The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

BMC Health Services Research

Mary-Ann Wepiamo Chanase¹  Nana Mireku-Gyimah²  Maxwell Tii Kumbeni³  Paschal Awingura Apanga⁴  John Ndebugri Alem⁵ 

[1] College of Applied Health Science, University of Illinois;Ghana Health Service, Dansoman Polyclinic;Ghana Health Service, Nabdam District Health Directorate;School of Community Health Sciences, University of Nevada;School of Nursing and Midwifery, University for Development Studies;

关键词: Early essential newborn care;    Public sector health facilities;    Private sector health facilities;    Factors;    Ghana;   

DOI  :  10.1186/s12913-021-06665-0

来源: DOAJ

【 摘 要 】

Abstract Background Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. Methods We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. Results The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. Conclusions The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age.

【 授权许可】

Unknown