECT * FROM sections WHERE section_id = '1'  
(mysql): SELECT * FROM section_settings WHERE section_id = '1'  
(mysql): SELECT * FROM sections WHERE section_id = '1'  
(mysql): SELECT * FROM section_settings WHERE section_id = '1'  
(mysql): SELECT g.*, a.file_name, a.original_file_name, a.file_stage, a.file_type, a.file_size, a.date_uploaded, a.date_modified FROM article_galleys g LEFT JOIN article_files a ON (g.file_id = a.file_id) WHERE g.galley_id = 0 AND g.article_id = 504  
(mysql): SELECT pa.*, a.*, COALESCE(stl.setting_value, stpl.setting_value) AS section_title, COALESCE(sal.setting_value, sapl.setting_value) AS section_abbrev FROM published_articles pa INNER JOIN articles a ON pa.article_id = a.article_id LEFT JOIN sections s ON s.section_id = a.section_id LEFT JOIN section_settings stpl ON (s.section_id = stpl.section_id AND stpl.setting_name = 'title' AND stpl.locale = 'en_US') LEFT JOIN section_settings stl ON (s.section_id = stl.section_id AND stl.setting_name = 'title' AND stl.locale = 'en_US') LEFT JOIN section_settings sapl ON (s.section_id = sapl.section_id AND sapl.setting_name = 'abbrev' AND sapl.locale = 'en_US') LEFT JOIN section_settings sal ON (s.section_id = sal.section_id AND sal.setting_name = 'abbrev' AND sal.locale = 'en_US') INNER JOIN article_settings ast ON a.article_id = ast.article_id WHERE ast.setting_name = 'pub-id::publisher-id' AND ast.setting_value = '504' ORDER BY pa.issue_id, a.article_id  
(mysql): SELECT pa.*, a.*, COALESCE(stl.setting_value, stpl.setting_value) AS section_title, COALESCE(sal.setting_value, sapl.setting_value) AS section_abbrev FROM published_articles pa, articles a LEFT JOIN sections s ON s.section_id = a.section_id LEFT JOIN section_settings stpl ON (s.section_id = stpl.section_id AND stpl.setting_name = 'title' AND stpl.locale = 'en_US') LEFT JOIN section_settings stl ON (s.section_id = stl.section_id AND stl.setting_name = 'title' AND stl.locale = 'en_US') LEFT JOIN section_settings sapl ON (s.section_id = sapl.section_id AND sapl.setting_name = 'abbrev' AND sapl.locale = 'en_US') LEFT JOIN section_settings sal ON (s.section_id = sal.section_id AND sal.setting_name = 'abbrev' AND sal.locale = 'en_US') WHERE pa.article_id = a.article_id AND a.article_id = 504  
(mysql): SELECT g.*, a.file_name, a.original_file_name, a.file_stage, a.file_type, a.file_size, a.date_uploaded, a.date_modified FROM article_galleys g LEFT JOIN article_files a ON (g.file_id = a.file_id) WHERE g.article_id = 504 ORDER BY g.seq  
(mysql): SELECT * FROM article_galley_settings WHERE galley_id = '418'  
(mysql): SELECT * FROM article_settings WHERE article_id = '504'  
(mysql): SELECT s.*, a.file_name, a.original_file_name, a.file_type, a.file_size, a.date_uploaded, a.date_modified FROM article_supplementary_files s LEFT JOIN article_files a ON (s.file_id = a.file_id) WHERE s.article_id = 504 ORDER BY s.seq  
(mysql): SELECT iss.subscription_id FROM institutional_subscriptions iss, subscriptions s, subscription_types st WHERE POSITION(UPPER(LPAD(iss.domain, LENGTH(iss.domain)+1, '.')) IN UPPER(LPAD('216.73.217.111', LENGTH('216.73.217.111')+1, '.'))) != 0 AND iss.domain != '' AND iss.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)  
(mysql): SELECT isip.subscription_id FROM institutional_subscription_ip isip, subscriptions s, subscription_types st WHERE ((isip.ip_end IS NOT NULL AND '3628718447' >= isip.ip_start AND '3628718447' <= isip.ip_end AND isip.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)) OR (isip.ip_end IS NULL AND '3628718447' = isip.ip_start AND isip.subscription_id = s.subscription_id AND s.journal_id = '1' AND s.status = 1 AND s.type_id = st.type_id AND st.institutional = 1 AND ((st.non_expiring = 1) OR (st.non_expiring = 0 AND ('2026-05-27 19:15:33' >= s.date_start AND '2026-05-27 19:15:33' <= s.date_end))) AND (st.format = 1 OR st.format = 17)))  
(mysql): SELECT * FROM citations WHERE assoc_type = 257 AND assoc_id = 504 AND citation_state >= 0 AND citation_state <= 5 ORDER BY seq, citation_id  
(mysql): SELECT * FROM sections WHERE section_id = '1'  
(mysql): SELECT * FROM section_settings WHERE section_id = '1'  
(mysql): SELECT v.* FROM versions v LEFT JOIN plugin_settings ps ON lower(v.product_class_name) = ps.plugin_name AND ps.setting_name = 'enabled' AND ((journal_id = '1') OR v.sitewide = 1) WHERE v.current = 1 AND (ps.setting_value = '1' OR v.lazy_load <> 1)  
(mysql): select version()  
(mysql): SELECT i.* FROM issues i WHERE journal_id = 1 AND current = 1  
(mysql): SELECT * FROM issue_settings WHERE issue_id = '197'  
Utilization of Obstetric Services in Ghana between 1999 and 2003 | <hr /> (mysql): SELECT * FROM authors WHERE submission_id = 504 ORDER BY seq   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '1607'   <hr /> Adanu | African Journal of Reproductive Health
(mysql): SELECT * FROM authors WHERE submission_id = 504 ORDER BY seq  
(mysql): SELECT * FROM author_settings WHERE author_id = '1607'  
(mysql): SELECT * FROM authors WHERE submission_id = 504 ORDER BY seq  
(mysql): SELECT * FROM author_settings WHERE author_id = '1607'  

