Examining the determinants of Antenatal care quality in Ghana: Evidence from a Multiple Indicator Cluster Survey

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Abstract

Background Antenatal care services play a pivotal role in ensuring the well-being of pregnant women and their babies. It provides an opportunity for healthcare professionals to deliver essential support, care, and information during pregnancy. As many countries strive to achieve the Sustainable Development Goals, the need for quality antenatal services becomes imperative to reduce maternal and infant mortality. Despite this, very little is known about the factors influencing the quality of services in Ghana. Methods The study was a quantitative cross-sectional study that used nationally representative data from the Multiple Indicator Cluster Survey. The total sample of women who had live births 5 years before the data collection period was 3466. The data was analyzed using SPSS 26.0. Univariate, bivariate, and binary logistic regression models were used, with P-value = 0.05 at a 95% confidence Interval. Results The results indicate that the majority of the respondents 78% received high-quality antenatal care. The quality of antenatal care was predicted by region of residence, marital status, parity, number of antenatal care visits, and early antenatal care initiation. Conclusion While the coverage of antenatal care is at its peak, the quality is less. There is a need to initiate public health campaigns and community-based initiatives to ensure women receive quality antenatal care services.

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