Why some women deliver in health institutions and others do not: A cross sectional study of married women in Ghana, 2008

Abstract

Existing inequalities in an environment where men wield so much authority can have negative implications for women’s reproductive health outcomes. Using a quantitative approach, the study explores the relationship between some selected socioeconomic variables, women’s status and choice of place of delivery. All three indicators of status employed by the study were significantly associated with whether a woman had an institutional delivery or not. This association however diminished after controlling for other confounding socio-economic variables. The findings indicate that a woman’s status does not act independently to affect her choice of place of delivery but these effects are channelled through some socio-economic variables. Wealth and educational status of the women and their partners emerged predictors of choice of place of delivery. Expansion of economic opportunities for women, as well as female education must be encouraged. In addition, these should not be done in neglect of male education.

(Afr J Reprod Health 2012; 16[3]: 35-46).