Utilization of Obstetric Services in Ghana between 1999 and 2003

(mysql): SELECT * FROM authors WHERE submission_id = 504 ORDER BY seq  
(mysql): SELECT * FROM author_settings WHERE author_id = '1607'  
Richard MK Adanu

Abstract

Analysis of the 2003 Ghana Demographic and Health Survey shows that even though over 90% of pregnant women attend antenatal care in health institutions, only 43% deliver in the health institutions. The quality of antenatal care received is also lower than is expected for standard obstetric care. The national caesarean section rate of 3.7% reflects inadequate obstetric coverage. There is a need for continued education of health workers to improve the quality of antenatal care. The Ghanaian health system needs to consider how to improve obstetric coverage by skilled attendants and to study the reasons for inadequate use of delivery services in order to be able to achieve the target for maternal health set in the Millennium Development Goals (Afr. J. Reprod. Health 2010; 14[3]: 153-158).

 

 

Résumé

 

Utilisation des services obstétriques au Ghana entre 1999 et 2003. Une analyse de l’Enquête sur la Démographie et la Santé du Ghana pour l’année 2003 montre que bien que plus de 90% des femmes enceintes fréquentent les établissements de santé pour les soins anténatals, il n’y a que 43% qui accouchent dans les établissements de santé. La qualité du soin anténatal reçu est inférieure à ce qu’on s’attend du soin obstétrique type. Le taux de l’opération césarienne nationale de 3,7% reflète une couverture obstétrique inadéquate. Il est nécessaire qu’il y ait une formation continue du personnel sanitaire afin d’améliorer la qualité du soin anténatal. Il faut que le système de santé ghanéen considère la manière d’améliorer la couverture obstétrique par les accoucheurs qualifiés et d’étudier les raisons pour l’utilisation inadéquate des services d’accouchement afin de pouvoir atteindre l’objectif de la santé maternelle fixé dans les objectifs du millénaire pour  le Développement (Afr. J. Reprod. Health 2010; 14[3]: 153-158).

 

 

Key words: Obstetric services, antenatal care, delivery care, skilled attendants, safe motherhood. 

