Challenges associated with teenage motherhood in Ghana: a qualitative study

Dzotsi, Henrieta Tagoe; Asante, Kwaku Oppong; Osafo, Joseph

doi:10.1080/17450128.2020.1719251

Cited by 11 publications

(15 citation statements)

References 28 publications

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“…Additional studies conducted in Nepal Chitwan district also point to the non-availability of transport and lack of road infrastructure as major challenges to pregnant adolescent girls' access and utilization of health information [29]. Consistent with ndings from several other studies conducted in sub-Saharan Africa, lack of nancial support from family members and partners also affected pregnant women's ability to access and utilize maternal health services [28][29][30][31][32]35]. Only a few of the adolescent pregnant girls were receiving nancial support from their partners or from their parents, but the majority were struggling to reach the clinics and health centres.…”

Section: Discussionmentioning

confidence: 62%

“…Only a few of the adolescent pregnant girls were receiving nancial support from their partners or from their parents, but the majority were struggling to reach the clinics and health centres. In addition, a systematic review conducted across sub-Saharan Africa revealed that the positive economic status of adolescent women is associated with the use of maternal healthcare services [34][35][36][37][38]. Studies conducted in America revealed similar ndings that pregnant adolescents experience nancial hardship during pregnancy [39,40].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, some studies have revealed that poor adolescents are more likely to disengage from social networks, making them less likely to be reached by programmes aimed at improving maternal health service utilization of adolescent mothers [35,41,42]. Even though some pregnant adolescent girls indicated the willingness to visit the clinics and health centres, they were unable to do so due to issues related to family dynamics which played a major role in their decision-making.…”

Section: Discussionmentioning

confidence: 99%

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Pregnant adolescents and nurses perspectives on accessibility and utilization of maternal and child health information in Ohangwena Region, Namibia

Shatilwe

Hlongwana

Mashamba-Thompson

2021

Preprint

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Background The reasons for the inability of most pregnant adolescent girls to access and utilize maternal and child health information (MCHI) are not well-documented. This is despite the policy guidelines promoting the provision of this necessary information to pregnant adolescents in order to prepare them for delivery. This provision is one of the strategies envisaged to improve their attendance of ANC visits and their maternal and child health. Method Data for this study were collected using semi-structured in-depth interviews. These were conducted with 12 adolescent pregnant girls between the ages of 15 and 19 and eight nurses from four different health centres in the Ohangwena Region of Namibia. The study was conducted over the period of three months (December 2018 to March 2019). The data was grouped into clusters aided by NVivo computer software version 12. Data were organized and condensed in small units, prior to being coded, categorized, and finally grouped into main themes and sub-themes. Results Results revealed that long travel hours to reach the nearest clinics was amongst the leading challenges affecting accessibility and utilization of MCHI for pregnant adolescent girls. This was exacerbated by poor support with transport fare, poor road infrastructure and non-availability of transport, and these factors were key barriers to accessibility and utilization of clinic services. Other barriers pertained to the family dynamics, such as disclosing the pregnancy to the family members prior to commencing antenatal care (ANC) visits and harsh treatment from family members after the disclosure. Conclusion The pregnant adolescent girls were concerned about their inability to access and utilize MCHI. The challenges identified made them susceptible to maternal complications, hence their inability to access relevant MCHI to prepare them for pregnancy. Health educational interventions should prioritize both the adolescent girls and their families for proper support, especially since the reactions of families on the pregnancy of their adolescent girls often negatively affect accessibility and utilization of maternal and child health services. Moreover, further research on adolescents' needs during pregnancy should be expanded to include their parents, in order to better inform policymakers.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pregnant adolescents and nurses perspectives on accessibility and utilization of maternal and child health information in Ohangwena Region, Namibia

Shatilwe

Hlongwana

Mashamba-Thompson

2021

Preprint

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“…Similar findings were made by Luka and colleagues [33] in Nigeria, where they recorded the highest prevalence of hepatitis B among the 30-34 age bracket followed by the 25-29 age bracket and the least in the 20-24 age bracket. It is worth mentioning that teenage pregnancy is still a major challenge in Ghana [34]. It is therefore not unsual to record 4.4% of pregnant mothers to be under 20 years of age, with as young as 13 year old pregnant mothers.…”

