Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana.
Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana.
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孕产妇卫生保健计划：加纳上西部地区两个农村地区的病态和死亡的原因。
DOI：
10.1371/journal.pone.0183644
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Wang S
中科院分区：
文献类型：
--
作者：
Sumankuuro J;Crockett J;Wang S
在撒哈拉以南非洲，孕产妇和新生儿的发病率和死亡率多年来一直备受关注;然而，解决这些问题仍然是一项深刻的挑战，加纳的情况也不例外。这项研究的重点是找到导致加纳农村地区，特别是上西部地区孕产妇和新生儿发病率和死亡率的原因。采用混合方法调查加纳上西部地区两个农村地区孕产妇和新生儿发病率和死亡率的医学和非医学原因。调查问卷，深入访谈和焦点小组讨论收集数据，从：a）80名孕妇（谁是在其第二和第三个三个月，不包括那些在其第九个月），B）240社区居民和c）13个医疗保健提供者（2区主任的卫生服务，8个负责人的卫生设施和3名护士）。怀孕期间发病和死亡的直接原因包括尿路感染（48%）、高血压（4%）、精神疾病（7%）、恶心（4%）和间接相关疾病，如贫血（11%）、疟疾、艾滋病毒/艾滋病、水肿和B型肝炎（26%）。社会经济和文化因素被确定为这些并发症以及分娩和产后期间发病率和死亡率的重要根本原因。出生窒息和传统信仰及习俗是新生儿死亡的主要原因。这些调查结果为加纳卫生局管理的社区卫生服务提供了重点目标，并为加强卫生教育和宣传方案打开了一扇机会之窗，这些方案旨在减少危险经济活动以及影响产妇和新生儿发病率和死亡率的其他文化信仰和习俗。
Maternal and neonatal morbidities and mortalities have received much attention over the years in sub-Saharan Africa; yet addressing them remains a profound challenge, no more so than in the nation of Ghana. This study focuses on finding explanations to the conditions which lead to maternal and neonatal morbidities and mortalities in rural Ghana, particularly the Upper West Region. Mixed methods approach was adopted to investigate the medical and non-medical causes of maternal and neonatal morbidities and mortalities in two rural districts of the Upper West Region of Ghana. Survey questionnaires, in-depth interviews and focus group discussions were employed to collect data from: a) 80 expectant mothers (who were in their second and third trimesters, excluding those in their ninth month), b) 240 community residents and c) 13 healthcare providers (2 district directors of health services, 8 heads of health facilities and 3 nurses). Morbidity and mortality during pregnancy is attributed to direct causes such urinary tract infection (48%), hypertensive disorders (4%), mental health conditions (7%), nausea (4%) and indirect related sicknesses such as anaemia (11%), malaria, HIV/AIDS, oedema and hepatitis B (26%). Socioeconomic and cultural factors are identified as significant underlying causes of these complications and to morbidity and mortality during labour and the postnatal period. Birth asphyxia and traditional beliefs and practices were major causes of neonatal deaths. These findings provide focused targets and open a window of opportunity for the community-based health services run by Ghana Health Service to intensify health education and promotion programmes directed at reducing risky economic activities and other cultural beliefs and practices affecting maternal and neonatal morbidity and mortality.
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影响因子：
3.3
作者：
Engmann, Cyril;Walega, Paul;Hodgson, Abraham
通讯作者：
Hodgson, Abraham
DOI：
10.1016/j.ijgo.2015.03.007
发表时间：
2015-06-01
影响因子：
3.8
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
6.1
作者：
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通讯作者：
Volpe, A.
影响因子：
2.5
作者：
Mosley, W. Henry;Chen, Lincoln C.
通讯作者：
Chen, Lincoln C.