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User and community coping responses to service delivery gaps in emergency obstetric care provision in a rural community in Ghana.
- Source :
- Health & Social Care in the Community; Nov2022, Vol. 30 Issue 6, pe4513-e4521, 9p, 5 Charts
- Publication Year :
- 2022
-
Abstract
- The study sought to explore user and community responses to service delivery gaps in emergency obstetric care provision in rural Ghana. A qualitative design was employed to draw evidence from observations, interviews and focus group discussion among healthcare providers, clients and community members. Data processing and analysis followed a thematic approach. Findings reveal community interference in obstetric care delivery processes, reliance on unskilled providers, recourse to local oxytocin use, nonācompliance to prescribed treatment and mistrust in healthcare providers as user and community coping mechanisms to perceived poor quality obstetric care. These behaviours have serious consequences on the life chances of pregnant and parturient women. The need to adapt to a more responsive and affordable maternal healthcare delivery system is essential for uptake of services in rural areas. Also, standardised guidelines to regulate health worker behaviour is critical to instil trust in the healthcare system. [ABSTRACT FROM AUTHOR]
- Subjects :
- MATERNAL health services
MEDICAL quality control
HEALTH services accessibility
DISCUSSION
SCIENTIFIC observation
MEDICAL care
COMMUNITIES
INTERVIEWING
QUALITATIVE research
AVOIDANCE (Psychology)
EMERGENCY medical services
HEALTH behavior
PSYCHOLOGICAL adaptation
THEMATIC analysis
PATIENT compliance
OCCUPATIONAL adaptation
RURAL population
TRUST
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 30
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 160812795
- Full Text :
- https://doi.org/10.1111/hsc.13855