Completing the Maternal Care Team: OB/GYN Expertise at Rural District Hospitals in Ghana,a Qualitative Study |
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Authors: | Eva M Luo Henry S Opare-Ado Joseph Adomako Kwabena A Danso Talya Peltzman Frank W J Anderson |
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Institution: | 1.Obstetrics and Gynecology,Beth Israel Deaconess Medical Center,Boston,USA;2.Obstetrics, Gynecology and Reproductive Biology,Harvard Medical School,Boston,USA;3.Department of Obstetrics and Gynaecology,Kwame Nkrumah University of Science and Technology,Kumasi,Ghana;4.Ghana Health Service, Bosomtwe District Health Directorate,Kumasi,Ghana;5.Department of Obstetrics and Gynaecology,Kwame Nkrumah University of Science and Technology School of Medical Sciences,Kumasi,Ghana;6.US Department of Veteran Affairs,Office of Mental Health and Suicide Prevention,Ann Arbor,USA;7.Department of Obstetrics and Gynecology,University of Michigan,Ann Arbor,USA |
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Abstract: | Introduction To provide a qualitative perspective on the changes that occurred after newly placed OB/GYNs began working at district hospitals in Ashanti, Ghana. Methods Structured interviews of healthcare professionals were conducted at eight district hospitals located throughout the Ashanti district of Ghana, four with and four without a full-time OB/GYN on staff. Individuals interviewed include: medical superintendents, medical officers, district hospital administrators, OB/GYNs (where applicable), and nurse-midwives. Interviews were transcribed verbatim and content analysis was performed to identify common themes. Characteristics quotes were identified to illustrate principal interview themes. Quotes were verified in context by researchers for accuracy. Results Interviews with providers revealed four areas most impacted by an OB/GYN’s leadership and expertise at district hospitals: patient referral patterns, obstetric protocol and training, facility management and organization, and hospital reputation. Discussion OB/GYNs are uniquely positioned to add clinical capacity and care quality to established maternal care teams at district hospitals–empowering district hospitals as reliable care centers throughout rural Ghana for women’s health. Coordinated efforts between government, donors and OBGYN training institutions to provide complete obstetric teams is the next step to achieve the global goal of eliminating preventable maternal mortality by 2030. |
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