Section: Plos Onementioning

confidence: 99%

Comparative prevalence of hepatitis B virus infection among pregnant women accessing free maternal care in a tertiary hospital in Ghana

2022

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Hepatitis B virus infection is endemic in sub-Saharan Africa, and accounts for a significant proportion of morbidities and mortalities in Ghana. Infection with HBV during pregnancy can result in life-threatening complications to both mother and child. To improve their quality of life, the free maternal care was introduced to grant pregnant women cost-free access to antenatal and postnatal services. The study analysed the prevalence of HBV infection among pregnant women receiving free antenatal care in a tertiary hospital in Ghana. This was a retrospective cross-sectional study, where secondary data of pregnant women who accessed free antenatal services at the Trafalga hospital, Ho, from 2016 to 2017 were retrieved from the hospital’s database. Data on hepatitis B surface antigen reactivity test, age and period of turnout were analysed with Microsoft Excel and Graph pad prism version 6. A total of 2,634 pregnant women assessed free antenatal care from January 2016 –December 2017, with 10% rise in turnout in 2017. The age of the study population was fairly young, ranging from 13–52 years and mean of 29.87±5.83. The prevalence of HBV infection among pregnant women in the entire study was estimated to be 6.0%, while that of 2016 and 2017 were 5.3% and 6.7% respectively. Turnout for antenatal services peaked in July, which also recorded the highest prevalence of HBV infection among the pregnant women. Our study, first of its kind show an HBV prevalence of 6.0% among a large population of pregnant women who accessed free antenatal services at a tertiary hospital in Ghana. The study evaluates the influence of the free maternal care policy on antenatal attendance and HBV infection rates among pregnant women.

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“…Stakeholders' commitment to PM issues is one of the elements of a successful implementation of PMSs. An effective management style is essential in the successful implementation of PM, especially the visible attitude of being willing to share information (du Plessis & van Niekerk, 2017;Kaplan and Norton, 1996). Continuously conveying ownership to the divisions about what the organization wants to achieve can ultimately contribute to success factors of the implementation of a PMS (Mone, 2018).…”

Section: Implementation Of a Performance Management Systemmentioning

confidence: 99%

Challenges in the Implementation of Performance Management System in Namibian Public Sector

Kaupa

Atiku

2020

IJIED

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Organizational performance of the management system helps top management achieve strategic business objectives and goals. It provides valid and useful information for making strategic decisions concerning employees. It includes information on employee’ performance, and organizational and supervisor’s expectations. Despite the benefits arising from the implementation of a well-designed performance management system, the public sector in Namibia still faces challenges when it comes to its realization. It is against this background that this study aimed to investigate the challenges faced by the public sector in the implementation of a performance management system in Namibia. The study used a qualitative research method and collected data through interviews. The sample consists of 42 participants. The data gathered was reviewed against the literature on the subject. The thematic data analysis technique was used to analyze the data, where core topics emerging from the discussion and interviews were grouped and analyzed. This research identifies a lack of training and proper orientation in performance management as primary challenges in adopting a performance management system in the public sector. The other contributing factors include inadequate monitoring and evaluation, the shortage of policies supporting the implementation process, poor communication in performance planning, performance reviews, poor feedback on performance and lack of employee involvement in the implementation of the performance management system. Hence, management should provide training and workshops to sensitize the employees on the aims and benefits of a performance management system and develop policies to enforce compliance in the public sector.

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Challenges associated with teenage motherhood in Ghana: a qualitative study

Cited by 11 publications

References 28 publications

Pregnant adolescents and nurses perspectives on accessibility and utilization of maternal and child health information in Ohangwena Region, Namibia

Pregnant adolescents and nurses perspectives on accessibility and utilization of maternal and child health information in Ohangwena Region, Namibia

Comparative prevalence of hepatitis B virus infection among pregnant women accessing free maternal care in a tertiary hospital in Ghana

Challenges in the Implementation of Performance Management System in Namibian Public Sector

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