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      Knowledge and Other Predictors of Child Welfare Clinic Completion among Children Aged 24–59 Months in the Garu-Tempane District of Northern Ghana: A Cross-Sectional Study of Caregivers

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      1 , 2 ,
      Advances in Preventive Medicine
      Hindawi

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          Abstract

          Background

          While completion of the Child Welfare Clinic (CWC) schedule for children remains a crucial factor in the prevention of illness and promotion of better child health, there has been low attendance among caregivers in Ghana. This study examined knowledge of 220 caregivers of children aged 24–59 months on CWC and other factors influencing attendance in the Garu-Tempane District of Northern Ghana.

          Methods

          This health facility-based descriptive cross-sectional study was carried out among caregivers of children using a structured questionnaire. Descriptive and inferential statistics comprising frequency, percentage, Fisher's exact test, and logistic regression were adopted in analysing the data.

          Results

          Less than half (46.9%) of the children completed their CWC schedules. Meanwhile, caregivers' knowledge on CWC was 97.7%. Children aged 37–48 months (AOR = 0.42, 95%CI = 0.21–0.86, p=0.017) and 49–59 months (AOR = 0.27, 95%CI = 0.10–0.77, p=0.014), respectively, had lower odds of completing CWC. Children with caregivers not having any formal education also had lower odds of completing CWC (AOR = 0.45, 95%CI = 0.21–0.95, p=0.036).

          Conclusion

          Educational programmes on the importance of CWC completion should focus on caregivers with children aged 37 months and above and those caregivers with low educational level. It is further recommended that studies be conducted to explore the extent of association between caregivers' marital status, occupation, level of knowledge, and child CWC completion in the Garu-Tempane District.

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          Most cited references22

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          Global Patterns in Students’ Views of Science and Interest in Science

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            Adaptation opportunities and maladaptive outcomes in climate vulnerability hotspots of northern Ghana

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              Is Ghana’s pro-poor health insurance scheme really for the poor? Evidence from Northern Ghana

              Background Protecting the poor and vulnerable against the cost of unforeseen ill health has become a global concern culminating in the 2005 World Health Assembly resolution urging member states to ensure financial protection to all citizens, especially children and women of reproductive age. Ghana provides financial protection to its citizens through the National Health Insurance Scheme (NHIS). Launched in 2004, its proponents claim that the NHIS is a pro-poor financial commitment that implements the World Health Assembly resolution. Methods Using 2011 survey data collected in seven districts in northern Ghana from 5469 women aged 15 to 49 the paper explores the extent to which poor child-bearing age mothers are covered by the NHIS in Ghana’s poorest and most remote region. Factors associated with enrolment into the NHIS are estimated with logistic regression models employing covariates for household relative socio-economic status (SES), location of residence and maternal educational attainment, marital status, age, religion and financial autonomy. Results Results from the analysis showed that 33.9 percent of women in the lowest SES quintile compared to 58.3 percent for those in the highest quintile were insured. About 60 percent of respondents were registered. However, only 40 percent had valid insurance cards indicating that over 20 percent of the registered respondents did not have insurance cards. Thus, a fifth of the respondents were women who were registered but unprotected from the burden of health care payments. Results show that the relatively well educated, prosperous, married and Christian respondents were more likely to be insured than other women. Conversely, women living in remote households that were relatively poor or where traditional religion was practised had lower odds of insurance coverage. Conclusion The results suggest that the NHIS is yet to achieve its goal of addressing the need of the poor for insurance against health related financial risks. To ultimately attain adequate equitable financial protection for its citizens, achieve universal health coverage in health care financing, and fully implement the World Health Assembly resolution, Ghana must reform enrolment policies in ways that guarantee pre-payment for the most poor and vulnerable households.
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                Author and article information

                Contributors
                Journal
                Adv Prev Med
                Adv Prev Med
                APM
                Advances in Preventive Medicine
                Hindawi
                2090-3480
                2090-3499
                2020
                11 August 2020
                : 2020
                : 6840609
                Affiliations
                1University of Health and Allied Sciences, PMB 31, Hohoe, Ghana
                2Department of Population and Behavioural Sciences, University of Health and Allied Sciences, PMB 31, Hohoe, Ghana
                Author notes

                Academic Editor: Diego A. S. Silva

                Author information
                https://orcid.org/0000-0002-2724-3649
                Article
                10.1155/2020/6840609
                7439200
                491d9d1b-e3c2-47f3-bc34-90c373d200aa
                Copyright © 2020 Maxwell Nibelo and Emmanuel Manu.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 March 2020
                : 26 June 2020
                : 27 July 2020
                Categories
                Research Article

                Medicine
                Medicine

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