A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis.
The achievement of the Sustainable Development Goals (SDGs) targets 3.1, 3.2 and 3.3.1 is strongly dependent on the effective utilization of skilled birth services. Despite advancements made in Skilled Birth Attendance (SBA) in Ghana, there are still instances of unassisted childbirths taking place....
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002902&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832539971042410496 |
|---|---|
| author | Juliet Abredu Catherine K Dwumfour Boo Alipitio Mawusi Alordey Veronica Millicent Dzomeku Sophie Witter |
| author_facet | Juliet Abredu Catherine K Dwumfour Boo Alipitio Mawusi Alordey Veronica Millicent Dzomeku Sophie Witter |
| author_sort | Juliet Abredu |
| collection | DOAJ |
| description | The achievement of the Sustainable Development Goals (SDGs) targets 3.1, 3.2 and 3.3.1 is strongly dependent on the effective utilization of skilled birth services. Despite advancements made in Skilled Birth Attendance (SBA) in Ghana, there are still instances of unassisted childbirths taking place. The aim of this study was to explore the residual barriers of SBA such as community- and health system-related factors affecting SBA in Ghana and to identify strategies for addressing them. An electronic search was done using PubMed, Popline, Science direct, BioMed Central, Scopus and Google scholar for peer reviewed articles as well as grey articles from other relevant sources, published between 200 and 2022 on community- and health system related factors influencing SBA in Ghana. Out of the 89 articles retrieved for full screening, a total of 52 peer-reviewed articles and 1 grey article were selected for the final review. The study revealed that cultural practices (community factors), low quality of service delivery due to the inappropriate behaviors, lack of competency of skilled birth attendants (SBAs) as well as the inefficient distribution of SBAs contribute to ineffective uptake of SBA (health system factors). Also, indirect costs are associated with the utilization of skilled delivery care even with the existence of 'free' delivery care policy under the national health insurance (policy factor). For Ghana to achieve the SDGs above and improve SBA, it is essential to enhance the quality of skilled delivery care by addressing the attitude and competencies of skilled birth professionals, while plans are put in place to expand and develop the Community-based Health Planning and Services (CHPS) strategy to help address the access barriers to SBA. More so, the 'free' delivery care policy should absorb all the costs associated with skilled delivery for pregnant women as it is intended for. |
| format | Article |
| id | doaj-art-6b945fcc0e7a44739d8e02120ec66fed |
| institution | Kabale University |
| issn | 2767-3375 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj-art-6b945fcc0e7a44739d8e02120ec66fed2025-02-05T05:50:32ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0142e000290210.1371/journal.pgph.0002902A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis.Juliet AbreduCatherine K DwumfourBoo AlipitioMawusi AlordeyVeronica Millicent DzomekuSophie WitterThe achievement of the Sustainable Development Goals (SDGs) targets 3.1, 3.2 and 3.3.1 is strongly dependent on the effective utilization of skilled birth services. Despite advancements made in Skilled Birth Attendance (SBA) in Ghana, there are still instances of unassisted childbirths taking place. The aim of this study was to explore the residual barriers of SBA such as community- and health system-related factors affecting SBA in Ghana and to identify strategies for addressing them. An electronic search was done using PubMed, Popline, Science direct, BioMed Central, Scopus and Google scholar for peer reviewed articles as well as grey articles from other relevant sources, published between 200 and 2022 on community- and health system related factors influencing SBA in Ghana. Out of the 89 articles retrieved for full screening, a total of 52 peer-reviewed articles and 1 grey article were selected for the final review. The study revealed that cultural practices (community factors), low quality of service delivery due to the inappropriate behaviors, lack of competency of skilled birth attendants (SBAs) as well as the inefficient distribution of SBAs contribute to ineffective uptake of SBA (health system factors). Also, indirect costs are associated with the utilization of skilled delivery care even with the existence of 'free' delivery care policy under the national health insurance (policy factor). For Ghana to achieve the SDGs above and improve SBA, it is essential to enhance the quality of skilled delivery care by addressing the attitude and competencies of skilled birth professionals, while plans are put in place to expand and develop the Community-based Health Planning and Services (CHPS) strategy to help address the access barriers to SBA. More so, the 'free' delivery care policy should absorb all the costs associated with skilled delivery for pregnant women as it is intended for.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002902&type=printable |
| spellingShingle | Juliet Abredu Catherine K Dwumfour Boo Alipitio Mawusi Alordey Veronica Millicent Dzomeku Sophie Witter A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. PLOS Global Public Health |
| title | A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. |
| title_full | A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. |
| title_fullStr | A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. |
| title_full_unstemmed | A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. |
| title_short | A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis. |
| title_sort | scoping review of the residual barriers to skilled birth attendance in ghana a conceptual framework and a fish bone analysis |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002902&type=printable |
| work_keys_str_mv | AT julietabredu ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT catherinekdwumfour ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT booalipitio ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT mawusialordey ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT veronicamillicentdzomeku ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT sophiewitter ascopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT julietabredu scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT catherinekdwumfour scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT booalipitio scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT mawusialordey scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT veronicamillicentdzomeku scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis AT sophiewitter scopingreviewoftheresidualbarrierstoskilledbirthattendanceinghanaaconceptualframeworkandafishboneanalysis |