Determinants of maternal mortality in urban Ghana using Korle Bu Teaching Hospital as a case study

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APRIL 2016
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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.
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