Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis
Identifieur interne : 000474 ( Main/Exploration ); précédent : 000473; suivant : 000475Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis
Auteurs : Emmanuel Banchani [Canada] ; Eric Y. Tenkorang [Canada]Source :
- BMC Health Services Research [ 1472-6963 ] ; 2014.
Abstract
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.
Url:
DOI: 10.1186/1472-6963-14-7
PubMed: 24393358
PubMed Central: 3893381
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000261
- to stream Pmc, to step Curation: 000260
- to stream Pmc, to step Checkpoint: 000246
- to stream Ncbi, to step Merge: 000622
- to stream Ncbi, to step Curation: 000622
- to stream Ncbi, to step Checkpoint: 000622
- to stream Main, to step Merge: 000474
- to stream Main, to step Curation: 000474
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis</title><author><name sortKey="Banchani, Emmanuel" sort="Banchani, Emmanuel" uniqKey="Banchani E" first="Emmanuel" last="Banchani">Emmanuel Banchani</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7</wicri:regionArea><wicri:noRegion>St. John’s A1C 5S7</wicri:noRegion></affiliation></author><author><name sortKey="Tenkorang, Eric Y" sort="Tenkorang, Eric Y" uniqKey="Tenkorang E" first="Eric Y" last="Tenkorang">Eric Y. Tenkorang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7</wicri:regionArea><wicri:noRegion>St. John’s A1C 5S7</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24393358</idno><idno type="pmc">3893381</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3893381</idno><idno type="RBID">PMC:3893381</idno><idno type="doi">10.1186/1472-6963-14-7</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000261</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000261</idno><idno type="wicri:Area/Pmc/Curation">000260</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000260</idno><idno type="wicri:Area/Pmc/Checkpoint">000246</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000246</idno><idno type="wicri:Area/Ncbi/Merge">000622</idno><idno type="wicri:Area/Ncbi/Curation">000622</idno><idno type="wicri:Area/Ncbi/Checkpoint">000622</idno><idno type="wicri:Area/Main/Merge">000474</idno><idno type="wicri:Area/Main/Curation">000474</idno><idno type="wicri:Area/Main/Exploration">000474</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis</title><author><name sortKey="Banchani, Emmanuel" sort="Banchani, Emmanuel" uniqKey="Banchani E" first="Emmanuel" last="Banchani">Emmanuel Banchani</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7</wicri:regionArea><wicri:noRegion>St. John’s A1C 5S7</wicri:noRegion></affiliation></author><author><name sortKey="Tenkorang, Eric Y" sort="Tenkorang, Eric Y" uniqKey="Tenkorang E" first="Eric Y" last="Tenkorang">Eric Y. Tenkorang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Sociology, Memorial University of Newfoundland, St. John’s A1C 5S7</wicri:regionArea><wicri:noRegion>St. John’s A1C 5S7</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Health Services Research</title><idno type="eISSN">1472-6963</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Okonofua, Fe" uniqKey="Okonofua F">FE Okonofua</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, A" uniqKey="Singh A">A Singh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simwaka, Bn" uniqKey="Simwaka B">BN Simwaka</name></author><author><name sortKey="Theobald, S" uniqKey="Theobald S">S Theobald</name></author><author><name sortKey="Amekudzi, Yp" uniqKey="Amekudzi Y">YP Amekudzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stuckler, D" uniqKey="Stuckler D">D Stuckler</name></author><author><name sortKey="Basu, S" uniqKey="Basu S">S Basu</name></author><author><name sortKey="Mckee, M" uniqKey="Mckee M">M McKee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nations, U" uniqKey="Nations U">U Nations</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aryeetey, E" uniqKey="Aryeetey E">E Aryeetey</name></author><author><name sortKey="Nimo, Mk" uniqKey="Nimo M">MK Nimo</name></author><author><name sortKey="Aryeetey, E" uniqKey="Aryeetey E">E Aryeetey</name></author><author><name sortKey="Nimo, Mk" uniqKey="Nimo M">MK Nimo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bergsj, P" uniqKey="Bergsj P">P Bergsjø</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thonneau, P" uniqKey="Thonneau P">P Thonneau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ross, Ja" uniqKey="Ross J">JA Ross</name></author><author><name sortKey="Winfrey, Wl" uniqKey="Winfrey W">WL Winfrey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Lp" uniqKey="Wong L">LP Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, R" uniqKey="Kumar R">R Kumar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name></author><author><name sortKey="Gilson, L" uniqKey="Gilson L">L Gilson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Al Serouri, Aw" uniqKey="Al Serouri A">AW Al Serouri</name></author><author><name sortKey="Al Rabee, A" uniqKey="Al Rabee A">A Al Rabee</name></author><author><name sortKey="Afif, Mb" uniqKey="Afif