Hospital based maternity care in Ghana

Findings of a confidential enquiry into maternal deaths

Janet Ansong-Tornui, Margaret Armar-Klemesu, David Arhinful, Suzanne Penfold, Julia Hussein

Research output: Contribution to journalArticle

Abstract

Background: In Ghana, a universal free delivery policy was implemented to improve access to delivery care in health facilities, thereby improving access to skilled attendance and reducing maternal mortality. Objective: A confidential enquiry was conducted to ascertain if changes had occurred in the care provided by reviewing the care given to a sample of maternal deaths before and after introduction of the policy. Method: Twenty women who died as a result of pregnancy-related complications (maternal deaths) in selected hospitals in two regions were assessed by a clinical panel, guided by a maternal death assessment form. Unlike the traditional confidential enquiry process, both adverse and favourable factors were identified. Findings: Clinical care provided before and after the introduction of the fee exemption policy did not change, though women with complications were arriving in hospital earlier after the introduction of the policy. On admission, however, they received very poor care and this, the clinical panel deduced could have resulted in many avoidable deaths; as was the case before the implementation of the policy. Consumables, basic equipment and midwifery staff for providing comprehensive emergency obstetric care were however found to be usually available. Conclusion: Our findings suggest that the already poor delivery care services women received remained unchanged after introduction of the policy.
Original languageEnglish
Pages (from-to)125-132
Number of pages8
JournalGhana Medical Journal
Volume41
Issue number3
Publication statusPublished - Sep 2007

Fingerprint

Maternity Hospitals
Maternal Death
Ghana
Fees and Charges
Pregnancy Complications
Maternal Mortality
Health Facilities
Midwifery
Emergency Medical Services
Obstetrics
Equipment and Supplies

Keywords

  • hospital
  • maternity care
  • confidential enquiry
  • maternal deaths

Cite this

Ansong-Tornui, J., Armar-Klemesu, M., Arhinful, D., Penfold, S., & Hussein, J. (2007). Hospital based maternity care in Ghana: Findings of a confidential enquiry into maternal deaths. Ghana Medical Journal, 41(3), 125-132.

Hospital based maternity care in Ghana : Findings of a confidential enquiry into maternal deaths. / Ansong-Tornui, Janet ; Armar-Klemesu, Margaret ; Arhinful, David ; Penfold, Suzanne ; Hussein, Julia.

In: Ghana Medical Journal, Vol. 41, No. 3, 09.2007, p. 125-132.

Research output: Contribution to journalArticle

Ansong-Tornui, J, Armar-Klemesu, M, Arhinful, D, Penfold, S & Hussein, J 2007, 'Hospital based maternity care in Ghana: Findings of a confidential enquiry into maternal deaths', Ghana Medical Journal, vol. 41, no. 3, pp. 125-132.
Ansong-Tornui J, Armar-Klemesu M, Arhinful D, Penfold S, Hussein J. Hospital based maternity care in Ghana: Findings of a confidential enquiry into maternal deaths. Ghana Medical Journal. 2007 Sep;41(3):125-132.
Ansong-Tornui, Janet ; Armar-Klemesu, Margaret ; Arhinful, David ; Penfold, Suzanne ; Hussein, Julia. / Hospital based maternity care in Ghana : Findings of a confidential enquiry into maternal deaths. In: Ghana Medical Journal. 2007 ; Vol. 41, No. 3. pp. 125-132.
@article{9960725668ad43a6be2e9d41dac20b7b,
title = "Hospital based maternity care in Ghana: Findings of a confidential enquiry into maternal deaths",
abstract = "Background: In Ghana, a universal free delivery policy was implemented to improve access to delivery care in health facilities, thereby improving access to skilled attendance and reducing maternal mortality. Objective: A confidential enquiry was conducted to ascertain if changes had occurred in the care provided by reviewing the care given to a sample of maternal deaths before and after introduction of the policy. Method: Twenty women who died as a result of pregnancy-related complications (maternal deaths) in selected hospitals in two regions were assessed by a clinical panel, guided by a maternal death assessment form. Unlike the traditional confidential enquiry process, both adverse and favourable factors were identified. Findings: Clinical care provided before and after the introduction of the fee exemption policy did not change, though women with complications were arriving in hospital earlier after the introduction of the policy. On admission, however, they received very poor care and this, the clinical panel deduced could have resulted in many avoidable deaths; as was the case before the implementation of the policy. Consumables, basic equipment and midwifery staff for providing comprehensive emergency obstetric care were however found to be usually available. Conclusion: Our findings suggest that the already poor delivery care services women received remained unchanged after introduction of the policy.",
keywords = "hospital, maternity care, confidential enquiry, maternal deaths",
author = "Janet Ansong-Tornui and Margaret Armar-Klemesu and David Arhinful and Suzanne Penfold and Julia Hussein",
year = "2007",
month = "9",
language = "English",
volume = "41",
pages = "125--132",
journal = "Ghana Medical Journal",
issn = "0855-0328",
publisher = "Ghana Medical Association",
number = "3",

