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Global Health Econ Sustain Antenatal care attendance

high school) education accessed AGH, whereas those study was obtained from the Institutional Review Board
with secondary and tertiary education predominantly of the Noguchi Memorial Institute for Medical Research
sought care at BCH. Knowledge about the importance (NMIMR-IRB CPN 071/15-16, amend. 2017) and the
of ANC care was notably low, especially in Adidome; Ethical Review Committee of the GHS (GHS-ERC
however, knowledge about malaria was generally low 06/06/16).
in both study areas. Despite the NHIS intervention,
attendance for delivery service remained generally low at Consent for publication
both study sites, with accessibility being a limiting factor. Not applicable.
It is worth noting that all study participants were NHIS
subscribers, indicating that health insurance coverage Availability of data
did not significantly impact attendance. There is a clear
need for enhanced education regarding the significant Research data will be made available upon request.
impact of adequate ANC attendance on promoting healthy Further disclosure
pregnancies and the importance of using hospital delivery
services to reduce maternal mortality in the study areas. The paper has been uploaded to or deposited on a preprint
In addition, community education on malaria prevention, server (https://doi.org/10.1101/2023.05.0323289465).
particularly emphasizing the use of mosquito nets and
IPTp treatment during pregnancy, is essential. References
Abubakari, A., Agbozo, F., & Abiiro, G.A. (2018). Factors
Acknowledgments associated with optimal antenatal care use in Northern
Our deepest appreciation goes to the staff of Battor region, Ghana. Women and Health, 58(8):942-954.
Catholic Hospital and Adidome Government Hospital for https://doi.org/10.1080/03630242.2017.1372842
their invaluable assistance. Afaya, A., Azongo, T.B., Dzomeku, V.M., Afaya, R.A.,
Funding Salia, S.M., Adatara, P., et al. (2020). Women’s knowledge
and its associated factors regarding optimum utilisation of
Field activities were funded by IRD France. antenatal care in rural Ghana: A crosssectional study. PLoS
One, 15(7):e0234575.
Conflict of interest https://doi.org/10.1371/journal.pone.0234575
The authors declare no competing interests. Apanga, P.A., & Awoonor-Williams, J.K. (2018). Maternal death
in rural Ghana: A case study in the upper east region of
Author contributions Ghana. Frontiers in Public Health, 6:101.
Conceptualization: Charity Ahiabor https://doi.org/10.3389/fpubh.2018.00101
Formal analysis: David Courtin
Investigation: Charity Ahiabor, William Anyan, Atikatou Boah, M., Mahama, A.B., & Ayamga, E.A. (2018). They receive
antenatal care in health facilities, yet do not deliver there:
Mama, Naa Adjeley Frempong, Kwadzo A. Kusi, Predictors of health facility delivery by women in rural
Bright Adu, Micheal F. Ofori, Bernard H. Atuguba, Ghana. BMC Pregnancy and Childbirth, 18(1):125.
Kofi S. Ayensu
Methodology: David Courtin, Nicaise T. Ndam https://doi.org/10.1186/s12884-018-1749-6
Writing – original draft: Charity Ahiabor Dalinjong, P.A., Wang, A.Y., & Homer, C.S.E. (2018). The
Writing - review & editing: Bernard W. Lawson, Abraham implementation of the free maternal health policy in rural
K. Anang Northern Ghana: Synthesised results and lessons learnt.
BMC Research Notes, 11(1):341.
Ethics approval and consent to participate https://doi.org/10.1186/s13104-018-3452-0

Informed consent was obtained from all study participants Ganle, J.K., Kombet, M.L., & Baatiema, L. (2019). Factors
after the objectives of the study were explained to each influencing the use of supervised delivery services in Garu-
participant in their language of choice. Each study Tempane District, Ghana. BMC Pregnancy and Childbirth,
participant was presented with a written consent form for 19(1):141.
their signature or thumbprint. An interpreter was engaged https://doi.org/10.1186/s12884-019-2295-6
to explain the contents of the consent form to participants
who could not read and write. Ethical approval for the Ghana Statistical Service. (2014a). Central Tongu District.
In: 2010 Population and housing Census. Ghana: Ghana
Statistical Service.

Volume 2 Issue 2 (2024) 11 https://doi.org/10.36922/ghes.2336