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Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana

BACKGROUND: Research on the mal-distribution of health care workers has focused mainly on physicians and nurses. To meet the Millennium Development Goal Five and the reproductive needs of all women, it is predicted that an additional 334,000 midwives are needed. Despite the on-going efforts to incre...

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Autores principales: Lori, Jody R, Rominski, Sarah D, Gyakobo, Mawuli, Muriu, Eunice W, Kweku, Nakua E, Agyei-Baffour, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438115/
https://www.ncbi.nlm.nih.gov/pubmed/22828497
http://dx.doi.org/10.1186/1478-4491-10-17
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author Lori, Jody R
Rominski, Sarah D
Gyakobo, Mawuli
Muriu, Eunice W
Kweku, Nakua E
Agyei-Baffour, Peter
author_facet Lori, Jody R
Rominski, Sarah D
Gyakobo, Mawuli
Muriu, Eunice W
Kweku, Nakua E
Agyei-Baffour, Peter
author_sort Lori, Jody R
collection PubMed
description BACKGROUND: Research on the mal-distribution of health care workers has focused mainly on physicians and nurses. To meet the Millennium Development Goal Five and the reproductive needs of all women, it is predicted that an additional 334,000 midwives are needed. Despite the on-going efforts to increase this cadre of health workers there are still glaring gaps and inequities in distribution. The objectives of this study are to determine the perceived barriers and motivators influencing final year midwifery students’ acceptance of rural postings in Ghana, West Africa. METHODS: An exploratory qualitative study using focus group interviews as the data collection strategy was conducted in two of the largest midwifery training schools in Ghana. All final year midwifery students from the two training schools were invited to participate in the focus groups. A purposive sample of 49 final year midwifery students participated in 6 focus groups. All students were women. Average age was 23.2 years. Glaser’s constant comparative method of analysis was used to identify patterns or themes from the data. RESULTS: Three themes were identified through a broad inductive process: 1) social amenities; 2) professional life; and 3) further education/career advancement. Together they create the overarching theme, quality of life, we use to describe the influences on midwifery students’ decision to accept a rural posting following graduation. CONCLUSIONS: In countries where there are too few health workers, deployment of midwives to rural postings is a continuing challenge. Until more midwives are attracted to work in rural, remote areas health inequities will exist and the targeted reduction for maternal mortality will remain elusive.
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spelling pubmed-34381152012-09-11 Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana Lori, Jody R Rominski, Sarah D Gyakobo, Mawuli Muriu, Eunice W Kweku, Nakua E Agyei-Baffour, Peter Hum Resour Health Research BACKGROUND: Research on the mal-distribution of health care workers has focused mainly on physicians and nurses. To meet the Millennium Development Goal Five and the reproductive needs of all women, it is predicted that an additional 334,000 midwives are needed. Despite the on-going efforts to increase this cadre of health workers there are still glaring gaps and inequities in distribution. The objectives of this study are to determine the perceived barriers and motivators influencing final year midwifery students’ acceptance of rural postings in Ghana, West Africa. METHODS: An exploratory qualitative study using focus group interviews as the data collection strategy was conducted in two of the largest midwifery training schools in Ghana. All final year midwifery students from the two training schools were invited to participate in the focus groups. A purposive sample of 49 final year midwifery students participated in 6 focus groups. All students were women. Average age was 23.2 years. Glaser’s constant comparative method of analysis was used to identify patterns or themes from the data. RESULTS: Three themes were identified through a broad inductive process: 1) social amenities; 2) professional life; and 3) further education/career advancement. Together they create the overarching theme, quality of life, we use to describe the influences on midwifery students’ decision to accept a rural posting following graduation. CONCLUSIONS: In countries where there are too few health workers, deployment of midwives to rural postings is a continuing challenge. Until more midwives are attracted to work in rural, remote areas health inequities will exist and the targeted reduction for maternal mortality will remain elusive. BioMed Central 2012-07-24 /pmc/articles/PMC3438115/ /pubmed/22828497 http://dx.doi.org/10.1186/1478-4491-10-17 Text en Copyright ©2012 Lori et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Lori, Jody R
Rominski, Sarah D
Gyakobo, Mawuli
Muriu, Eunice W
Kweku, Nakua E
Agyei-Baffour, Peter
Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title_full Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title_fullStr Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title_full_unstemmed Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title_short Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana
title_sort perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in ghana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438115/
https://www.ncbi.nlm.nih.gov/pubmed/22828497
http://dx.doi.org/10.1186/1478-4491-10-17
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