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Women’s perspective of facility-based childbirth services in Ghana: A qualitative study

BACKGROUND: Many policy makers at country level in both medium and low to middle-income countries still have great difficulty deciding which quality intervention would have the greatest impact on the health outcomes delivered by their health systems. AIM: To investigate women’s perceptions about the...

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Autores principales: Avortri, Gertrude S., Modiba, Lebitsi M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111448/
https://www.ncbi.nlm.nih.gov/pubmed/30035598
http://dx.doi.org/10.4102/phcfm.v10i1.1434
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author Avortri, Gertrude S.
Modiba, Lebitsi M.
author_facet Avortri, Gertrude S.
Modiba, Lebitsi M.
author_sort Avortri, Gertrude S.
collection PubMed
description BACKGROUND: Many policy makers at country level in both medium and low to middle-income countries still have great difficulty deciding which quality intervention would have the greatest impact on the health outcomes delivered by their health systems. AIM: To investigate women’s perceptions about the factors that hinders or facilitates the provision of quality childbirth services in Ghana’s health care services to guide improvement efforts. SETTING: The study was conducted in the greater Accra region of Ghana in two primary level hospitals (district hospitals). METHODS: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used. Semi-structured interviews were used to examine the perspectives of 15 women on the factors that influence the quality of childbirth services and how services could be improved in Ghana. Data were analysed through data reduction, data display and generation of themes. RESULTS: The findings in this study revealed two major themes, firstly, barriers to quality childbirth with five subthemes: high workload, shortage of health workers, non-availability of some services, as well as poor coordination, unacceptable staff behaviour and lack of cooperation from some clients, were identified by the participants as the major causes of poor quality. Secondly, ways to improve care reported, were encouraging health workers to be patient with clients, promoting open communication, friendliness and attentiveness. The need to reorganise service provision to make it more client centred, was also highlighted. CONCLUSION: The study findings highlight the importance of paying attention to factors such as service organisation and coordination, high workload, inadequate number of staff, as well as limitations in infrastructure and logistics for quality services delivery. Equally important are institutionalisation of systems to continuously assess and improve staff competence and attitudes and the creation of an environment that can foster good interpersonal relationship between health care providers and patients.
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spelling pubmed-61114482018-08-30 Women’s perspective of facility-based childbirth services in Ghana: A qualitative study Avortri, Gertrude S. Modiba, Lebitsi M. Afr J Prim Health Care Fam Med Original Research BACKGROUND: Many policy makers at country level in both medium and low to middle-income countries still have great difficulty deciding which quality intervention would have the greatest impact on the health outcomes delivered by their health systems. AIM: To investigate women’s perceptions about the factors that hinders or facilitates the provision of quality childbirth services in Ghana’s health care services to guide improvement efforts. SETTING: The study was conducted in the greater Accra region of Ghana in two primary level hospitals (district hospitals). METHODS: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used. Semi-structured interviews were used to examine the perspectives of 15 women on the factors that influence the quality of childbirth services and how services could be improved in Ghana. Data were analysed through data reduction, data display and generation of themes. RESULTS: The findings in this study revealed two major themes, firstly, barriers to quality childbirth with five subthemes: high workload, shortage of health workers, non-availability of some services, as well as poor coordination, unacceptable staff behaviour and lack of cooperation from some clients, were identified by the participants as the major causes of poor quality. Secondly, ways to improve care reported, were encouraging health workers to be patient with clients, promoting open communication, friendliness and attentiveness. The need to reorganise service provision to make it more client centred, was also highlighted. CONCLUSION: The study findings highlight the importance of paying attention to factors such as service organisation and coordination, high workload, inadequate number of staff, as well as limitations in infrastructure and logistics for quality services delivery. Equally important are institutionalisation of systems to continuously assess and improve staff competence and attitudes and the creation of an environment that can foster good interpersonal relationship between health care providers and patients. AOSIS 2018-07-09 /pmc/articles/PMC6111448/ /pubmed/30035598 http://dx.doi.org/10.4102/phcfm.v10i1.1434 Text en © 2018. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Avortri, Gertrude S.
Modiba, Lebitsi M.
Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title_full Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title_fullStr Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title_full_unstemmed Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title_short Women’s perspective of facility-based childbirth services in Ghana: A qualitative study
title_sort women’s perspective of facility-based childbirth services in ghana: a qualitative study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111448/
https://www.ncbi.nlm.nih.gov/pubmed/30035598
http://dx.doi.org/10.4102/phcfm.v10i1.1434
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