Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis.
Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis.
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DOI：
10.1186/1472-6963-14-7
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发表时间：
2014-01-06
影响因子：
2.8
通讯作者：
Tenkorang EY
中科院分区：
文献类型：
--
作者：
Banchani E;Tenkorang EY
最近，实现改善产妇保健的千年发展目标已成为撒哈拉以南非洲大多数国家的重点。加纳的产妇死亡率仍然很高，这表明在设施一级提供高质量的产妇保健方面存在挑战。这项研究审查了加纳Tamale大都会实施孕产妇保健服务的挑战。有目的的抽样被用来选择研究参与者和定性策略，包括深入访谈、焦点小组讨论和审查用于数据收集的文件。研究参与者包括设施层面的助产士(24人)和健康经理(4人)。这项研究揭示了在职培训不足、助产士对保健政策的了解有限、工作量增加、感染风险、积极性低、产房不足、交通问题、采购法难以遵循等问题，以及在Tamale Metropolis成功实施以妇幼保健为目标的千年发展目标所面临的一些挑战。实施孕产妇保健干预措施应考虑到卫生保健提供者实施干预措施的环境或背景，以确保干预措施取得成功。该研究建议让助产士参与保健政策的制定进程，以确保她们对成功实施孕产妇保健干预措施的支持和承诺。
Achieving the Millennium Development Goal (MDG) of improving maternal health has become a focus in recent times for the majority of countries in sub-Saharan Africa. Ghana’s maternal mortality is still high indicating that there are challenges in the provision of quality maternal health care at the facility level. This study examined the implementation challenges of maternal health care services in the Tamale Metropolis of Ghana. Purposive sampling was used to select study participants and qualitative strategies, including in-depth interviews, focus group discussions and review of documents employed for data collection. The study participants included midwives (24) and health managers (4) at the facility level. The study revealed inadequate in-service training, limited knowledge of health policies by midwives, increased workload, risks of infection, low motivation, inadequate labour wards, problems with transportation, and difficulties in following the procurement act, among others as some of the challenges confronting the successful implementation of the MDGs targeting maternal and child health in the Tamale Metropolis. Implementation of maternal health interventions should take into consideration the environment or the context under which the interventions are implemented by health care providers to ensure they are successful. The study recommends involving midwives in the health policy development process to secure their support and commitment towards successful implementation of maternal health interventions.
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影响因子：
168.9
作者：
Campbell, Oona M. R.;Graham, Wendy J.
通讯作者：
Graham, Wendy J.
DOI：
10.1016/j.ijgo.2008.12.020
发表时间：
2009-04-01
影响因子：
3.8
作者：
Al Serouri, Abdul Wahed;Al Rabee, Arwa;Al Rukeimi, Abdullah
通讯作者：
Al Rukeimi, Abdullah
影响因子：
3.2
作者：
Bossert, Thomas J.;Bowser, Diana M.;Amenyah, Johnnie K.
通讯作者：
Amenyah, Johnnie K.
影响因子：
3.2
作者：
Rolfe, Ben;Leshabari, Sebalda;Murray, Susan F.
通讯作者：
Murray, Susan F.
影响因子：
4.5
作者：
Fauveau V;Sherratt DR;de Bernis L
通讯作者：
de Bernis L