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Fostering reflective trust between mothers and community health nurses to improve the effectiveness of health and nutrition efforts: An ethnographic study in Ghana, West Africa
- Source :
- Social Science & Medicine. 158:96-104
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- As the global health agenda shifts from the Millennium Development Goals (MDGs) to Sustainable Development Goals (SDGs), the need for effective preventive health efforts has gained prominence, particularly in low-income regions with poor health and nutrition outcomes. To address needs in communities with limited access to health services and personnel, it is important to develop strategies that can improve the effectiveness of nurses as they interact with the populations they serve. We contribute to informing such strategies by explaining how mothers' "reflective trust" in community health nurses develops as a key influencer in their health-related decision-making and behavior. Between December 2012 and June 2013, our ethnographic study gathered data in three adjacent rural and semi-rural communities in Ghana's Eastern Region, using interviews with 39 nursing mothers, three focus groups - with mothers, health-workers, and community leaders - as well as 941 h of participant observation. We focused on interactions between mothers and nurses, highlighting tensions between communities' traditions and messages that nurses bring, which are often based on modern science. We also investigated how mothers come to exhibit reflective trust in the nurses to make sense of traditional and scientific knowledge on infant feeding, and integrate them into their own feeding decisions. Our findings have global implications for effectively sustaining and scaling health and nutrition efforts through community approaches.
- Subjects :
- Adult
Sociology of scientific knowledge
Health (social science)
030231 tropical medicine
Mothers
Health Promotion
Participant observation
Nurses, Community Health
Trust
Ghana
03 medical and health sciences
0302 clinical medicine
History and Philosophy of Science
Nursing
Ethnography
Global health
Humans
Medicine
030212 general & internal medicine
Anthropology, Cultural
Qualitative Research
Sustainable development
business.industry
Focus Groups
Millennium Development Goals
Focus group
Community health
Female
business
Subjects
Details
- ISSN :
- 02779536
- Volume :
- 158
- Database :
- OpenAIRE
- Journal :
- Social Science & Medicine
- Accession number :
- edsair.doi.dedup.....cdef50a97d59189dcbf3a0137cb630e0