Browsing by Author "Akowuah, Jones Asafo"

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    Predictors of Anaemia Prevalence Among Ghanaian Pregnant Women: A Cross-Sectional Study
    (Sage, 2022) Akowuah, Jones Asafo; Owusu-Addo, Ebenezer; Opuni, Ama Antwiwaa; 0000-0002-1614-2965
    Anaemia during pregnancy is a major public health concern. Despite its wide scope and adverse effects including increased maternal and perinatal morbidity and mortality, and long-term adverse effects on the newborn, appropriate interventions using upstream approaches to public health have largely not been implemented. This study investigated the prevalence and associated factors of anaemia among pregnant women in four health facilities in the Kwabre East Municipality. A cross-sectional survey with a two-stage sampling technique was conducted on 220 pregnant women who attended antenatal care at the selected health facilities. Interview-based structured questionnaires were used. Bivariate and multivariate logistic regression were used to identify predictors. The prevalence of anaemia was 11.4%. Few women (25) were anaemic and morphologically, 14 (56%) had normocytic normochromic anaemia and 9 (36%) had microcytic hypochromic anaemia. Iron deficiency was reported in 19 (8.6%) pregnant women. Independent predictors of anaemia were iron sulphate intake (AOR [95% CI] = 3.16 [1.15, 7.37], ANC follow-up during pregnancy (AOR [95% CI] = 3.07 [1.59, 7.99], household size of ≥5 (AOR [95% CI] = 3.58 [1.75, 9.52], folic acid intake (AOR [95% CI] = 5.29 [2.65, 12.39] and the period in pregnancy AOR [95% CI] = ≥36 weeks 3.2 (1.3-4.5). Though anaemia prevalence has been low in urban areas as previously reported, collaborated healthcare measures that aim at eradicating the menace are encouraged. Maternal healthcare interventions including the administration of folic acid, regular iron sulphate intake and intensive education on early ANC are recommended.
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    Socio-economic determinants of antenatal care utilisation of pregnant mothers in selected health facilities in the Kwabre East District of Ghana
    (JUNE, 2016) Akowuah, Jones Asafo
    Access to quality health care remains a major challenge in the efforts at reversing maternal morbidity and mortality. Despite the availability of established maternal health interventions, the health of the expectant mother and the unborn child remains poor due to low utilisation of interventions. The study examined the socio-economic determinants of antenatal care utilisation in peri-urban Kumasi. The study employed cross-sectional analytic design using structured questionnaire and an interview section. Using four health facilities, a total number of 200 pregnant women were randomly sampled by the proportionate stratified sampling. In addition, percentages, frequencies, pie charts, bars and cross tabulation are used in analysing field data. In addition, data were analysed using multiple regression and significance levels of 1%, 5% and 10% were considered. The results showed varying utilization of antenatal care with age, household size and occupational status as important socio-economic determinants while distance to ANC, quality of service and service satisfaction were significant system factors that influenced utiltisation of antenatal care among pregnant women in the study area. The study concludes that socio-economic and health system factors are important determinants of antenatal care utilsation. Stepping up of interventions aimed at improving the socio-economic status and addressing health system and proximity challenges could be helpful.
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    Socio-Economic determinants of antenatal care utilisation of pregnant mothers in selected health facilities in the Kwabre East district of Ghana.
    (JUNE, 2016) Akowuah, Jones Asafo
    Access to quality health care remains a major challenge in the efforts at reversing maternal morbidity and mortality. Despite the availability of established maternal health interventions, the health of the expectant mother and the unborn child remains poor due to low utilisation of interventions. The study examined the socio-economic determinants of antenatal care utilisation in peri-urban Kumasi. The study employed cross-sectional analytic design using structured questionnaire and an interview section. Using four health facilities, a total number of 200 pregnant women were randomly sampled by the proportionate stratified sampling. In addition, percentages, frequencies, pie charts, bars and cross tabulation are used in analysing field data. In addition, data were analysed using multiple regression and significance levels of 1%, 5% and 10% were considered. The results showed varying utilization of antenatal care with age, household size and occupational status as important socio-economic determinants while distance to ANC, quality of service and service satisfaction were significant system factors that influenced utiltisation of antenatal care among pregnant women in the study area. The study concludes that socio-economic and health system factors are important determinants of antenatal care utilsation. Stepping up of interventions aimed at improving the socio-economic status and addressing health system and proximity challenges could be helpful.