Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization
Article first published online: 23 AUG 2010
© 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 66, Issue 11, pages 2431–2441, November 2010
How to Cite
Yakong, V. N., Rush, K. L., Bassett-Smith, J., Bottorff, J. L. and Robinson, C. (2010), Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization. Journal of Advanced Nursing, 66: 2431–2441. doi: 10.1111/j.1365-2648.2010.05404.x
- Issue published online: 7 OCT 2010
- Article first published online: 23 AUG 2010
- Accepted for publication 22 May 2010
- focused ethnography;
- health service utilization;
- relational practice;
- reproductive health care;
- rural nursing;
- women’s health
yakong v.n., rush k.l., bassett-smith j., bottorff j.l. & robinson c. (2010) Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization. Journal of Advanced Nursing 66(11), 2431–2441.
Aim. This paper is a report of part of a larger study exploring rural Ghanaian women’s experiences of seeking reproductive health care. The aim of this part of the study was to describe rural women’s perspectives on their experiences in seeking reproductive care from professional nurses.
Background. Nurses’ relationships with childbearing women have been linked to women’s reproductive healthcare-seeking behaviour and service utilization. However, few researchers have studied women’s perspectives on their relationships with nurses when seeking health care. In Ghana, the high rates of maternal mortality raise concerns about a number of factors, including nurses’ relational practices.
Methods. Data were collected in 2007 with a convenience sample of 27 Ghanaian women via in-depth interviews, focus groups and participant observation. Women’s ages ranged from 15 to 49 years. The translated and transcribed data were thematically analyzed.
Findings. Healthcare providers’ relational practice influenced women’s healthcare-seeking behaviours. Major themes from women’s stories were: (a) experiences of intimidation and being scolded, (b) experiences of limited choices, (c) receiving silent treatment, and experiences of lack of privacy. Women emphasized the importance of their relationships with nurses and the impact of these relationships on their healthcare-seeking.
Conclusion. Nursing education in Ghana must place emphasis on basic relational practices. Structural changes to health clinics and routine nursing practices are necessary to create conditions for privacy to address women’s health concerns. Women’s perspectives must be considered for service improvement. Further research is needed to examine nurses’ perspectives on relational care.