A qualitative study onrural women's experiences relating to the utilisation of birth care provided by skilled birth attendants in the rural areas of Bongo District in the Upper East Region of Ghana

A qualitative study onrural women's experiences relating to the utilisation of birth care provided by skilled birth attendants in the rural areas of Bongo District in the Upper East Region of Ghana
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DOI:
10.1186/s12884-019-2337-0
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发表时间:
2019-06-06
影响因子:
3.1
通讯作者:
Ricks, Esmeralda
Ricks, Esmeralda
中科院分区:
医学3区
文献类型:
--
作者:
Adatara, Peter;Strumpher, Johanita;Ricks, Esmeralda

文献摘要

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背景文献中已经证实,增加分娩期间的熟练护理在避免加纳等发展中国家发生的许多可预防的孕产妇死亡方面发挥了重要作用。在加纳,熟练的分娩护理服务利用不足被认为是旨在改善妇女健康,特别是分娩期间健康的努力的一个主要障碍。本研究的目的是探讨和描述农村妇女的经验,关于利用熟练的分娩护理提供在农村地区的北方Ghana.MethodsThe研究采用了定性,探索性,描述性的研究方法,即个人访谈,通过观察和实地记录,详细描述了妇女在农村地区利用熟练助产服务的经验在加纳。有目的的抽样方法被用来选择20名妇女谁利用熟练的分娩护理在农村地区的邦戈区加纳。从访谈中收集的数据逐字转录和分析,以确定themes.ResultsThe研究identifiedthree主题:妇女有负面的互动与熟练的助产士在分娩过程中;妇女缺乏信心,熟练的助产士的能力;熟练的助产士不尊重传统的信念的women.ConclusionMost的参与者有负面的经验,利用熟练的分娩护理。因此,有必要制定有助于解决妇女上述关切的战略,以促进加纳农村地区熟练接生服务的利用,因为农村地区熟练接生服务的利用率很低。
BackgroundIncreasing skilled attendance during childbirth is well established in literature to play a significant role in averting the many preventable maternal deaths that occur in developing countries such as Ghana. Inadequate utilisation of skilled birth care services in Ghana is believed to be a major hindrance to efforts aimed at improving the health of women, especially during delivery. The purpose of this study was to explore and describe the experiences of rural women regarding the utilisation of skilled birth care provided in the rural areas of Northern Ghana.MethodsThe study adopted a qualitative, exploratory, descriptive research approach, whereby individual interviews, observations and field notes were used to obtain a thick description of women's experiences regarding the utilisation of skilled birth care services in the rural areas in Ghana. A purposive sampling approach was used to select 20 women who utilised skilled birth care in the rural areas of Bongo District of Ghana. Data collected from the interviews were transcribed verbatim and analysed to identify themes.ResultsThe study identifiedthree themes: The women had negative interactions with skilled birth attendants during delivery; women lacked confidence in skilled birth attendants' abilities; skilled birth attendants disrespected the traditional beliefs of the women.ConclusionMost of the participants had negative experiences regarding the utilisation of skilled birth care. There is thus a need to develop strategies that could help address the above concerns of women to facilitate utilisation of skilled birth services in the rural areas in Ghana where there is low utilisation of skilled birth care.