Main Article Content
Abstract
Despite technological measures, maternal morbidity and mortality remain a major problem attributable to multifactorial factors including lacked utilization of evidence-based maternal care measures centred on providing care with little or no harm. The study assessed the implementation of evidence-based maternity care among midwives at Holy Family Hospital Techiman-Ghana. A descriptive cross-sectional study design was adopted for this study. A convenient sampling technique was used to select 150 midwives for the study. A structured questionnaire was administered to collect data from the participants. Out of one hundred and fifty (150) midwives who participated in the study, only 50.7% implemented the concept of evidence-based maternal care. About 58.6% of midwives were knowledgeable on EBMC protocols despite limited utilization whereas about 55.3% of midwives responded to have received training on evidence-based maternal care. The awareness and implementation of evidence-based maternal care was low among midwives. The study findings demonstrated the need for healthcare stakeholders to intensify the provision of effective interventions aimed at addressing health system challenges among midwives within the healthcare settings.
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References
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- Kukura, E. (2016). Contested care: The limitations of evidence-based maternity care reform. Berkeley Journal of Gender, Law & Justice, 31, 241.
- Kyalo Mutisya, A., Kagure Karani, A., & Kigondu, C. (2015). Research utilization among nurses at a teaching hospital in Kenya. Journal of Caring Sciences, 4(2), 95–104. https://doi.org/10.15171/jcs.2015.010
- Lanssens, D., Goemaes, R., Vrielinck, C., & Tency, I. (2022). Knowledge, attitudes, and use of evidence-based practice among midwives in Belgium: A cross-sectional survey. 1–9.
- Monde, M. W., Akakandelwa, A., & Kanyengo, C. W. (2017). Nurses and use of research information in clinical practice: A case study of the university teaching hospital in Zambia. Library Philosophy and Practice.
- Steve, R. (2017). Maternity care in Australia. Journal of Global Health.
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References
Abekah-Nkrumah, G., Ottie-Boakye, D., Ermel, J., & Issiaka, S. (2022). Determinants of evidence use by frontline maternal, newborn, and child health staff in selected health facilities in Ghana. Health Research Policy and Systems, 20(1), 1–14. https://doi.org/10.1186/s12961-022-00881-8
Adatara, P., Amooba, P. A., Afaya, A., Salia, S. M., Avane, M. A., Kuug, A., Maalman, R. S., Atakro, C. A., Attachie, I. T., & Atachie, C. (2021). Challenges experienced by midwives working in rural communities in the Upper East Region of Ghana: A qualitative study. 0, 1–8.
Aynalem, Z. B., Yazew, K. G., & Gebrie, M. H. (2021). Evidence-based practice utilization and associated factors among nurses working in Amhara Region Referral Hospitals, Ethiopia. PLOS ONE, 16(3), e0248834. https://doi.org/10.1371/journal.pone.0248834
Banchani, E., & Tenkorang, E. Y. (2014). Implementation challenges of maternal health care in Ghana: The case of healthcare providers in the Tamale Metropolis. BMC Health Services Research, 14, 1–10.
Biza, A., Jille-traas, I., Colomar, M., Belizan, M., Harris, J. R., Crahay, B., Merialdi, M., Nguyen, M. H., Althabe, F., Aleman, A., Bergel, E., Carbonell, A., Chavane, L., Delvaux, T., Geelhoed, D., Gülmezoglu, M., Malapende, C. R., Melo, A., Osman, N. B., … Betrán, A. P. (2015). Challenges and opportunities for implementing evidence-based antenatal care in Mozambique: A qualitative study. BMC Pregnancy and Childbirth, 1–10. https://doi.org/10.1186/s12884-015-0625-x
Chirwa, M. D., & Nyasulu, J. (2022). Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi. 1–23.
Corry, M. P. (2008). Evidence-based maternity care: What it is and what it can achieve. Implementation of evidence-based practices in normal delivery care. https://doi.org/10.1590/1518-8345.2177.2988
Elham, A., Maryam, A., & Faezeh, D. (2018). Midwives’ attitude and barriers of evidence-based practice in maternity care. 25(7), 120–128.
Gebreyohannes, Y., Ararso, D., Mengistu, F., Abay, S., & Hadis, M. (2017). Improving antenatal care services utilization in Ethiopia: Evidence-based policy brief. International Journal of Health Economics and Policy, 2, 111–117.
Kukura, E. (2016). Contested care: The limitations of evidence-based maternity care reform. Berkeley Journal of Gender, Law & Justice, 31, 241.
Kyalo Mutisya, A., Kagure Karani, A., & Kigondu, C. (2015). Research utilization among nurses at a teaching hospital in Kenya. Journal of Caring Sciences, 4(2), 95–104. https://doi.org/10.15171/jcs.2015.010
Lanssens, D., Goemaes, R., Vrielinck, C., & Tency, I. (2022). Knowledge, attitudes, and use of evidence-based practice among midwives in Belgium: A cross-sectional survey. 1–9.
Monde, M. W., Akakandelwa, A., & Kanyengo, C. W. (2017). Nurses and use of research information in clinical practice: A case study of the university teaching hospital in Zambia. Library Philosophy and Practice.
Steve, R. (2017). Maternity care in Australia. Journal of Global Health.
Therese, M., Duaso, M., Feeley, C., & Walker, S. (2023). Barriers and facilitators to the implementation of midwife-led care for childbearing women in low- and middle-income countries: A mixed-methods systematic review. Midwifery, 122, 103696. https://doi.org/10.1016/j.midw.2023.103696.
