Determinants of maternal mortality in urban Ghana using Korle Bu Teaching Hospital as a case study
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Date
APRIL 2016
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Abstract
Maternal mortality has been a challenge for developing countries. The objective of this
research is to investigate the reasons for maternal death in the urban regions of Ghana.
In this respect, Korlebu Teaching Hospital was selected as a case study. The study used
demographic data of pregnant women who visit the hospital for prenatal and postnatal
services. A random sample of delivery with maternal mortality and immortality was
selected in proportions that will reflect the proportion in the total population. A chisquare
test of association was performed to test for significance of relationship between
demographics and maternal mortality. A binary logistic regression analysis was performed
to estimate the probability of mortality of expectant mothers given their demographics.
Demographics that indicated no significance or P-value more than 0.05 were excluded from
the model to estimate the probability of mortality. A multiple logistic regression model
was then used to examine various categories within the demographics. Occupation, parity,
emergency referral, antenatal attendance and gestation age of pregnancy had a significant
predictability for maternal mortality . It is recommended that more efforts should be
made to equip hospitals with facilities that will enable delivery by cesarean section as
early as possible and the support of the premature baby. Post-natal care for the newly
born should also the included after delivery care for mothers. After delivery care for
mothers should be at least forty-two days after delivery.
Description
A thesis submitted to The Department of Mathematics, Kwame Nkrumah University of Science and Technology in partial fulfillment of the requirement for the degree of Industrial Mathematics