M">MB Afif</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nyango, Dd" uniqKey="Nyango D">DD Nyango</name></author><author><name sortKey="Mutihir, Jt" uniqKey="Mutihir J">JT Mutihir</name></author><author><name sortKey="Laabes, Ep" uniqKey="Laabes E">EP Laabes</name></author><author><name sortKey="Kiggbu, Jh" uniqKey="Kiggbu J">JH Kiggbu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fauveau, V" uniqKey="Fauveau V">V Fauveau</name></author><author><name sortKey="Sherratt, Dr" uniqKey="Sherratt D">DR Sherratt</name></author><author><name sortKey="De Bernis, L" uniqKey="De Bernis L">L de Bernis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ireland, J" uniqKey="Ireland J">J Ireland</name></author><author><name sortKey="Bryers, H" uniqKey="Bryers H">H Bryers</name></author><author><name sortKey="Teijlingen, Ev" uniqKey="Teijlingen E">EV Teijlingen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Makinde, T" uniqKey="Makinde T">T Makinde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kunaviktikul, W" uniqKey="Kunaviktikul W">W Kunaviktikul</name></author><author><name sortKey="Nantsupawat, R" uniqKey="Nantsupawat R">R Nantsupawat</name></author><author><name sortKey="Sngounsiritham, U" uniqKey="Sngounsiritham U">U Sngounsiritham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deschaine, J" uniqKey="Deschaine J">J Deschaine</name></author><author><name sortKey="Schaffe, Ma" uniqKey="Schaffe M">MA Schaffe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hassan Bitar, S" uniqKey="Hassan Bitar S">S Hassan-Bitar</name></author><author><name sortKey="Narrainen, S" uniqKey="Narrainen S">S Narrainen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sakyi, Ek" uniqKey="Sakyi E">EK Sakyi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agyepong, Ia" uniqKey="Agyepong I">IA Agyepong</name></author><author><name sortKey="Anafi, P" uniqKey="Anafi P">P Anafi</name></author><author><name sortKey="Asiamah, E" uniqKey="Asiamah E">E Asiamah</name></author><author><name sortKey="Ansah, Ek" uniqKey="Ansah E">EK Ansah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Graham, Wjb" uniqKey="Graham W">WJB Graham</name></author><author><name sortKey="Bullough, C" uniqKey="Bullough C">C Bullough</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, Omr" uniqKey="Campbell O">OMR Campbell</name></author><author><name sortKey="Graham, Wj" uniqKey="Graham W">WJ Graham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Makowiecka, K" uniqKey="Makowiecka K">K Makowiecka</name></author><author><name sortKey="Achadi, E" uniqKey="Achadi E">E Achadi</name></author><author><name sortKey="Izati, Y" uniqKey="Izati Y">Y Izati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rolfe, B" uniqKey="Rolfe B">B Rolfe</name></author><author><name sortKey="Leshabari, S" uniqKey="Leshabari S">S Leshabari</name></author><author><name sortKey="Rutta, F" uniqKey="Rutta F">F Rutta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gerein, N" uniqKey="Gerein N">N Gerein</name></author><author><name sortKey="Green, A" uniqKey="Green A">A Green</name></author><author><name sortKey="Pearson, S" uniqKey="Pearson S">S Pearson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nanda, G" uniqKey="Nanda G">G Nanda</name></author><author><name sortKey="Switlick, K" uniqKey="Switlick K">K Switlick</name></author><author><name sortKey="Lule, E" uniqKey="Lule E">E Lule</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lule, E" uniqKey="Lule E">E Lule</name></author><author><name sortKey="Ramana, Gnv" uniqKey="Ramana G">GNV Ramana</name></author><author><name sortKey="Ooman, N" uniqKey="Ooman N">N Ooman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bergeson Lockwood, J" uniqKey="Bergeson Lockwood J">J Bergeson-Lockwood</name></author><author><name sortKey="Madsen, El" uniqKey="Madsen E">EL Madsen</name></author><author><name sortKey="Bernstein, J" uniqKey="Bernstein J">J Bernstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Madsen, El" uniqKey="Madsen E">EL Madsen</name></author><author><name sortKey="Bergeson Lockwood, J" uniqKey="Bergeson Lockwood J">J Bergeson-Lockwood</name></author><author><name sortKey="Bernstein, J" uniqKey="Bernstein J">J Bernstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bossert, Tj" uniqKey="Bossert T">TJ Bossert</name></author><author><name sortKey="Bowser, Dm" uniqKey="Bowser D">DM Bowser</name></author><author><name sortKey="Amenyah, Jk" uniqKey="Amenyah J">JK Amenyah</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Banchani, Emmanuel" sort="Banchani, Emmanuel" uniqKey="Banchani E" first="Emmanuel" last="Banchani">Emmanuel Banchani</name></noRegion><name sortKey="Tenkorang, Eric Y" sort="Tenkorang, Eric Y" uniqKey="Tenkorang E" first="Eric Y" last="Tenkorang">Eric Y. Tenkorang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000474 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000474 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3893381
|texte= Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24393358" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |