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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/10679

Title: Socio-cultural Barriers to Accessibility and Utilization of Maternal and Newborn Healthcare Services in Ghana after User-fee Abolition
Authors: Ganle, John Kuumuori
Otupiri, Easmon
Parker, Michael
Fitzpatrick, Raymond
Keywords: Maternal and newborn health
User-Fee Abolition
Socio-Cultural Barriers
Thematic Network Analysis
Self-Efficacy
Ghana
Issue Date: 2015
Publisher: International Journal of Maternal and Child Health
Citation: International Journal of Maternal and Child Health (2015) 1-14
Abstract: The government of Ghana is implementing a new maternal healthcare policy that provides free maternity care in all public and mission healthcare facilities. Despite the implementation of the policy, Ghana continues to register strikingly high maternal mortality rates and low levels of skilled maternal healthcare services accessibility and utilization. Based on focus group discussions and key informant interviews with 185 expectant and lactating mothers, and 20 healthcare providers in six com-munities in Ghana, we explore socio-cultural factors that inhibit women’s access and use of skilled maternal and newborn healthcare services in Ghana despite these services being provided free. We found that cultural preferences for home births, social expectations regarding women’s conduct during pregnancy and childbirth, women’s religious beliefs and practices in-cluding faith healing and observance of religious dictums, cultural norms and traditions including rituals around pregnancy, negative conceptions of health-facility birth, the legitimacy of a pregnancy, and women’s relative lack of power and freedom to make decisions, were the most important socio-cultural factors that affected access and service utilization. Our findings suggest that women’s decision to seek skilled maternity care services depends not only on whether these services are readily available in close proximity and at an affordable price, but importantly on the cultural perception and acceptability of the service and a woman’s self-efficacy to negotiate societal norms and discursive practices that regulate behaviour during pregnancy and child-birth.
Description: An article published by International Journal of Maternal and Child Health (2015) 1-14
URI: http://hdl.handle.net/123456789/10679
Appears in Collections:College of Health Sciences

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