As the target year (1990-2015) for the United Nations millennium development goals (MDG) draws near, many countries particularly those in sub-Saharan Africa are assessing their progress towards meeting the MDG 4 and 5, and Ghana is no exception. Over the years, Ghana has had tremendous assistance from various partners to support maternal and child health activities, in addition to the implementation of the national health insurance scheme (NHIS) that increased the opportunity for women of child bearing age and children under-five years to have access to health facilities and skilled care.