Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Inequities in accessibility to and utilisation of maternal health services in Ghana after user-fee exemption

A descriptive study

Bibliographic Data

ID15395215
AuthorsJohn Kuumuori Ganle (0000-0002-8382-3437, Wellcome Centre for Ethics and Humanities), Michael Parker (0000-0002-7054-4711, University of Oxford), Ray Fitzpatrick (0000-0003-0607-0563, University of Oxford), Raymond Fitzpatrick, Easmon Otupiri (0000-0001-8986-1648, Kwame Nkrumah University of Science and Technology, corresponding author)
Year2014
Volume13
Issue1
Pages89-89
Publication date2014-10-31
Open AccessYes
TypeARTICLE
VenueInternational Journal for Equity in Health (JOURNAL)
Journal identifiersISSN: 1475-9276 • E-ISSN: 1475-9276
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12939-014-0089-z
PMID25388288
PMCIDPMC4318433
OpenAlexW2164514629
LanguageEN
Citations received12
References cited44

Exempting user-fees for maternal health services is a promising policy option for improving access to maternal health care, but might be insufficient on its own to secure equitable access to maternal health services in Ghana. Ensuring equity in access will require moving beyond user-fee exemption to addressing wider issues of supply and demand factors and the social determinants of health, including redistributing healthcare resources and services, and redressing the positional vulnerability of women in their communities

Business · Demographic economics · Economic growth · Economics · Environmental health · Equity (law · Health care · Health equity · Health services research · Political science · Residence · Social policy · Socioeconomics · User fee · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Health Policy

  • Women’s Education and Utilization of Maternal Health Services in Africa

    Open Access•Zacharie Tsala Dimbuene, Joshua Amo-Adjei et al.•Journal of Biosocial Science•2018

  • Inequalities in utilization of maternal health services in Ethiopia

    Open Access•Asebe Hagos, Misganaw Guadie Tiruneh et al.•Frontiers in Public Health•2025

  • Why Muslim women in Northern Ghana do not use skilled maternal healthcare services at health facilities

    Open Access•John Kuumuori Ganle•BMC International Health and…•2015

  • Wealth-based inequality in the continuum of maternal health service utilisation in 16 sub-Saharan African countries

    Open Access•Anteneh Asefa, Samson Gebremedhin et al.•International Journal for Equity…•2023

  • Prevalence and determinants of maternal healthcare utilisation among young women in sub-Saharan Africa

    Open Access•Luchuo Engelbert Bain, Richard Gyan Aboagye et al.•BMC Public Health•2022

  • Barriers to healthcare utilization among married women in Afghanistan

    Open Access•Manzoor Ahmad Malik, Ratnesh Sinha et al.•BMC Public Health•2024

  • Inequalities in self-reported problems in accessing healthcare among women aged 15-29 years in Sierra Leone, 2008-2019

    Open Access•Umaru Sesay, Camilla Bangura et al.•BMC Public Health•2025

  • Trends in Coverage and Content of Maternal and Neonatal Care in Bamako, Mali

    Open Access•Maminata Traoré, Djénèba Coulibaly et al.•Journal of Urban Health•2024

  • Association of Household Savings and Expected Future Means with Delivery Using a Skilled Birth Attendant in Ghana and Nigeria

    Open Access•Larissa Jennings, Fan Yang et al.•Maternal and Child Health Journal•2016

  • Healthcare Utilisation of Moluccans in the Netherlands

    Open Access•Adee Bodewes, Charles Agyemang et al.•International Journal of…•2020

  • Do free caesarean section policies increase inequalities in Benin and Mali

    Open Access•Marion Ravit, Martine Audibert et al.•International Journal for Equity…•2018

  • Inequities and their determinants in coverage of maternal health services in Burkina Faso

    Open Access•Takondwa Mwase, Stephan Brenner et al.•International Journal for Equity…•2018

  • Determinants of Use of Maternal–child Health Services in Rural Ghana

    Open Access•Isaac Addai•Journal of Biosocial Science•2000

  • Equity in the delivery of health care in Europe and the US

    Open Access•Eddy Van Doorslaer, Adam Wagstaff et al.•Journal of Health Economics•2000

