Ghana - Emergency Obstetric And Newborn Care,2011, Second Round

Reference ID

GHA-GSS-EmONC-2011-V1.0

Year

2011

Country

Ghana

Producer(s)

Ghana Health Service - Government of Ghana

Sponsor(s)

United Nations Children's Fund - UNICEF - Financial Contributer
United Nations Population Fund - UNFPA - Financial Contributer
World Health Organization - WHO - Financial Contributer
United States Agency for International Development - USA

Metadata

Documentation in PDF

Created on

Sep 12, 2014

Last modified

Jul 16, 2015

Page views

3641405

Overview

Identification

Country

Ghana

Title

Emergency Obstetric And Newborn Care,2011

Subtitle

Second Round

Translated Title

No translation

Study Type

Living Standards Measurement Study

Series Information

An EmONC assessment to determine the capacity of the existing health care delivery systems in the country. The assessment in both public and private sector in the country is timely because of the ongoing health systems changes in Ghana. Again information supporting policy debates and programming to improve quality of health services is scarce dating back in 2005 when the first round was conducted. Then it was a limited facilities were assessed in the three Northern regions in the country.

ID Number

GHA-GSS-EmONC-2011-V1.0

Version

Version Description

Version 1.0 (September, 2014)

Production Date

2011-09-12

Notes

The survey was nationally conducted in August, 2012 and the previous was conducted in three sellected northern region

Overview

Abstract

The Ghana EmONC assessment was a national cross-sectional facility-based survey that utilized 11 modules as data collection instruments. Data collection began April 28th and concluded June 4th, 2010 in Upper East Region. For all other regions, data collection began July 25th and concluded by 7th September 2010. A total of 1,268 facilities were visited, of which 1159 performed a delivery in the 12 months before the survey. Out of 1,268 facilities surveyed, 3 were Teaching hospitals, 9 Regional hospitals, 273 District and Other hospitals, 518 Health centres, 161 Health clinics, 165 Maternity homes and 139 CHPS Compounds.

For most regions, the sample of health care facilities was a census of all hospitals (Teaching, Regional and District) and all health centers, health clinics, maternities and CHPS compounds that recorded at least 5 deliveries per month in the HMIS for 2009. For the three regions that make up the North (Northern, Upper East and Upper West Regions), inclusion criteria differed. In the UER, all health facilities above the CHPS level that performed any deliveries in the previous year were included and a random 30% sample of CHPS facilities was visited, regardless of the number of deliveries performed. In Northern and Upper West regions, facilities conducting at least one delivery per month (on average) were visited.

The Ghana Statistical Services was contracted to manage the data entry and to conduct analysis. The GSS developed data entry screens in CSPro 4.0 and double data entry was performed between August and December 2010. The data files were exported into SPSS 13 and STATA 10 for analysis. GSS and AMDD shared analysis tasks. Data for service availability mapping was provided by GHS. Report writing began in July 2011, led by a consultant hired to coordinate the report writing process. Data analysis and report writing involved extensive collaboration and participation of the steering group with continued AMDD support

Kind of Data

Sample survey data [ssd]

Units of Analysis

All Health Facilities that Perform Delivery

Scope

Notes

Ghana is a tropical country on the west coast of Africa with three geographic zones; dry northern savanna, the humid middle forest rainfall zone and the coastal savannah and mangroves. It is bounded on the West by Ivory Coast, east by Togo, North by Burkina Faso and the Gulf of Guinea on the South. It lies between Latitudes 5º and 11º North of the Equator and between longitudes 1º East and 3º West of the zero meridian. The country area is 238,537 sq km and has 550 kilometres coastline. The ambient temperature is between 21 and 32 degrees Celsius.

The questionnaires for the Generice EmONC were structured questionnaires based on the EmONC Model Questionnaire with some modifications and additions. Models 1-11 were used as listed below:

MODULE 1: IDENTIFICATION OF FACILITY AND INFRASTRUCTURE

MODULE 2: HUMAN RESOURCES

MODULE 3: ESSENTIAL DRUGS, EQUIPMENT, AND SUPPLIES

MODULE 4: FACILITY CASE SUMMARY

MODULE 5: EmOC SIGNAL FUNCTIONS ANDOTHER ESSENTIAL SERVICES

MODULE 6: PARTOGRAPH REVIEW

MODULE 7: PROVIDER KNOWLEDGE AND COMPETENCY FOR MATERNAL AND NEWBORN CARE

MODULE 8: CESAREAN REVIEW

MODULE 9: REVIEW OF MATERNAL DEATHS

MODULE 10: REVIEW OF NEONATAL DEATHS

MODULE 11: REFERRAL FOR OBSTETRIC, NEWBORN AND OTHER PATIENTS

Topics

Topic	Vocabulary	URI
Health	Ghana Health Service

Coverage

Geographic Coverage

National

Ghana is divided into ten administrative regions and 170 decentralized districts. The districts are subdivided into area councils (political divisions) and 5-8 sub-districts (Health divisions) and these sometimes overlap. The sub-districts are subdivided into CHPS (Community-based Health Planning Services) Zones.

The total population is 24,232,431 with a population density varying from 897 per km2 in Greater Accra Region to 31 per km2 in the Northern Region. About 70% of the population lives in rural areas. Women of fertile age (15-49 years) account for 24% of the population, adolescents (10-19 years) XXX% and the youth (15-24 years) XXX%. The crude birth rate is 28.6 per 1,000 population and the crude death rate is 9.4 per 1,000 population. Population growth rate 2.4%, total fertility rate (children born per women) and Life expectancy is estimated at 56 years for men and 57 years for women. Adult literacy rate (age 15 and above) is 65%. Each sub-district has 20,000-30,000 people and a district 80,000-150,000 population.

Universe

Health facilities that do delivery

Producers and Sponsors

Primary Investigator(s)

Name	Affiliation
Ghana Health Service	Government of Ghana

Other Producer(s)

Name	Affiliation	Role
Ghana Statistical Service	Government of Ghana	Technical Assistant
Averting Maternal Death and Disability	WHO	Technical Assistant

Funding

Name	Abbreviation	Role
United Nations Children's Fund	UNICEF	Financial Contributer
United Nations Population Fund	UNFPA	Financial Contributer
World Health Organization	WHO	Financial Contributer
United States Agency for International Development	USAID	Financial Contributer

Metadata Production

Metadata Produced By

Name	Abbreviation	Affiliation	Role
Ghana Statistical Service	GSS	Government of Ghana	Metadata Producer

Date of Metadata Production

2014-09-12

DDI Document Version

Version 1.0 (September, 2014)

DDI Document ID

DDI-GHA-GSS-EmONC-2011-V1.0