MATERNAL HEALTH CARE UTILIZATION THROUGH COMMUNITY BASED INITIATIVES IN PERI-URBAN ACCRA

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ABSTRACT
Background: The availability of skilled care during pregnancy, childbirth, and the postpartum period ensures the best chances of delivering a healthy infant with no complication to the mother. Huge disparities in health exist between urban and rural dwellers but recent research has shown that the urban poor sometimes have worse maternal health outcomes than rural dwellers. Community-based interventions have been shown to foster interactions between pregnant women and health care providers and can go a long way in mitigating the adverse effects of urban poverty on maternal health. This study aimed to highlight how such initiatives are able to improve maternal health care utilization in a peri-urban settlement in Accra. Methodology: This research was a cross-sectional study employing quantitative and qualitative methods of data collection and analysis. Four hundred and forty-one (441) women who delivered in the past 18 months were randomly sampled from two subdistricts of the Ga East Municipality for participation in the survey. The purposive sampling technique was then used to sample participants for the Focus Group Discussions and the In-depth Interviews. Five (5) FGDs (n=35) were conducted amongst mothers in the community depending on place of delivery (21), and with the Community Health Officers (14), whilst nine (9) lOIs were conducted with formal and informal health care providers in the communities. Analysis of the quantitative data was done using STAT A l3e and univariable, bivariable and multi variable logistic analysis were carried out with p-value of

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