Structural and functional network characteristics and facility delivery among women in rural Ghana
Public DepositedAdd to collection
You do not have access to any existing collections. You may create a new collection.
Downloadable Content
Download PDFCitation
MLA
Cofie, Leslie E, et al. Structural and Functional Network Characteristics and Facility Delivery Among Women In Rural Ghana. BioMed Central, 2017. https://doi.org/10.17615/8bes-mx79APA
Cofie, L., Barrington, C., Singh, K., Sodzi Tettey, S., Ennett, S., & Maman, S. (2017). Structural and functional network characteristics and facility delivery among women in rural Ghana. BioMed Central. https://doi.org/10.17615/8bes-mx79Chicago
Cofie, Leslie E, Clare Barrington, Kavita Singh, Sodzi Sodzi Tettey, Susan Ennett, and Suzanne Maman. 2017. Structural and Functional Network Characteristics and Facility Delivery Among Women In Rural Ghana. BioMed Central. https://doi.org/10.17615/8bes-mx79- Creator
-
Cofie, Leslie E
- Other Affiliation: Center for Interdisciplinary Research in Women’s Health, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0128, USA
-
Barrington, Clare
- Affiliation: Carolina Population Center
-
Singh, Kavita
- Affiliation: Carolina Population Center, Gillings School of Global Public Health, Department of Maternal and Child Health
-
Sodzi-Tettey, Sodzi
- Other Affiliation: Institute for Healthcare Improvement, Accra, Ghana
-
Ennett, Susan
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
-
Maman, Suzanne
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
- Abstract
- Abstract Background Health facility births contribute to the prevention of maternal deaths. Although theoretical and empirical evidence suggest that social network characteristics influence facility delivery, examination of this relationship in sub-Saharan Africa is limited. We determined whether network structural and functional characteristics were associated with, or had an interactive effect on health facility delivery in rural Ghana. Methods Data on mothers (n = 783) aged 15–49 years came from a Maternal and Newborn Health Referral (MNHR) project in Ghana, and included egocentric network data on women’s social network characteristics. Using multivariate logistic regression we examined the relationship between facility delivery and women’s network structure and functions, as well as the interaction between network characteristics and facility delivery. Results Higher levels of instrumental support (e.g. help with daily chores or seeking health care [OR: 1.60, CI: 1.10–2.34]) and informational support (OR: 1.66, CI: 1.08–2.54) were significantly associated with higher odds of facility delivery. Social norms, such as knowing more women who had received pregnancy-related care in a facility, were significantly associated with higher odds of facility delivery (OR: 2.20, CI: 1.21–4.00). The number of network members that respondents lived nearby moderated the positive relationship between informational support and facility delivery. Additionally, informational support moderated the positive relationship between facility delivery and the number of women the respondents knew who had utilized a facility for pregnancy-related care. Conclusions Social support from network members was critical to facilitating health facility delivery, and support was further enhanced by women’s network structure and norms favoring facility delivery. Maternal health interventions to increase facility delivery uptake should target women’s social networks.
- Date of publication
- December 19, 2017
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- The Author(s).
- Language
- English
- Bibliographic citation
- BMC Pregnancy and Childbirth. 2017 Dec 19;17(1):425
- Publisher
- BioMed Central
Relations
- Parents:
This work has no parents.
Items
Thumbnail | Title | Date Uploaded | Visibility | Actions |
---|---|---|---|---|
12884_2017_article_1611.pdf | 2019-05-07 | Public | Download |