Cheryl A. Moyer|Zoë M McLaren|Richard Adanu|Paula M. Lantz
Understanding the relationship between access to care and facility?based delivery through analysis of the 2008 Ghana Demographic Health Survey
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Ghana|George Washington University
determine types access care strongly associated facilitybased delivery among women ghanadata relating 5 access framework extracted 2008 ghana demographic health survey analyzed using multivariate logistic regressionin 555 weighted sample 1102 women delivered healthcare facility whereas 455 delivered home affordability strongest access factor associated delivery location health insurance coverage tripling odds facility delivery availability accessibility except urban residence acceptability social access variables significant factors final models social access variables including needing permission seek healthcare involved decisions regarding healthcare associated reduced likelihood facilitybased delivery examined individually multivariate analysis suggested variables reflected maternal literacy health insurance coverage household wealth attenuated effects social accessaffordability important determinant facility delivery ghanaeven among women health insurancebut social access variables mediating role