  • A systematic review of inequalities in the use of maternal health care in developing countries

    Open Access•Lale Say, Rosalind Raine•Bulletin of the World Health…•2007

  • Maternal mortality

    Open Access•Carine Ronsmans, Warren Graham et al.•The Lancet•2006

  • Strategies for reducing maternal mortality

    Open Access•Oona M R Campbell, Oona MR Campbell et al.•The Lancet•2006

  • Economic Status, Education and Empowerment

    Open Access•Saifuddin Ahmed, Andreea A Creanga et al.•PLoS ONE•2010

  • Pregnancy outcomes, site of delivery, and community schisms in regions affected by the armed conflict in Chiapas, Mexico

    Open Access•Paula E Brentlinger, Héctor Javier Sánchez‐pérez et al.•Social Science & Medicine•2005

  • Providing free maternal health care

    Open Access•Sophie Witter, Sam Adjei et al.•Global Health Action•2009

  • User fee exemptions and equity in access to caesarean sections

    Open Access•Marianne El‐Khoury, Marianne El-Khoury et al.•International Journal for Equity…•2012

  • Evaluating the mental health impacts of an anti-racism intervention for children and young people

    Open Access•Margaret Kelaher, Yin Paradies et al.•International Journal for Equity…•2012

  • Annotated Bibliography on Equity in Health, 1980-2001

    Open Access•James Macinko, James A Macinko et al.•International Journal for Equity…•2002

  • Inequities in utilization of maternal health interventions in Namibia

    Open Access•Eyob Zere, Prosper Tumusiime et al.•International Journal for Equity…•2010

  • Changes in Equity in Out-of-pocket Payments during the Period of Health Care Reforms

    Open Access•Petra Baji, M Pavlova et al.•International Journal for Equity…•2012

  • Measuring health inequality among children in developing countries

    Open Access•Tanja A J Houweling, Tanja AJ Houweling et al.•International Journal for Equity…•2003

  • Inequities in maternal and child health outcomes and interventions in Ghana

    Open Access•Eyob Zere, Joses Muthuri Kirigia et al.•BMC Public Health•2012

  • They Can’t Understand It”

    Open Access•Sylvia Reitmanova, Diana L Gustafson•Maternal and Child Health Journal•2007

  • A scoping review of the literature on the abolition of user fees in health care services in Africa

    Open Access•Valery Ridde, Florence Morestin•Health Policy and Planning•2011

  • Barriers to Formal Emergency Obstetric Care Services’ Utilization

    Open Access•Hildah Essendi, Samuel Mills et al.•Journal of Urban Health•2010

  • Community-level impact of the reproductive health vouchers programme on service utilization in Kenya

    Open Access•Francis Obare, Charlotte Warren et al.•Health Policy and Planning•2013

  • The national free delivery and caesarean policy in Senegal

    Open Access•Sophie Witter, T Dieng et al.•Health Policy and Planning•2010

  • Equity of Skilled Birth Attendant Utilization in Developing Countries

    Margaret E Kruk, Marta R Prescott et al.•American Journal of Public Health•2008

  • What impact does contact with the prenatal care system have on women's use of facility delivery? Evidence from low-income countries

    Open Access•Harminder Guliani, Ardeshir Sepehri et al.•Social Science & Medicine•2012

  • Community-based health insurance and access to maternal health services

    Open Access•Kimberly V Smith, Sara Sulzbach•Social Science & Medicine•2008

  • Challenges to the reproductive-health needs of African women

    Open Access•Stephen Obeng Gyimah, Baffour K Takyi et al.•Social Science & Medicine•2006

  • Use of maternal health services in rural China

    E Short, Susan E Short et al.•Population Studies•2004

  • The Experience of Ghana in Implementing a User Fee Exemption Policy to Provide Free Delivery Care

    Sophie Witter, Daniel Kojo Arhinful et al.•Reproductive Health Matters•2007

  • Gender Dimensions of User Fees

    Priya Nanda•Reproductive Health Matters•2002

  • Secondary Data Analysis in Family Research

    Open Access•Sandra L Hofferth•Journal of Marriage and the Family•2005

Citations per year1.09
Citation span2015 - 2025 (11)
Highly citedNo
Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae