Abstract
This mixed-methods study examines the impact of Ghana's Free Maternal Healthcare Policy on maternal healthcare decisions. Utilizing purposive sampling, 182 participants were included in the quantitative section, and 15 individuals contributed to the qualitative section. The results of the quantitative analysis indicate that an overwhelming majority (98.4%) of respondents opted for facility delivery, demonstrating the policy's efficacy. Only 1.6% of participants reported non-facility births. Access to qualified professionals and emergency care were cited as factors influencing decisions to deliver in a facility, further validated by the qualitative findings. While some individuals continue to rely on traditional methods, community opinions and personal experiences significantly shape choices. The decrease in home deliveries can be largely attributed to the policy. The policy's benefits include improved safety, increased access to prenatal care, and the availability of high-quality medical facilities. The financial burden of healthcare is considered a crucial factor in decision-making. An increasing number of individuals are now choosing skilled healthcare providers over traditional birth attendants. The policy promotes the use of modern medical equipment and contemporary healthcare practices. In conclusion, the Free Maternal Health Policy in Ghana has enhanced the safety, accessibility, and affordability of maternal healthcare services.