- Title
- Strategies to facilitate the use of birth care provided by skilled birth attendants in the rural areas of Ghana
- Creator
- Adatara, Peter
- Subject
- Maternity nursing -- Ghana
- Subject
- Neonatal nursing -- methods Delivery (Obstetrics) Midwifery -- Ghana
- Date Issued
- 2018
- Date
- 2018
- Type
- Thesis
- Type
- Doctoral
- Type
- DCur
- Identifier
- http://hdl.handle.net/10948/23415
- Identifier
- vital:30541
- Description
- Increasing skilled attendance during childbirth is well established in literature to play a significant role in averting the many preventable maternal deaths that occur in developing countries such as Ghana.Inadequate utilisation of skilled birth care services in Sub-Saharan Africa is believed to be a major hindrance to efforts aimed at improving the health of women, especially during delivery. There is low utilisation of birth care services provided by skilled birth attendants in the rural areas in Ghana. The purpose of this study was to develop strategies that could facilitate the utilisation of skilled birth care provided by skilled birth attendants in the rural areas of Ghana. The study adopted a qualitative, explorative, descriptive and contextual method to explore and describe women’s experiences regarding the utilisation or non-utilisation of skilled birth care services provided by skilled birth attendants in the rural areas in Ghana. The study was conducted in three phases: Phase One of this study described the research population, sampling method, data collection and analysis to obtain women’s experiences regarding the utilisation or non-utilisation of skilled birth care services. In this study, data were collected and analysed from the research population. The research population consisted of women who utilised skilled birth care attendants or unskilled care attendants during child birth. The data collection method used was individual interviews. Data collected from the interviews were transcribed verbatim and analysed according to the steps suggested by Tesch to identify themes and sub-themes. The study identified three themes and sub-themes: Theme 1: Experiences of participants related to the use of skilled birth care attendants; Theme 2: Participants expressed their reasons for choosing a home birth; Theme 3: Participants offered suggestions to improve skilled birth care at healthcare facilities. The findings in Phase one of this study formed the basis for the development of the strategies in Phase three. Phase Two of the research design focused on the development of a conceptual framework based on the research findings and utilized to develop strategies which skilled birth attendant may use to facilitate the use of skilled birth care services by women in the rural areas of Ghana where there is low utilisation of birth services provided by skilled birth attendants. The conceptual framework of Dickoff, James and Wiedenbach was used to provide a guide and a link between the different concepts in the research study. Phase Three of this study focused on the development of strategies that will facilitate an increased in the labouring women utilisation of the services provided by skilled birth attendants. The data obtained was used to developed three strategies such as collaboration, education and training, supportive supervision as well as community mobilisation and participation to guide skilled birth attendants to facilitate the utilisation of skilled birth care services during childbirth. The WHO Health for All model, the theoretical model underpinning this study, also guided the development of the strategies to facilitate labouring women utilisation of the services provided by skilled birth attendants. Recommendations regarding the implementation of a national collaborative, education and supportive supervision policies on a macro level are made, as well as recommendations for nursing practice, education and research. It is therefore concluded that the researcher succeeded in achieving the purpose for this study because the strategies which are understandable, clear, simple, applicable and significant to skilled birth care in rural areas has been developed for use by skilled birth attendants to facilitate the utilisation of skilled birth care provided by skilled birth attendants in the rural areas of Ghana.
- Format
- xvii, 282 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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