Socio-economic differences in cost of pregnancy-related health services in the peri-urban Accra, Ghana.

نویسندگان

  • M Aikins
  • R Aryeetey
  • P Dako-Gyeke
  • P B Adongo
  • L McGough
چکیده

BACKGROUND Financial and physical barriers are known to limit access to maternal health services in developing countries. These limitations are often compounded by the low socio-economic status of women. This study examined socio-economic differences in health services cost incurred by pregnant women. METHODS A cross-sectional cost survey of 300 women who had delivered a live birth in the last 12 months was undertaken. RESULTS Majority of the women were aged between 20 and 39 years. About 63% of the women claimed they were registrants of the National Health Insurance Scheme (NHIS). However, only 64% of them provided valid NHIS identification cards. There were relatively more insured women in the rich quintiles (44%) compared with insured women in the poor quintiles (33%). Generally, women who were in the rich quintile incurred the highest average medical and non-medical costs, spent the highest time prior to service provision and lost the highest average incomes. CONCLUSIONS Women socio-economic differences play a critical role in access to health services. We recommend that awareness campaigns on the NHIS must be intensified. The Ghana Health Services through its Community-based Health Planning Service should carefully structure its home visits to cover education on pregnancy-related health services.

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عنوان ژورنال:
  • Journal of public health

دوره 37 3  شماره 

صفحات  -

تاریخ انتشار 2015