Bos, A.E. (2019) A positive pregnancy & childbirth experience Client perspectives on utilization and preferences for maternal and neonatal healthcare in Gushegu Municipality in Ghana. thesis, Medicine.
Full text available on request.Abstract
Introduction: In Gushegu municipality, the maternal mortality ratio and neonatal mortality rate remain high. Despite global efforts with the Millennium Development Goals, improvement has stagnated. In addition, the WHO focuses on positive pregnancy and childbirth experience for women with the aim to improve skilled birth attendance. This study examines the preferences and perspectives that affect healthcare seeking behaviour in maternal and neonatal healthcare, to improve healthcare utilization in Gushegu municipality in Ghana and to be able to give women a positive pregnancy and childbirth experience. Methods: A qualitative research was conducted in Gushegu municipality in northern Ghana. Data was gathered through observations, focus group discussions (N=19), semi-structured indepth interviews (N=67) and key-informant interviews (N=17). To collect the data, male and female respondents were selected through snowball sampling and purposeful sampling. Afterwards, the gathered data was analysed with Atlas.ti software through thematic indexing and coding. Results: The positive pregnancy and childbirth experience is influenced by the access to care, quality of care and dignity and satisfaction of care. Although many women are able to identify healthcare issues, it is difficult for them to identify solutions and preferences. However, after some encouragement women shared their preferences. Furthermore, this study found that men play an important role in decision-making, transportation and finances regarding women’s healthcare. Discussion: The utilization of care is influenced by the health-seeking behaviour of women and their experiences of access to care, quality of care and dignity and satisfaction of care. This includes respectful quality care with effective communication, education and information. Solutions towards a positive pregnancy and childbirth experience include education of women and men, improve the dignity and satisfaction by paying attention to the privacy of women and train health professionals in knowledge, skills, emotional support and effective communication. Keywords: Neonatal and maternal healthcare, utilization of care, access to care, quality of care, dignity and satisfaction of care, health-seeking behaviour, positive pregnancy experience, positive childbirth experience, Ghana
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty supervisor: and Stekelenburg, prof. dr. J. |
| Supervisor name: | Supervisor in Ghana: and Boon, drs. G. B. and Place and setting: Project Share, Gushegu Municipality in Gh |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:01 |
| Last Modified: | 25 Jun 2020 11:01 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2131 |
Actions (login required)
 |
View Item |