Table 1

Definition of variables used in the study

VariablesDescription
Demographic
 AgeAge (years and categories) at last delivery within 5 years preceding survey (<20; 20–34; ≥35)
 Highest educational levelHighest educational attainment (no education; primary; secondary and higher)
 Marital statusMarital status as at interview date (never married; currently married; formerly married)
 EthnicityLocal ethnic group (Akan; Ga/Dangme; Ewe; Guan; Mole-Dagbani; Grussi, Gruma, other)
 ReligionChristian; Muslim; traditional/spiritualist; no religion and other
 EmploymentEmployment status as at interview date (currently employed (yes or no))
 Wealth class statusWealth quintiles categorised into three classes (low; middle; high)*
 Covered by health insuranceHaving a viable health insurance registration (yes or no)
Maternal
 Ever use of contraceptionUse of any method of contraception at any point in time by woman (yes or no)
 Previous birth intervalNumber of years between last delivery and the preceding delivery (<2; 2–5; 5+ years)
 Complication during previous deliveryWhether woman had any complication during previous deliveries before last delivery (DHS uses caesarian section as proxy) (yes or no)
 Birth orderThe order in which the index child, whose delivery data are used for our study, was born: 1; 2–3; 4–5; 6+
 Gestational age at first ANCMonths pregnant at first ANC visit categorised into three trimesters of pregnancy
 Number of times attended ANCNumber of times woman attended ANC during last pregnancy (1; 2–3; 4+; don't know)
Community and contextual
 RegionWhere in the 10 regions of Ghana woman lives (Western; Central; Greater Accra; Volta; Eastern ;Ashanti; Brong Ahafo; Northern; Upper East and West)
 ResidenceWhether woman's residence is rural or urban
 Type of cityWoman's residence described as capital or large city, small city; a town or country side
 Spouse's highest educational levelHighest educational level of spouse (no education; primary; secondary and higher)
 Who has final say on woman's healthWhose decision on woman's health is paramount (respondent alone; respondent and partner; husband/partner/someone else alone)
 Period of deliveryWhether last delivery was before or during the period of free cost of delivery, that is, before or after 2005
  • *Wealth measured using information on household ownership of consumer items, ranging from a television to a bicycle or car, as well as dwelling characteristics, such as source of drinking water, sanitation facilities and type of flooring material to produce an asset index.

  • ANC, antenatal clinic; DHS, Demographic and Health Survey.