Conclusion
To increase pregnant women’s awareness of and use of maternal healthcare services, the community-based integrated intervention method can be beneficial. In northern Ghana, the maternity care results and women’s household decision-making behavior had a decreased correlation. However, engaging pregnant mothers and family members led to improvements in women’s decision-making and the uptake of maternal health services.For any community health program to have an impact, it may require an effective social and behavior change, communication drive, and the involvement of community members. Linking community health care workers and Community Maternal Health Agents was pivotal for effective outcomes as demonstrated in this present study. Strengthening community-based services in poor and remote districts in deprived areas through the support of community health workers and Community Maternal Health Agents or volunteers is a potentially effective intervention that contributes to increasing coverage of maternal and newborn health interventions. The observed findings in this study are suggestive of the important role of health promotion campaigns in the improvement of community health systems for remote populations.The Ghana Health Service in the two districts should use appropriate health education tools to improve knowledge of the importance of the utilization of core maternal health services (ANC, SD, PNC). The implementation of such a strategy should take into account training community volunteers nominated from each subdistrict/community called Maternal health service assistants/Agents (MAHSA). These volunteers should be equipped and linked to health facilities in each area. Moreover, midwives should reorient their caring practices toward more culturally appropriate and evidence-based maternity care. Further research should be conducted to evaluate the effect of increased service utilization rates on staff workload and quality of service in the intervention sites (Preferably through Randomized Control Surveys).