Research Article

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“Doing Magic With Very Little”: Barriers to Ghanaian Midwives' Ability to Provide Quality Maternal and Neonatal Care

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Abstract

PURPOSE

This study identified barriers that affected Ghanaian midwives' ability to provide quality care to prevent maternal and neonatal mortality.

DESIGN

Glaserian Grounded Theory was the framework of this study. Interviews were conducted with 33 participants from 10 facilities in seven districts in one region in southern Ghana.

FINDINGS

Midwives are committed to do their best to provide quality care to women and newborns. Barriers to their care included a lack of resources of care, unsupportive facility management, and client related barriers.

CONCLUSIONS

Measures to reduce barriers for midwives to provide quality care must improve health financing at a national and facility level; the encouragement of supportive supervision and management at a facility level; and actions to enhance midwife engagement with clients and communities.

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