Persistence of the inverse care law in maternal health service utilization: An examination of antenatal care and hospital delivery in Ghana

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dc.contributor.authorJonah, Coretta M.P.
dc.date.accessioned2023-02-09T09:36:23Z
dc.date.available2023-02-09T09:36:23Z
dc.date.issued2019
dc.description.abstractThe gap in maternal health outcomes, access and utilization between the haves and have-nots continues to be a challenge globally despite improvements over the past decade. Though Ghana has experienced steady gains in maternal health access and utilization over the years, maternal outcomes, on the other hand, remain poor. In this regard, it is essential to know how various groups in the population achieved improvements and whether some women continue to be disproportionately disadvantaged. The paper performs an analysis of cross-sectional data from the 2017 Ghana maternal health survey to examine the existence of the inverse care law in maternal health services in Ghana. Using descriptive techniques and multivariate logistic regression models the study reveals a pro-rich and pro-urban gradient in the use of hospital facilities for delivery and antenatal care attendance — also, regions known for their high levels of poverty feature significantly lower rates of hospital deliveries. The paper concludes by stressing that unless policies are changed to accommodate these groups, overall gains in maternal health will continue to be incremental.en_US
dc.identifier.citationJonah, C. M. P. (2019). Persistence of the inverse care law in maternal health service utilization: An examination of antenatal care and hospital delivery in Ghana. Journal of Public Health in Africa, 10(2), 1118. 10.4081/jphia.2019.1118en_US
dc.identifier.issn2038-9930
dc.identifier.uri10.4081/jphia.2019.1118
dc.identifier.urihttp://hdl.handle.net/10566/8395
dc.language.isoenen_US
dc.publisherPAGEpressen_US
dc.subjectInverse care lawen_US
dc.subjectHealthcareen_US
dc.subjectMaternal healthen_US
dc.subjectGhanaen_US
dc.subjectMaternal mortalityen_US
dc.titlePersistence of the inverse care law in maternal health service utilization: An examination of antenatal care and hospital delivery in Ghanaen_US
dc.typeArticleen_US

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