The impact of maternal and child health and nutrition improvement project on maternal health service utilization in Ghana: An Interrupted time series analysis

Author:

Mohammed ArifORCID,Dwomoh DuahORCID,Nonvignon JusticeORCID

Abstract

Maternal and Child Health and Nutrition Improvement Project (MCHNP) is an intervention that, adopts financial strategies to provide incentives as a means of motivating community health workers and ensuring accountability. This study highlights on the service delivery component of the intervention; thus, utilization of essential community nutrition and health action. This paper aims to determine the differential impact of MCHNP on maternal health service utilization in Ghana. A retrospective longitudinal pre-test post-test study design was employed. Six administrative regions were used for analyzing the impact of the intervention in uptake of maternal health services. Administrative data were extracted from the DHIMS2 database for the periods of January 2014 to December 2018. Analysis was conducted using interrupted time series analysis (ITSA) due to the absence of a control group. The difference in the pre-intervention and post-intervention means were statistically significant in the Central, Western, Eastern and Upper West region for the proportion of ANC 4 visits. With the exception of Northern region that recorded negative impact (-0.005; p-value >0.05), all the remaining regions recorded positive impacts on the percentage of women that had 4 ANC visits. All six regions had positive impacts in the proportion of women that received supervised delivery. However, none of these impacts were statistically significant; thus, the MCHNP intervention had no significant impact on maternal health outcomes which are, ANC four visits and skilled deliveries.

Publisher

Public Library of Science (PLoS)

Reference22 articles.

1. The Global strategy for women’s, children’s and adolescents’ health (2016–2030): A roadmap based on evidence and country experience.;S Kuruvilla;Bull World Health Organ,2016

2. UNICEF. Improving Access to Quality Health and Education Services in the Northern and Upper East Regions of Ghana- An Endline Evaluation: RFP NO: 9127709. 2017.

3. Strategies for reducing maternal mortality: getting on with what works;OM Campbell;Lancet,2006

4. WHO systematic review of randomised controlled trials of routine antenatal care;G Carroli;Lancet,2001

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