Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana
Identifieur interne : 000B96 ( Ncbi/Merge ); précédent : 000B95; suivant : 000B97Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana
Auteurs : Joshua Sumankuuro ; Judith Crockett ; Shaoyu WangSource :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
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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DOI: 10.1371/journal.pone.0183644
PubMed: 28854248
PubMed Central: 5576685
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28854248</idno><idno type="pmc">5576685</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576685</idno><idno type="RBID">PMC:5576685</idno><idno type="doi">10.1371/journal.pone.0183644</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000482</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000482</idno><idno type="wicri:Area/Pmc/Curation">000481</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000481</idno><idno type="wicri:Area/Pmc/Checkpoint">000022</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000022</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000302</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000302</idno><idno type="wicri:Area/PubMed/Curation">000302</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000302</idno><idno type="wicri:Area/PubMed/Checkpoint">000302</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000302</idno><idno type="wicri:Area/Ncbi/Merge">000B96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>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.</p></sec><sec id="sec002"><title>Method</title><p>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).</p></sec><sec id="sec003"><title>Result</title><p>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.</p></sec><sec id="sec004"><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Asamoah, Bo" uniqKey="Asamoah B">BO Asamoah</name></author><author><name sortKey="Moussa, Km" uniqKey="Moussa K">KM Moussa</name></author><author><name sortKey="Stafstrom, M" uniqKey="Stafstrom M">M Stafström</name></author><author><name sortKey="Musinguzi, G" uniqKey="Musinguzi G">G Musinguzi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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Daniels</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Engmann, C" uniqKey="Engmann C">C Engmann</name></author><author><name sortKey="Walega, P" uniqKey="Walega P">P Walega</name></author><author><name sortKey="Aborigo, Ra" uniqKey="Aborigo R">RA Aborigo</name></author><author><name sortKey="Adongo, P" uniqKey="Adongo P">P Adongo</name></author><author><name sortKey="Moyer, Ca" uniqKey="Moyer C">CA Moyer</name></author><author><name sortKey="Lavasani, L" uniqKey="Lavasani L">L Lavasani</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Galaa, Sz" uniqKey="Galaa S">SZ Galaa</name></author><author><name sortKey="Haruna, U" uniqKey="Haruna U">U Haruna</name></author><author><name sortKey="Dandeebo, G" uniqKey="Dandeebo G">G Dandeebo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aborigo, Ra" uniqKey="Aborigo R">RA Aborigo</name></author><author><name sortKey="Moyer, Ca" uniqKey="Moyer C">CA Moyer</name></author><author><name sortKey="Gupta, M" uniqKey="Gupta M">M Gupta</name></author><author><name sortKey="Adongo, Pb" uniqKey="Adongo P">PB Adongo</name></author><author><name sortKey="Williams, J" uniqKey="Williams J">J Williams</name></author><author><name sortKey="Hodgson, A" uniqKey="Hodgson A">A Hodgson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Storm, F" uniqKey="Storm F">F Storm</name></author><author><name sortKey="Agampodi, S" uniqKey="Agampodi S">S Agampodi</name></author><author><name sortKey="Eddleston, M" uniqKey="Eddleston M">M Eddleston</name></author><author><name sortKey="S Rensen, Jb" uniqKey="S Rensen J">JB Sørensen</name></author><author><name sortKey="Konradsen, F" uniqKey="Konradsen F">F Konradsen</name></author><author><name sortKey="Rheinl Nder, T" uniqKey="Rheinl Nder T">T Rheinländer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Illah, E" uniqKey="Illah E">E Illah</name></author><author><name sortKey="Mbaruku, G" uniqKey="Mbaruku G">G Mbaruku</name></author><author><name sortKey="Masanja, H" uniqKey="Masanja H">H Masanja</name></author><author><name sortKey="Kahn, K" uniqKey="Kahn K">K Kahn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bayu, H" uniqKey="Bayu H">H Bayu</name></author><author><name sortKey="Fisseha, G" uniqKey="Fisseha G">G Fisseha</name></author><author><name sortKey="Mulat, A" uniqKey="Mulat A">A Mulat</name></author><author><name sortKey="Yitayih, G" uniqKey="Yitayih G">G Yitayih</name></author><author><name sortKey="Wolday, M" uniqKey="Wolday M">M Wolday</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sychareun, V" uniqKey="Sychareun V">V Sychareun</name></author><author><name sortKey="Somphet, V" uniqKey="Somphet V">V 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F" uniqKey="Nuwaha F">F Nuwaha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekabua, Je" uniqKey="Ekabua J">JE Ekabua</name></author><author><name sortKey="Ekabua, Kj" uniqKey="Ekabua K">KJ Ekabua</name></author><author><name sortKey="Odusolu, P" uniqKey="Odusolu P">P Odusolu</name></author><author><name sortKey="Agan, Tu" uniqKey="Agan T">TU Agan</name></author><author><name sortKey="Iklaki, Cu" uniqKey="Iklaki C">CU Iklaki</name></author><author><name sortKey="Etokidem, Aj" uniqKey="Etokidem A">AJ Etokidem</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Acosta, Df" uniqKey="Acosta D">DF Acosta</name></author><author><name sortKey="Gomes, Vlo" uniqKey="Gomes V">VLO Gomes</name></author><author><name sortKey="Kerber, Npc" uniqKey="Kerber N">NPC Kerber</name></author><author><name sortKey="Da Costa, Cfs" uniqKey="Da Costa C">CFS da Costa</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="28854248"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28854248</idno><idno type="pmc">5576685</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576685</idno><idno type="RBID">PMC:5576685</idno><idno type="doi">10.1371/journal.pone.0183644</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000482</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000482</idno><idno type="wicri:Area/Pmc/Curation">000481</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000481</idno><idno type="wicri:Area/Pmc/Checkpoint">000022</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000022</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>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.</p></sec><sec id="sec002"><title>Method</title><p>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).</p></sec><sec id="sec003"><title>Result</title><p>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.</p></sec><sec id="sec004"><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Asamoah, Bo" uniqKey="Asamoah B">BO Asamoah</name></author><author><name sortKey="Moussa, Km" uniqKey="Moussa K">KM Moussa</name></author><author><name sortKey="Stafstrom, M" uniqKey="Stafstrom M">M Stafström</name></author><author><name sortKey="Musinguzi, G" uniqKey="Musinguzi G">G Musinguzi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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Costa</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana.</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28854248</idno><idno type="pmid">28854248</idno><idno type="doi">10.1371/journal.pone.0183644</idno><idno type="wicri:Area/PubMed/Corpus">000302</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000302</idno><idno type="wicri:Area/PubMed/Curation">000302</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000302</idno><idno type="wicri:Area/PubMed/Checkpoint">000302</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000302</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Maternal health care initiatives: Causes of morbidities and mortalities in two rural districts of Upper West Region, Ghana.</title><author><name sortKey="Sumankuuro, Joshua" sort="Sumankuuro, Joshua" uniqKey="Sumankuuro J" first="Joshua" last="Sumankuuro">Joshua Sumankuuro</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Crockett, Judith" sort="Crockett, Judith" uniqKey="Crockett J" first="Judith" last="Crockett">Judith Crockett</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Shaoyu" sort="Wang, Shaoyu" uniqKey="Wang S" first="Shaoyu" last="Wang">Shaoyu Wang</name><affiliation wicri:level="1"><nlm:affiliation>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Community Health, Faculty of Science, Charles Sturt University, Orange, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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