Cargando…

A qualitative study of women’s network social support and facility delivery in rural Ghana

Similar to many sub-Saharan African countries, maternal mortality in Ghana ranks among the highest (39(th)) globally. Prior research has demonstrated the impact of social network characteristics on health facility delivery in sub-Saharan Africa. However, in-depth examination of the function of all m...

Descripción completa

Detalles Bibliográficos
Autores principales: Cofie, Leslie E., Barrington, Clare, Sodzi-Tettey, Sodzi, Ennett, Susan, Maman, Suzzane, Singh, Kavita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219853/
https://www.ncbi.nlm.nih.gov/pubmed/30399180
http://dx.doi.org/10.1371/journal.pone.0206429
_version_ 1783368731029667840
author Cofie, Leslie E.
Barrington, Clare
Sodzi-Tettey, Sodzi
Ennett, Susan
Maman, Suzzane
Singh, Kavita
author_facet Cofie, Leslie E.
Barrington, Clare
Sodzi-Tettey, Sodzi
Ennett, Susan
Maman, Suzzane
Singh, Kavita
author_sort Cofie, Leslie E.
collection PubMed
description Similar to many sub-Saharan African countries, maternal mortality in Ghana ranks among the highest (39(th)) globally. Prior research has demonstrated the impact of social network characteristics on health facility delivery in sub-Saharan Africa. However, in-depth examination of the function of all members in a woman’s network, in providing various types of support for the woman’s pregnancy and related care, is limited. We qualitatively explore how women’s network social support influences facility delivery. Qualitative data came from a mixed methods evaluation of a Maternal and Newborn Health Referral project in Ghana. In 2015 we conducted in-depth interviews with mothers (n = 40) and husbands (n = 20), and 4 focus group interviews with mothers-in-law. Data were analyzed using narrative summaries and thematic coding procedures to first examine women’s network composition during their pregnancy and childbirth experiences. We then compared those who had homebirths versus facility births on how network social support influenced their place of childbirth. Various network members were involved in providing women with social support. We found differences in how informational and instrumental support impacted women’s place of childbirth. Network members of women who had facility delivery mobilized resources to support women’s facility delivery. Among women who had homebirth but their network members advocated for them to have facility delivery, members delayed making arrangements for the women’s facility delivery. Women who had homebirth, and their network members advocated homebirth, received support to give birth at home. Network support for women’s pregnancy-related care affects their place of childbirth. Hence, maternal health interventions must develop strategies to prioritize informational and instrumental support for facility-based pregnancy and delivery care.
format Online
Article
Text
id pubmed-6219853
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-62198532018-11-19 A qualitative study of women’s network social support and facility delivery in rural Ghana Cofie, Leslie E. Barrington, Clare Sodzi-Tettey, Sodzi Ennett, Susan Maman, Suzzane Singh, Kavita PLoS One Research Article Similar to many sub-Saharan African countries, maternal mortality in Ghana ranks among the highest (39(th)) globally. Prior research has demonstrated the impact of social network characteristics on health facility delivery in sub-Saharan Africa. However, in-depth examination of the function of all members in a woman’s network, in providing various types of support for the woman’s pregnancy and related care, is limited. We qualitatively explore how women’s network social support influences facility delivery. Qualitative data came from a mixed methods evaluation of a Maternal and Newborn Health Referral project in Ghana. In 2015 we conducted in-depth interviews with mothers (n = 40) and husbands (n = 20), and 4 focus group interviews with mothers-in-law. Data were analyzed using narrative summaries and thematic coding procedures to first examine women’s network composition during their pregnancy and childbirth experiences. We then compared those who had homebirths versus facility births on how network social support influenced their place of childbirth. Various network members were involved in providing women with social support. We found differences in how informational and instrumental support impacted women’s place of childbirth. Network members of women who had facility delivery mobilized resources to support women’s facility delivery. Among women who had homebirth but their network members advocated for them to have facility delivery, members delayed making arrangements for the women’s facility delivery. Women who had homebirth, and their network members advocated homebirth, received support to give birth at home. Network support for women’s pregnancy-related care affects their place of childbirth. Hence, maternal health interventions must develop strategies to prioritize informational and instrumental support for facility-based pregnancy and delivery care. Public Library of Science 2018-11-06 /pmc/articles/PMC6219853/ /pubmed/30399180 http://dx.doi.org/10.1371/journal.pone.0206429 Text en © 2018 Cofie et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Cofie, Leslie E.
Barrington, Clare
Sodzi-Tettey, Sodzi
Ennett, Susan
Maman, Suzzane
Singh, Kavita
A qualitative study of women’s network social support and facility delivery in rural Ghana
title A qualitative study of women’s network social support and facility delivery in rural Ghana
title_full A qualitative study of women’s network social support and facility delivery in rural Ghana
title_fullStr A qualitative study of women’s network social support and facility delivery in rural Ghana
title_full_unstemmed A qualitative study of women’s network social support and facility delivery in rural Ghana
title_short A qualitative study of women’s network social support and facility delivery in rural Ghana
title_sort qualitative study of women’s network social support and facility delivery in rural ghana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219853/
https://www.ncbi.nlm.nih.gov/pubmed/30399180
http://dx.doi.org/10.1371/journal.pone.0206429
work_keys_str_mv AT cofielesliee aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT barringtonclare aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT sodzitetteysodzi aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT ennettsusan aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT mamansuzzane aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT singhkavita aqualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT cofielesliee qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT barringtonclare qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT sodzitetteysodzi qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT ennettsusan qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT mamansuzzane qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana
AT singhkavita qualitativestudyofwomensnetworksocialsupportandfacilitydeliveryinruralghana