The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Social costs of skilled attendance at birth in rural Ghana
Abstract
Objective: To examine the social costs to women of skilled attendance at birth in rural Ghana. Method: Ethnographic data were obtained through participant observation, interviews, case histories, and focus groups and were analyzed alongside data from a birth cohort of 2878 singletons born in the Kintampo study district between July 2003 and June 2004. Results: Most women delivered at home. Home delivery raises a woman's status in her community, while seeking skilled attendance lowers it. Women feel that seeking assistance in childbirth wastes other people's time and they value secrecy in labor. Negative treatment by health providers and expensive supplies needed for delivery also act as barriers. Conclusion: The social costs of obtaining skilled attendance at birth must be offset by community level strategies such as mobilization of older women and husbands, and ensuring health providers extend professional, humane care to laboring women.
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Unofficial demands from pregnant women, for example soap and other disinfectants after delivery, are among unacceptable attitudes of skilled birth attendants.
“Some of which are: unofficial demands from pregnant women, for example soap and other disinfectants after delivery [7,15,16,19,20,22,23,31–36] and abusive behaviors [7,23,37].”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [31]
Unacceptable attitudes of skilled birth attendants are widely reported barriers to skilled delivery.
“Besides the problem of incompetence, unacceptable attitudes of SBAs are also widely reported barriers to skilled delivery.”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [31]
Citations
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Why do women prefer home births in Ethiopia?
Shiferaw, S., Spigt, M., Godefrooij, M., Melkamu, Y., & Tekie, M. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-5 · Cited by 290
Moyer, C. A., Adongo, P. B., Aborigo, R. A., Hodgson, A., & Engmann, C. M. (2014) · Midwifery · doi:10.1016/j.midw.2013.05.006 · Cited by 210
Self-citationDako-Gyeke, P., Aikins, M., Aryeetey, R., Mccough, L., & Adongo, P. B. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-211 · Cited by 121
Self-citationMoyer, C. A., Adongo, P. B., Aborigo, R. A., Hodgson, A., Engmann, C. M., & DeVries, R. (2014) · Maternal and Child Health Journal · doi:10.1007/s10995-013-1240-y · Cited by 111
Self-citationSocio-demographic determinants of skilled birth attendant at delivery in rural southern Ghana.
Manyeh, A. K., Akpakli, D. E., Kukula, V., Ekey, R. A., Narh-Bana, S., Adjei, A., & Gyapong, M. (2017) · BMC Research Notes · doi:10.1186/s13104-017-2591-z · Cited by 56
Afulani, P. A., & Moyer, C. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154110 · Cited by 49
Barbi, L., Cham, M., Ame-Bruce, E., & Lazzerini, M. (2021) · Global Public Health · doi:10.1080/17441692.2020.1839926 · Cited by 34
Boah, M., Adampah, T., Jin, B., Wan, S., Mahama, A. B., Hyzam, D., & Akiti, C. (2020) · PLOS ONE · doi:10.1371/journal.pone.0230341 · Cited by 33
Abredu, J., Dwumfour, C. K., Alipitio, B., Alordey, M., Dzomeku, V. M., & Witter, S. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002902 · Cited by 4
Metadata
- Authors
- Bazzano, A. N., Kirkwood, B., Tawiah‐Agyemang, C., Owusu‐Agyei, S., & Adongo, P.
- Affiliations
- Touro University California (US)
- London School of Hygiene & Tropical Medicine (GB)
- Navrongo Health Research Centre (GH)
- Corresponding author
- Bazzano, Alessandra Nina
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2008-04-08
- Volume
- 102
- Issue
- 1
- Pages
- 91-94
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2086112037
- Cited by
- 72
- References
- 1
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 1 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 4 · 2016: 4 · 2015: 13 · 2014: 12 · 2013: 8 · 2012: 5
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
- Funders
- Department for International Development, UK Government
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- skilled birth attendance, social costs, home delivery, rural Ghana, women's status, barriers to care, shipping costs, community mobilization
- MeSH terms
- Anthropology, Cultural, Female, Ghana, Home Childbirth, Humans, Midwifery, Patient Acceptance of Health Care, Pregnancy, Rural Population, Social Desirability, Privacy, Rural Health Services, Delivery, Obstetric
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