}

TY - JOUR

T1 - Hospital based maternity care in Ghana

T2 - Findings of a confidential enquiry into maternal deaths

AU - Ansong-Tornui, Janet

AU - Armar-Klemesu, Margaret

AU - Arhinful, David

AU - Penfold, Suzanne

AU - Hussein, Julia

PY - 2007/9

Y1 - 2007/9

N2 - Background: In Ghana, a universal free delivery policy was implemented to improve access to delivery care in health facilities, thereby improving access to skilled attendance and reducing maternal mortality. Objective: A confidential enquiry was conducted to ascertain if changes had occurred in the care provided by reviewing the care given to a sample of maternal deaths before and after introduction of the policy. Method: Twenty women who died as a result of pregnancy-related complications (maternal deaths) in selected hospitals in two regions were assessed by a clinical panel, guided by a maternal death assessment form. Unlike the traditional confidential enquiry process, both adverse and favourable factors were identified. Findings: Clinical care provided before and after the introduction of the fee exemption policy did not change, though women with complications were arriving in hospital earlier after the introduction of the policy. On admission, however, they received very poor care and this, the clinical panel deduced could have resulted in many avoidable deaths; as was the case before the implementation of the policy. Consumables, basic equipment and midwifery staff for providing comprehensive emergency obstetric care were however found to be usually available. Conclusion: Our findings suggest that the already poor delivery care services women received remained unchanged after introduction of the policy.

AB - Background: In Ghana, a universal free delivery policy was implemented to improve access to delivery care in health facilities, thereby improving access to skilled attendance and reducing maternal mortality. Objective: A confidential enquiry was conducted to ascertain if changes had occurred in the care provided by reviewing the care given to a sample of maternal deaths before and after introduction of the policy. Method: Twenty women who died as a result of pregnancy-related complications (maternal deaths) in selected hospitals in two regions were assessed by a clinical panel, guided by a maternal death assessment form. Unlike the traditional confidential enquiry process, both adverse and favourable factors were identified. Findings: Clinical care provided before and after the introduction of the fee exemption policy did not change, though women with complications were arriving in hospital earlier after the introduction of the policy. On admission, however, they received very poor care and this, the clinical panel deduced could have resulted in many avoidable deaths; as was the case before the implementation of the policy. Consumables, basic equipment and midwifery staff for providing comprehensive emergency obstetric care were however found to be usually available. Conclusion: Our findings suggest that the already poor delivery care services women received remained unchanged after introduction of the policy.

KW - hospital

KW - maternity care

KW - confidential enquiry

KW - maternal deaths

M3 - Article

VL - 41

SP - 125

EP - 132

JO - Ghana Medical Journal

JF - Ghana Medical Journal

SN - 0855-0328

IS - 3

ER -