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Text
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URL Address
<a href="http://doi.org/10.1093/heapol/czw072" target="_blank" rel="noreferrer">http://doi.org/10.1093/heapol/czw072</a>
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Title
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Addressing the continuum of maternal and newborn care in Ghana: implications for policy and practice
Publisher
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Health Policy And Planning
Date
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2016
Subject
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Infant Health; Community Health Services/organization & Administration; Continuity Of Patient Care/organization & Administration; Delivery; Developing Countries; Female; Ghana; Humans; Infant; Maternal-child Health Services/organization & Administration; Maternal Mortality; Newborn; Obstetric/methods; Perinatal Mortality; Pregnancy
Creator
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Engmann CM; Hodgson A; Aborigo R; Adongo PL; Moyer CA
Description
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Although the past decade has brought global reductions in maternal, infant and child mortality, many low-resource settings have failed to make significant gains relative to their high-income counterparts. In Ghana, nearly 50% of under-five mortality in 2014 could be attributed to deaths during the first 28 days after birth. This article analyses the data across a mixed-methods study of the factors impacting maternal and neonatal care in northern Ghana. The stillbirth and neonatal death study (SANDS) was conducted in 2010 and included both quantitative (N = 20 497) and qualitative data collection (N = 253) to explore the issues associated with the continuum of reproductive health care. Findings were compared against an adaptation of the WHO/UNICEF framework for integrated maternal and newborn care and used to generate concrete recommendations for clinicians, policymakers and programmers across the continuum of care, from pregnancy through delivery and postnatal care. SANDS elucidated epidemiological trends: 40% of neonatal deaths occurred on the first day after birth, and the leading causes of early neonatal mortality were birth asphyxia/injury, infection and complications of prematurity. Qualitative data reflect findings along two axes-community to facility-based care, and pre-pregnancy through the postnatal period. Resulting recommendations include the need to improving clinicians' understanding of and sensitization to local traditional practices, the need for policies to better address quality of care and coordination of training efforts, and the need for comprehensive, integrated programmes that ensure continuity of care from pre-pregnancy through the post-partum period. SANDS illustrates complex medical-social-cultural knowledge, attitudes and practices that span the reproductive period in rural northern Ghana. Data illustrate that not only are the first few days of life critical in infant survival but also there are significant social and cultural barriers to ensuring that mothers and their newborns are cared for in a timely, evidence-based manner.
Identifier
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<a href="http://doi.org/10.1093/heapol/czw072" target="_blank" rel="noreferrer">10.1093/heapol/czw072</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Aborigo R
Adongo PL
Community Health Services/organization & Administration
Continuity Of Patient Care/organization & Administration
Delivery
Developing Countries
Engmann CM
Female
Ghana
Health Policy And Planning
Hodgson A
Humans
Infant
Infant Health
Maternal Mortality
Maternal-child Health Services/organization & Administration
Moyer CA
Newborn
Obstetric/methods
Perinatal Mortality
Pregnancy