ArticleBMC pregnancy and childbirth2021
Challenges experienced by midwives working in rural communities in the Upper East Region of Ghana: a qualitative study.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Experiences of midwives working in rural areas in Africa: a meta-aggregative review of qualitative studies on facilitators and barriers to effective healthcare delivery.Reproductive health · 2025Pooled it
- Healthcare Infrastructure and Resource Barriers to Preventing Mother-to-Child Transmission of HIV in Ghana: Insights from a Qualitative Study.International journal of environmental research and public health · 2026Article
- Understanding motivating and demotivating factors among maternal healthcare professionals in Somalia: a qualitative interview study.BMJ global health · 2026Article
- Feasibility and effectiveness of an interprofessional educational program on perinatal mental health: perspectives of health students in two African countries.BMC medical education · 2026Article
- Association Between Emotional Intelligence and Work Outcomes Among Midwives in Northern Ghana: A Path Analysis Study.Journal of nursing management · 2026Article
- Individual and Organizational Level Barriers to Post-exposure Prophylaxis Uptake for Hepatitis B Virus Among Midwives in Northern Ghana: A Qualitative Enquiry.Health services insights · 2026Article
- Well-being of health workers providing maternal and newborn care: A qualitative evidence synthesis.PLOS global public health · 2026Article
- Exploring barriers and facilitators of providing maternal healthcare in Africa: systematic review protocol.Systematic reviews · 2025Article
- Exploring barriers and facilitators to achieving quality antenatal care in Ethiopia: a qualitative study.BMC health services research · 2025Article
- Regional Geographic Dynamics of Male Midwifery Practice: An Exploratory Study of the Perspectives of the Male Midwife in Ghana's Volta and Northern Regions.Health science reports · 2025Article
- Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach.BMC health services research · 2025Article
- Experiences and Challenges of Rural Nurses in Botswana Handling Births Outside the Hospital Environment.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Review
- Unlocking the path to quality maternity care: a qualitative study on work environment dynamics, providers' responsiveness, and professionalism in central region, Malawi.BMC pregnancy and childbirth · 2025Article
- Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review.BMC health services research · 2025Article
- Exploring care quality in midwifery clinical practice settings in Ghana - a qualitative study.BMC medical education · 2025Article
- Article
- The role of continuity of care in high-risk pregnant women in Indonesia.European journal of midwifery · 2025Article
- Prevalence of Workplace-Related Musculoskeletal Disorders Among Nurses and Midwives in a Tertiary Healthcare Facility: A Descriptive Cross-Sectional Survey.Nursing open · 2024Article
- Facilitators and barriers of midwife-led model of care at public health institutions of dire Dawa city, Eastern Ethiopia, 2022: a qualitative study.BMC health services research · 2024Article
- Challenges and coping strategies for providing maternal health care services among health care professionals in rural health facilities in Wolaita Zone, Southern Ethiopia: a qualitative study.BMC health services research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2017, a total of 295,000 women lost their lives due to pregnancy and childbirth across the globe, with sub-Saharan Africa and South Asia accounting for approximately 86 % of all maternal deaths. The maternal mortality ratio in Ghana is exceptionally high, with approximately 308 deaths/100,000 live births in 2017. Most of these maternal deaths occur in rural areas than in urban areas. Thus, we aimed to explore and gain insights into midwives' experiences of working and providing women-centred care in rural northern Ghana.
methodsA qualitative descriptive exploratory design was used to explore the challenges midwives face in delivering women-centred midwifery care in low-resource, rural areas. A total of 30 midwives practicing in the Upper East Region of Ghana were purposefully selected. Data were collected using individual semistructured interviews and analysed through qualitative content analysis.
resultsFive main themes emerged from the data analysis. These themes included were: inadequate infrastructure (lack of bed and physical space), shortage of midwifery staff, logistical challenges, lack of motivation, and limited in-service training opportunities.
conclusionsMidwives experience myriad challenges in providing sufficient women-centred care in rural Ghana. To overcome these challenges, measures such as providing adequate beds and physical space, making more equipment available, and increasing midwifery staff strength to reduce individual workload, coupled with motivation from facility managers, are needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.