Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23665
Publication type: Conference poster
Type of review: No review
Title: Neonatal care delivery for low birth weight infants in the context of continuum of care in Ghana
Authors: Schuler, Christina
Agbozo, Faith
Ntow, George
Waldboth, Veronika
et. al: No
DOI: 10.21256/zhaw-23665
Conference details: 3rd Annual Meeting of the Swiss Society for Early Childhood Research, Zurich, 23-24 November 2021
Issue Date: Nov-2021
Publisher / Ed. Institution: ZHAW Zürcher Hochschule für Angewandte Wissenschaften
Language: English
Subject (DDC): 618: Gynecology, obstetrics and midwifery
Abstract: Introduction and Aims: Effectively coordinated care linkages have high tendency of minimising adverse events associated with low birth weight (LBW) infants. In Ghana, however, linkages across health settings and family support structures are not clearly laid-out. This study elicited the continuum of care for LBW infants to understand how linkages can be strengthened to optimise quality of care. Methods: This study adopted a constructivist grounded theory design. Data collection took place in a municipality in Ghana between 2020 - 2021 with families, health professionals and managers providing care in clinical and community-based facilities. Audio recorded in-depth interviews were analysed using initial and focused coding, constant comparative analysis, theoretical memos, and diagramming until theoretical sufficiency was determined. Results: Analysis of 25 interviews generated an interpretive theory showing that referral, discharge, and review processes were not systematically planned and documented. Neonatal care knowledge was lacking due to insufficient investments in coordination and trainings with awareness creation on newborn health thought to reduce misconceptions. Motivated staff, implementation of care guidelines and staff supervision were identified as enabling factors. Mothers lacked financial and practical support and needed assistance in balancing their hope and confidence and empowerment to care for their LBW infants. To overcome these challenges, early bonding and family involvement were helpful. Discussion: A coordinated care process, family, and community involvement through adoption of a family system approach is necessary. Implementing guidelines, providing training opportunities, involving stakeholders, and promoting committed leadership can improve quality in the care continuum.
URI: https://digitalcollection.zhaw.ch/handle/11475/23665
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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