Why Muslim women in Northern Ghana do not use skilled maternal healthcare services at health facilities: a qualitative study.
Why Muslim women in Northern Ghana do not use skilled maternal healthcare services at health facilities: a qualitative study.
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DOI：
10.1186/s12914-015-0048-9
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发表时间：
2015-04-28
影响因子：
3
通讯作者：
Ganle JK
中科院分区：
文献类型：
--
作者：
Ganle JK
穆斯林妇女是加纳的一个亚人口群体，其中熟练产妇保健服务的可获得性和利用率非常低。然而，加纳没有研究探讨穆斯林妇女的产妇需求和护理经验，以及她们为什么不利用保健设施的产妇保健服务。本文旨在探讨穆斯林妇女的孕产妇保健需求和护理经验，以及获得和使用孕产妇保健服务的障碍。2011年11月至2012年5月，对加纳北方三个社区的94名穆斯林妇女进行了定性研究。使用Attride-Stirling的专题网络分析框架对数据进行分析。调查结果表明，尽管穆斯林妇女确实希望在卫生设施中获得熟练的护理，但她们在获得和使用此类服务方面往往遇到困难。这些困难往往是以宗教义务为条件的，即通过适度着装和避免非法暴露身体或与某些人接触，包括男性或外国照顾者，来保持身体的神圣性。其他相关的获取障碍包括缺乏隐私、保健提供者对穆斯林妇女的宗教和文化习俗不敏感和缺乏了解，以及保健信息缺乏文化和宗教特性，无法满足穆斯林妇女的孕产妇保健需求。旨在满足加纳主流非穆斯林妇女需求的孕产妇保健服务可能缺乏灵活性和反应能力，无法满足穆斯林妇女独特的孕产妇保健需求。改革建议包括对保健提供者进行文化能力培训，以及进行文化/宗教匹配，以满足穆斯林妇女的护理需求，并提高她们的护理经验。
Muslim women are one sub-population in Ghana among whom the rate of skilled maternal health services accessibility and utilisation is very low. However, there are no studies in Ghana that explore the maternity needs and care experiences of Muslim women, and why they do not utilise maternal healthcare services at health facilities. The purpose of this paper is to explore the maternity healthcare needs and care experiences of Muslim women and the barriers to accessing and using maternal health services. Qualitative research was conducted with 94 Muslim women in three communities in northern Ghana between November 2011 and May 2012. Data were analysed using the Attride-Stirling’s thematic network analysis framework. Findings suggest that although Muslim women do want to receive skilled care in a health facility, they often experience difficulties with accessing and using such services. These difficulties were often conditioned by a religious obligation to maintain bodily sanctity through modest dressing and the avoidance of unlawful bodily exposure or contact with certain people including male or alien caregivers. Other related access barriers include lack of privacy, healthcare providers’ insensitivity and lack of knowledge about Muslim women’s religious and cultural practices, and health information that lacked the cultural and religious specificity to meet Muslim women’s maternity care needs. Maternal healthcare services designed to meet the needs of mainstream non-Muslim Ghanaian women might lack the flexibility and responsiveness to meet the unique maternity care needs of Muslim women. Recommendations for change include cultural competence training for healthcare providers and cultural/religious matching to meet Muslim women’s care needs and to enhance their care experience.
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影响因子：
3.7
作者：
Dzakpasu, Susie;Soremekun, Seyi;Kirkwood, Betty R.
通讯作者：
Kirkwood, Betty R.
加纳出生时获得护理的地理通道：安全母性的障碍。
影响因子：
4.5
作者：
Gething PW;Johnson FA;Frempong-Ainguah F;Nyarko P;Baschieri A;Aboagye P;Falkingham J;Matthews Z;Atkinson PM
通讯作者：
Atkinson PM
影响因子：
2.1
作者：
MAINE, D;KAMARA, A;MONTGOMERY, M
通讯作者：
MONTGOMERY, M
影响因子：
4.8
作者：
Ganle JK;Parker M;Fitzpatrick R;Otupiri E
通讯作者：
Otupiri E
影响因子：
10.5
作者：
Morgan, DL
通讯作者：
Morgan, DL