Utilization of Obstetric Services in Ghana between 1999 and 2003
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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.
References
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