Evaluation of strategies for the reduction of maternal mortality in the Sekyere East District: a view through Michael Patton’s focused-utilization model.
| dc.contributor.author | Amoh-Agyei, Grace | |
| dc.date.accessioned | 2025-07-14T11:25:08Z | |
| dc.date.available | 2025-07-14T11:25:08Z | |
| dc.date.issued | 2017-11 | |
| dc.description | A Thesis Submitted In Partial Fulfilment Of The Requirements For The Award Of The Degree, Doctor Of Philosophy In Public Health. | |
| dc.description.abstract | Strategies for preventing maternal deaths have been in existence for more than 20 years in almost all health facilities throughout the world. The study was an evaluation of the existing strategies for the reduction of maternal mortality within the broad framework of the Safe motherhood programme in the Sekyere East District. A focused-case descriptive study in the context of Patton Utilisation-focused evaluation model was employed to evaluate safe motherhood initiatives. This was done using structured questionnaire and observation checklist to observe pregnancy care, labour and delivery processes. The study involved women in reproductive age who developed complications during pregnancy, labour and delivery. In all 412 women who satisfied the inclusion criteria were selected, using simple random sampling while purposive sampling was used to select 22 health staff comprising midwives, orderlies, pharmacist, medical officers and health administrators from Effiduase Hospital. The study results showed that all the essential logistics and supplies needed to save mothers during pregnancy, labour and delivery were available and functioning. There were trained personnel at post. All strategies suggested by the World Health Organization assist mothers during complications in pregnancy were implemented, 76% of the clients attested that there was an enabling environment, 88% said it was not difficult to access the facility, 87% reported that there was service adequacy, while 72% asserted that strategies were acceptable. Strategies appeared effective and resulted in increased utilization which was evident in the low case fatality rate of 0.082%. The study found that the maternal mortality reduction strategies in the district were effectively implemented according to safe motherhood protocols. It is recommended that the necessary resources continue to be provided for the sustenance of the achieved results of the maternal mortality reduction strategies in the district. | |
| dc.description.sponsorship | KNUST | |
| dc.identifier.uri | https://ir.knust.edu.gh/handle/123456789/17444 | |
| dc.language.iso | en | |
| dc.publisher | KNUST | |
| dc.title | Evaluation of strategies for the reduction of maternal mortality in the Sekyere East District: a view through Michael Patton’s focused-utilization model. | |
| dc.type | Thesis |