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access to health access to pipe-borne Accra adolescents Ashanti autonomy availability basic behaviour better health Calverton Cebu child mortality civil society consequences cost Cote d'lvoire death delivery Demographic and Health developing countries effective environment family planning financing gender Ghana Demographic Ghana Statistical Service Ghanaian children greater groups health and poverty Health Economics health facilities health gap Health Insurance Scheme health outcomes health services health status Health Survey higher HIV/AIDS impact improve Income and education individual health inequalities infant mortality rate influence interaction living conditions living standards Mean household Ministry of Health morbidity and mortality nutrition PHC concept pipe-borne water poor health poorest population growth poverty and health poverty reduction programmes providers quintile reduce reproductive health reproductive health services richest rural areas sexual Social health insurance studies tend traditional unsafe abortion Upper West Region wealthier women World Health Organization