2018 Ghana Health Facility Survey Abortion Knowledge

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Project Citation:

Guttmacher Institute. 2018 Ghana Health Facility Survey Abortion Knowledge . Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2024-01-26. https://doi.org/10.3886/E197801V1

Project Description

Summary: These data come from a 2018 study conducted in Ghana that uses Abortion Incidence Complications Methodology (AICM) to explore abortion incidence nationally and within each of Ghana’s three ecological zones. As one of the two surveys used for this study, the nationally representative Health Facilities Survey (HFS) looks at health facilities that can potentially provide abortion and/or post-abortion care, except for community-based health planning and services facilities and non-governmental organizations (NGOs). HFS interviews were conducted with a senior member of the health facility staff who was knowledgeable about their facility’s provision of abortion and/or post-abortion abortion care, including obstetrician-gynecologists, general practitioners, physician’s assistants, nurses, midwives, and administrators.

Information collected from the HFS includes facility type, location, number of beds available, services offered (labor and delivery, PAC, and contraceptive counseling), equipment and methods available (including methods used to provide PAC and family planning methods), number of patients receiving abortions or post-abortion care, and respondent training, background, knowledge, and perceptions, among others. The general information module included questions on knowledge of abortion legality, perceptions surrounding unintended pregnancy, and recommendations for reducing unsafe abortion.

The dataset available in this public release contains a subset of the variables from the nationally representative HFS dataset. To better correspond with the paper that explores knowledge of abortion legality among providers[2], we retained relevant variables from the dataset including respondent training and background, respondent knowledge of abortion legality in Ghana, respondent perceptions surrounding unintended pregnancy, respondent recommendations for reducing unsafe abortion, and facility characteristics and information

Funding Sources: UK AID; Dutch Ministry of Foreign Affairs

Scope of Project

Subject Terms: abortion; Ghana; legal; knowledge; health care facilities

Geographic Coverage: Ghana

Time Period(s): 2018 – 2018

Collection Date(s): 6/2018 – 10/2018

Universe: Health facilities and staff that can potentially provide abortion and/or post-abortion care, not including community-based health planning and services facilities and non-governmental organizations (NGOs).

Data Type(s): survey data

Methodology

Response Rate: The Ghana HFS sampled 608 non-NGO facilities, of which 539 facilities completed an interview (88.7% response rate).

Sampling:

This heath facility survey was conducted in all 216 districts of Ghana’s three ecological zones: the Northern zone, the Middle zone, and the Coastal zone.

A list of all health facilities in the 216 districts that reported data through Ghana’s District Health Information Management System in 2017 was used to inform the study’s sampling universe. The sampling universe included all facility types in which PAC and/or abortion may have been offered, with the exception of community-based health planning and services (CHPS) facilities (which very rarely offer PAC/abortion services and non-governmental organizations (NGOs)) (n=21), whose caseload data we obtained directly. The final sampling frame contained 2,758 facilities.

A stratified two-stage sampling design with four strata was constructed to generate a nationally representative sample of health facilities. One stratum included all teaching and regional hospitals, sampled with certainty. The other three strata consisted of all remaining facility levels combined (district/university hospitals or polyclinics, other hospitals, health centres and midwife/ maternity homes). Among the other three strata, a two-stage stratified cluster sampling design was conducted, where 121 of the 216 districts in the country with probabilities proportionate to-size were first selected, and then facilities within sampled districts with probabilities inversely proportionate to size were selected. Facilities in Ghana’s Northern zone were selected at twice the rate of facilities in the Middle and Coastal zones to enable computation of representative estimates for each zone.

In total, we sampled 608 non-NGO facilities, of which 539 facilities completed an interview. 340 of these 539 facilities reported providing postabortion care, induced abortion care, or both, and comprised the analytic sample.

Data Source: Ghana Health Facilities Survey (HFS), 2018

Collection Mode(s): computer-assisted personal interview (CAPI)

Scales: Not applicable

Weights: We calculated weights as non-response-adjusted inverses of known selection probabilities for each sample facility. The main weight variable for the health facility surveys is finalweight.

In order to obtain accurate standard errors, analyses should also account for the fact that the sample was stratified using the stratum variable (stratid).

Unit(s) of Observation: Health facilities and staff

Geographic Unit: Zone

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V1 [2024-01-26]

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