{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:51:09Z","timestamp":1792021869823,"version":"4.4.0"},"reference-count":43,"publisher":"Global Health and Education Projects, Inc","content-domain":{"domain":["mchandaids.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background and Objectives:<\/jats:title>\n                    <jats:p>Even though Ghana has recorded an appreciable level of facility delivery compared to other countries in sub-Saharan Africa, the country still has a lot of regional and community variations in facility delivery where professional maternal health care is guaranteed. This study assessed the main factors associated with facility delivery in the Sagnarigu Municipal Assembly of the Northern Region of Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using a simple random sampling method, a retrospective community-based cross-sectional study was conducted from July 12, 2021 to October 17, 2021, among 306 postnatal women within 15 to 49 years who had delivered within the last six months. We conducted descriptive analyses, and the Pearson chi-square test of association between the sociodemographic factors and obstetrics history with the outcome variable, choice of place of birth. Lastly, significant variables in the chi-square test were entered into adjusted multivariate logistics regression to determine their association with the place of delivery. Data analysis was performed using the Statistical Package for Social Sciences version-25, with statistical significance set at a p-value of 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study reported a facility delivery rate of 82%, which is slightly higher than the national target (80%). We observed that age group [AOR 2.34 (1.07-5.14)], marital status [AOR 0.31 (0.12-0.81)], ethnicity [AOR 3.78 (1.18-12.13)], and couple\u2019s occupation [AOR 24.74 (2.51-243.91)] were the significant sociodemographic factors influencing facility delivery. The number of antenatal care (ANC) attendance [AOR 8.73 (3.41 \u2013 22.2)] and previous pregnancy complications [AOR 2.4 (1.11 \u2013 5.7)] were the significant obstetrics factors influencing facility delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusion and Global Health Implications:<\/jats:title>\n                    <jats:p>We found that specific sociodemographic and obstetric factors significantly influence the choice of place of delivery in the study area. To address this, the study recommends targeted interventions that focus on providing support and resources for women from different age groups, marital statuses, ethnicities, and occupational backgrounds to access facility delivery services. Additionally, improving ANC attendance and effectively managing pregnancy complications were highlighted as important measures to encourage facility-based deliveries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.21106\/ijma.639","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T15:52:26Z","timestamp":1708617146000},"page":"e639","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Influence of Sociodemographic Factors and Obstetric History on Choice of Place of Delivery: A Retrospective Study Among Post-Natal Women in Ghana"],"prefix":"10.21106","volume":"12","author":[{"given":"Abdul-Wahab","family":"Inusah","sequence":"first","affiliation":[{"name":"Department of Global and International Health, School of Public Health, University for Development Studies, Box TL1350 Tamale, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Asha","family":"Alhassan","sequence":"additional","affiliation":[{"name":"Sagnarigu Health Center, Box 2544, Sagnarigu Municipal, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria Simono","family":"Charadan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, School of Medicine, Health, University for Development Studies, Box TL1350 Tamale, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy Rillera","family":"Marzo","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, International Medical School, Management and Science University, Shah Alam, Selangor, Malaysia"},{"name":"Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamsu-Deen","family":"Ziblim","sequence":"additional","affiliation":[{"name":"Directorate of Academic Planning & Quality Assurance (DAPQA) University for Development Studies, Box TL 1350 Tamale, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8847","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"issue":"3","key":"10.21106\/ijma.639\/ref-1","doi-asserted-by":"crossref","first-page":"e0230341","DOI":"10.1371\/journal.pone.0230341","article-title":"\u201cI couldn't buy the items so I didn't go to deliver at the health facility\u201dHome delivery among rural women in northern Ghana:A mixed-method analysis","volume":"15","author":"Boah","year":"2020","journal-title":"PLoS One"},{"issue":"8","key":"10.21106\/ijma.639\/ref-2","doi-asserted-by":"crossref","first-page":"e0182485","DOI":"10.1371\/journal.pone.0182485","article-title":"Safe delivery care practices in western 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