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Cited by 20Reproductive Health and ContraceptionGlobal Maternal and Child HealthGlobal Health and Surgery

Return on Investment for Essential Obstetric Care Training in Ghana: Do Trained Public Sector Midwives Deliver Postabortion Care?

Clark, Kathryn Andersen, Mitchell, Ellen H. M., Aboagye, Patrick Kuma·2010·Journal of Midwifery & Women's Health
DOI 10.1016/j.jmwh.2009.12.012
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Abstract

Introduction In Ghana, the provision of postabortion care (PAC) by trained midwives is critical to the efficient and cost-effective reduction of unsafe abortion morbidity and mortality. Methods We performed a secondary analysis of provider data from a representative sample of Ghanaian health facilities in order to consider the determinants of PAC provision among both physicians and midwives. Results In the previous 5 years, more than 58% of providers had participated in at least one type of essential obstetric training. Overall, 28% of clinicians were offering PAC services (80% of physicians as compared to 20% of midwives). Bivariately, the provision of PAC services was associated with in-service training. After adjusting for select provider and facility characteristics, PAC/MVA training, working in a facility with the National Reproductive Health Standards and Policy available, and not working in a publicly run facility were associated with midwives offering PAC services. Discussion Although the provision of PAC by midwives is an efficient and cost-effective strategy for reducing maternal morbidity and mortality, clinical training of midwives leads to a lower yield of PAC providers when compared to physicians. Policy and practice should continue to support PAC expansion by trained midwives in the public sector and by understanding the barriers to provision of services by midwives working in public facilities.

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  • The provision of postabortion care by midwives is an efficient and cost-effective strategy for reducing maternal morbidity and mortality.

    “although the provision of postabortion care by midwives is an efficient and cost-effective strategy for reducing maternal morbidity and mortality”

    From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [67]

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Authors
Clark, K. A., Mitchell, E. H. M., & Aboagye, P. K.
Affiliations
Ipas (US)
Corresponding author
Clark, Kathryn Andersen
ORCID
Clark, Kathryn Andersen
Venue
Journal of Midwifery & Women's Health
Publisher
Wiley
Published
2010-03-04
Volume
55
Issue
2
Pages
153-161
ISSN
  • 1526-9523 (ISSN-L)
  • 1542-2011
DOI
10.1016/j.jmwh.2009.12.012
OpenAlex
W1968982206
Cited by
20
References
24
Citations by year
2025: 1 · 2024: 2 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 1
FWCI
0.95
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 295 d)
Locations
  • Journal of Midwifery & Women s Health (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
Keywords
post-abortion care, midwifery education, essential obstetric care, return on investment, unsafe abortion, maternal morbidity, in-service training, Ghana
MeSH terms
Abortion, Induced, Cost-Benefit Analysis, Education, Nursing, Female, Ghana, Humans, Maternal Mortality, Midwifery, Obstetrics, Postoperative Care, Public Health, Quality of Health Care, Women's Health

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