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Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana

This is an article published in The International Journal of Health Planning and Management, 2016; 31: E235–E253; DOI: 10.1002/hpm.2291

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Main Authors: Ganle, John Kuumuori, Fitzpatrick, Raymond, Otupiri, Easmon, Parker, Michael
Other Authors: 0000-0001-8986-1648
Format: Article
Language:English
Published: The International Journal of Health Planning and Management 2023
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access_status_str Open Access
author Ganle, John Kuumuori
Fitzpatrick, Raymond
Otupiri, Easmon
Parker, Michael
author2 0000-0001-8986-1648
author_browse 0000-0001-8986-1648
Fitzpatrick, Raymond
Ganle, John Kuumuori
Otupiri, Easmon
Parker, Michael
author_facet 0000-0001-8986-1648
Ganle, John Kuumuori
Fitzpatrick, Raymond
Otupiri, Easmon
Parker, Michael
author_sort Ganle, John Kuumuori
collection Thesis
description This is an article published in The International Journal of Health Planning and Management, 2016; 31: E235–E253; DOI: 10.1002/hpm.2291
format Article
id oai:ir.knust.edu.gh:123456789/14739
institution KNUST (Ghana)
language English
last_indexed 2026-07-01T04:00:53.352Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher The International Journal of Health Planning and Management
publisherStr The International Journal of Health Planning and Management
record_format dspace
source_str KNUSTSpace — Kwame Nkrumah University of Science & Technology (Ghana)
spelling oai:ir.knust.edu.gh:123456789/14739 Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana Ganle, John Kuumuori Fitzpatrick, Raymond Otupiri, Easmon Parker, Michael 0000-0001-8986-1648 This is an article published in The International Journal of Health Planning and Management, 2016; 31: E235–E253; DOI: 10.1002/hpm.2291 Poor access to and use of skilled delivery services have been identified as a major contributory factor to poor maternal and newborn health in sub-Saharan African countries, including Ghana. However, many previous studies that examine norms of childbirth and care-seeking behaviours have focused on identifying the norms of non-use of services, rather than factors, that can promote service use. Based on primary qualitative research with a total of 185 expec tant and lactating mothers, and 20 healthcare providers in six communities in Ghana, this paper reports on strategies that can be used to overcome health system barriers to the use of skilled delivery services. The strategies identified include expansion and redistribution of existing maternal health resources and infrastructure, training of more skilled maternity care givers, instituting special programmes to target women most in need, improving the quality of maternity care services provided, improving doctor–patient relationships in maternity wards, promotion of choice, protecting privacy and patient dignity in maternity wards and building partnerships with traditional birth attendants and other non-state actors. The findings suggest the need for structural changes to maternity clinics and routine nursing practices, including an emphasis on those doctor–patient relational practices that positively influence women’s healthcare-seeking behaviours . KNUST 2023-12-11T10:38:58Z 2023-12-11T10:38:58Z 2016 Article The International Journal of Health Planning and Management, 2016; 31: E235–E253; DOI: 10.1002/hpm.2291 DOI: 10.1002/hpm.2291 https://ir.knust.edu.gh/handle/123456789/14739 en application/pdf The International Journal of Health Planning and Management
spellingShingle Ganle, John Kuumuori
Fitzpatrick, Raymond
Otupiri, Easmon
Parker, Michael
Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title_full Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title_fullStr Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title_full_unstemmed Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title_short Addressing health system barriers to access to and use of skilled delivery services: perspectives from Ghana
title_sort addressing health system barriers to access to and use of skilled delivery services perspectives from ghana
url https://ir.knust.edu.gh/handle/123456789/14739
work_keys_str_mv AT ganlejohnkuumuori addressinghealthsystembarrierstoaccesstoanduseofskilleddeliveryservicesperspectivesfromghana
AT fitzpatrickraymond addressinghealthsystembarrierstoaccesstoanduseofskilleddeliveryservicesperspectivesfromghana
AT otupirieasmon addressinghealthsystembarrierstoaccesstoanduseofskilleddeliveryservicesperspectivesfromghana
AT parkermichael addressinghealthsystembarrierstoaccesstoanduseofskilleddeliveryservicesperspectivesfromghana