Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana

This qualitative study was conducted in some selected rural communities within the Birim South District between March to June 2017 with the main aim of teasing out insights into Ghana’s perspective of pregnant women’s attitudes and perceptions about modern and traditional midwives and perceptional i...

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Main Authors: Prince Peprah, Emmanuel Mawuli Abalo, Julius Nyonyo, Reforce Okwei, Williams Agyemang-Duah, Godfred Amankwaa
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:International Journal of Africa Nursing Sciences
Online Access:http://www.sciencedirect.com/science/article/pii/S221413911730080X
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author Prince Peprah
Emmanuel Mawuli Abalo
Julius Nyonyo
Reforce Okwei
Williams Agyemang-Duah
Godfred Amankwaa
author_facet Prince Peprah
Emmanuel Mawuli Abalo
Julius Nyonyo
Reforce Okwei
Williams Agyemang-Duah
Godfred Amankwaa
author_sort Prince Peprah
collection DOAJ
description This qualitative study was conducted in some selected rural communities within the Birim South District between March to June 2017 with the main aim of teasing out insights into Ghana’s perspective of pregnant women’s attitudes and perceptions about modern and traditional midwives and perceptional impact on health seeking behaviour and status. To the best of our knowledge, this is the first known study in Ghana that has provided empirical evidence on this subject. The study found that pregnant women have good attitudes and perceptions toward traditional midwives based on their personal experiences, beliefs and philosophies. Thus, pregnant women only see the need to seek the service of modern midwives when serious complications occur during childbirth and predominantly have their deliveries supervised by traditional midwives. These results call for, specifically two main policy interventions. First, behavioral change interventions through education, community sensitisation and awareness, is required. This should target family members, especially husbands and mothers in-law who are key household decision makers. This will radically help change the conservative attitudes and perceptions about modern midwives by pregnant women. Second, based on the support offered and willingness showed by the study participants, effective intercultural midwifery system will help maximise the utilisation of our midwifery and health delivery systems. Traditional and modern midwives need to work together to ensure safe birth. We consider collaboration among healthcare providers as critical, especially in the rural areas where the number of modern midwives are limited. Keywords: Traditional midwife, Modern midwife, Intercultural midwifery system, Behavioral change, Rural Ghana
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spelling doaj.art-00d94c2133f5484eb13962ef7e527be32022-12-21T20:32:28ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912018-01-0186674Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural GhanaPrince Peprah0Emmanuel Mawuli Abalo1Julius Nyonyo2Reforce Okwei3Williams Agyemang-Duah4Godfred Amankwaa5Corresponding author.; Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaThis qualitative study was conducted in some selected rural communities within the Birim South District between March to June 2017 with the main aim of teasing out insights into Ghana’s perspective of pregnant women’s attitudes and perceptions about modern and traditional midwives and perceptional impact on health seeking behaviour and status. To the best of our knowledge, this is the first known study in Ghana that has provided empirical evidence on this subject. The study found that pregnant women have good attitudes and perceptions toward traditional midwives based on their personal experiences, beliefs and philosophies. Thus, pregnant women only see the need to seek the service of modern midwives when serious complications occur during childbirth and predominantly have their deliveries supervised by traditional midwives. These results call for, specifically two main policy interventions. First, behavioral change interventions through education, community sensitisation and awareness, is required. This should target family members, especially husbands and mothers in-law who are key household decision makers. This will radically help change the conservative attitudes and perceptions about modern midwives by pregnant women. Second, based on the support offered and willingness showed by the study participants, effective intercultural midwifery system will help maximise the utilisation of our midwifery and health delivery systems. Traditional and modern midwives need to work together to ensure safe birth. We consider collaboration among healthcare providers as critical, especially in the rural areas where the number of modern midwives are limited. Keywords: Traditional midwife, Modern midwife, Intercultural midwifery system, Behavioral change, Rural Ghanahttp://www.sciencedirect.com/science/article/pii/S221413911730080X
spellingShingle Prince Peprah
Emmanuel Mawuli Abalo
Julius Nyonyo
Reforce Okwei
Williams Agyemang-Duah
Godfred Amankwaa
Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
International Journal of Africa Nursing Sciences
title Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
title_full Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
title_fullStr Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
title_full_unstemmed Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
title_short Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana
title_sort pregnant women s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural ghana
url http://www.sciencedirect.com/science/article/pii/S221413911730080X
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