Full Text:

PDF

References

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13631'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13631 ORDER BY metadata_description_id DESC  
(mysql): SELECT * FROM citation_settings WHERE citation_id = '13632'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13632 ORDER BY metadata_description_id DESC  

Technical Consultation on Safe Motherhood, Colombo, Sri Lanka. 1997.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13633'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13633 ORDER BY metadata_description_id DESC  

United Nations Millennium Declaration. (A/RES/55/2). Fifty-fifth session of the United Nations General Assembly.; 1999.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13634'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13634 ORDER BY metadata_description_id DESC  

Gyimah SO, Takyi BK, Addai I. Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana. Soc Sci Med 2006.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13635'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13635 ORDER BY metadata_description_id DESC  

Stekelenburg J. [The Millennium project of the United Nations, particularly the worldwide reduction of childhood and maternal mortality] 5. Ned Tijdschr Geneeskd 2005; 149(41):2299-2302.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13636'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13636 ORDER BY metadata_description_id DESC  

World Health Organization, International Confederation of Midwives, International Federation of Gynae and Obste. Making pregnancy safer: the critical role of the skilled attendant. Geneva: World Health Organization; 2004.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13637'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13637 ORDER BY metadata_description_id DESC  

de Bernis L, Sherratt DR, AbouZahr C, Van LW. Skilled attendants for pregnancy, childbirth and postnatal care. Br. Med. Bull. 2003; 67:39-57.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13638'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13638 ORDER BY metadata_description_id DESC  

Martey JO, Elkins TE, Wilson JB, Adadevoh SW, Mac Vicar J, Sciarra JJ. Innovative community-based postgraduate training for obstetrics and gynecology in West Africa. Obstet. Gynecol. 1995; 85(6):10421046.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13639'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13639 ORDER BY metadata_description_id DESC  

AbouZahr C, Wardlaw T. Maternal mortality in 2000: Estimates developed by WHO, UNICEF and UNFPA. Geneva: World Health Organization; 2004.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13640'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13640 ORDER BY metadata_description_id DESC  

Ghana Statistical Service (GSS), Health Research Unit Ministry of Health, ORC Macro. Ghana Service

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13641'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13641 ORDER BY metadata_description_id DESC  

Provision Assessment Survey 2002. Calverton, Mary-

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13642'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13642 ORDER BY metadata_description_id DESC  

land: Ghana Statistical Service and ORC Macro; 2003.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13643'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13643 ORDER BY metadata_description_id DESC  

Ghana Statistical Service (GSS), Noguchi Memorial Institute for Medical Research (NMIMR), ORC Macro. Ghana Demographic and Health Survey 2003. Calverton, Maryland: GSS, NMIMR and ORC Macro; 2004.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13644'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13644 ORDER BY metadata_description_id DESC  

Measure DHS. Demographic and Health Surveys [2008 Available from: URL:http://www.measuredhs.com/countries/country_main.cfm?ctry_id=55&c ntrytab=quickstats

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13645'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13645 ORDER BY metadata_description_id DESC  

Measure DHS. Demographic and Health Surveys [2008 Available from: URL:http://www.measuredhs.com/countries/country_main.cfm?id=14&cntryt ab=quickstats

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13646'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13646 ORDER BY metadata_description_id DESC  

Carroli G, Rooney C, Villar J. How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr Perinat Epidemiol 2001; 15 Suppl 1:1-42.

(mysql): SELECT * FROM citation_settings WHERE citation_id = '13647'  
(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 13647 ORDER BY metadata_description_id DESC  

UNICEF, WHO, UNFPA. Guidelines for monitoring the availability and use of obstetric services. New York: UNICEF; 1997.

Kerssens JJ. Patient satisfaction with home-birth care in The Netherlands. J. Adv. Nurs. 1994; 20(2):344350.

(mysql): SELECT r.* FROM referrals r WHERE r.article_id = 504 AND r.status = 2  

Refbacks

  • There are currently no refbacks.
(mysql): UPDATE sessions SET user_id = NULL, ip_address = '216.73.217.111', user_agent = 'Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)', created = 1779909332, last_used = 1779909333, remember = 0, data = '', domain = 'www.ajrh.info' WHERE session_id = 'jgrfidldmfk2esr5ohjav6dkp1'