Association of Household Savings and Expected Future Means with Delivery Using a Skilled Birth Attendant in Ghana and Nigeria: A Cross-Sectional Analysis

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Citation

Jennings Mayo-Wilson, Larissa; Yang, Fan; Otupiri, Easmon; Akinlo, Ambrose; Okunlola, Michael; & Hindin, Michelle (2017). Association of Household Savings and Expected Future Means with Delivery Using a Skilled Birth Attendant in Ghana and Nigeria: A Cross-Sectional Analysis. Maternal and Child Health Journal, 21(1), 85-95.

Abstract

Objectives: This study examined the association between household savings and related economic measures with utilization of skilled birth attendants (SBAs) at last birth among women living in peri-urban households (n = 381) in Ghana and Nigeria. Methods: Data were drawn from the 2011-2014 Family Health and Wealth Study. Multivariable logistic regression models were used to estimate the odds of delivery with an SBA for individual and composite measures of household savings, expected financial means, debt, lending, and receipt of financial assistance, adjusting for demographic and reproductive characteristics. Results: Seventy-three percent (73 %) of women delivered with an SBA during their last birth (89 %, Ghana; 63 %, Nigeria), and roughly one third (34 %) of households reported having any in-cash or in-kind savings. In adjusted analyses, women living in households with savings were significantly more likely to deliver with an SBA compared to women in households without any savings (aOR = 2.02, 95 % CI 1.09-3.73). There was also a consistent downward trend, although non-significant, in SBA utilization with worsening financial expectations in the coming year (somewhat vs. much better: aOR = 0.70, 95 % CI 0.40-1.22 and no change/worse vs. much better: aOR = 0.46, 95 % CI 0.12-1.83). Findings were null for measures relating to debt, lending, and financial assistance. Conclusion: Coupling birth preparedness and complication readiness strategies with savings-led initiatives may improve SBA utilization in conjunction with targeting non-economic barriers to skilled care use.

URL

http://dx.doi.org/10.1007/s10995-016-2097-7

Reference Type

Journal Article

Year Published

2017

Journal Title

Maternal and Child Health Journal

Author(s)

Jennings Mayo-Wilson, Larissa
Yang, Fan
Otupiri, Easmon
Akinlo, Ambrose
Okunlola, Michael
Hindin, Michelle

Article Type

Regular

Data Set/Study

Family Health and Wealth Study (FHWS)

Continent/Country

Ghana
Nigeria

ORCiD

Mayo-Wilson - 0000-0001-9349-2283