Browsing by Author "Ansah-Ofei, A.M."
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Item Health-seeking experiences of women with obstetric fistula: a qualitative study at two fistula centres in Ghana(BMJ Open, 2023) Asiedua, E.; Maya, E.; Ganle, J.K.; Eliason, S.; Ansah-Ofei, A.M.; Senkyire, E.K.; Adanu, R.Objectives The study explored the health-seeking experiences of women with obstetric fistula from the onset of the condition until surgical treatment was obtained. It also describes their interactions with health staff and traditional healers. Design Exploratory, descriptive qualitative study. Setting Two secondary-level health facilities in the northern and central regions of Ghana; data collection took place in 2018–2019. Participants A purposive sample of 37women who had experienced fistula resulting from childbirth and were awaiting fistula repair at the two fistula centres in Ghana was obtained. Data analysis Thematic analysis was used to analyse the data. Results Health-seeking experiences and behaviours of women with obstetric fistula were identified. Six major themes were generated: attribution and perceptions of fistula; competing alternatives/multiple sources of care; limited awareness and access to care; financial barriers; psychosocial challenges, and abuse by healers. The results indicate that the health-seeking experiences of women with obstetric fistula were characterised by long delays in care-seeking. The major themes and subthemes are presented with quotes from participants. Conclusion The women experienced winding pathways of treatment-seeking due to lack of awareness and incorrect attribution. The major barriers to health-seeking included poverty, challenges with transportation and inadequate repair centres. Increased awareness of obstetric fistula and access to repair centres could shorten the suffering women go through while awaiting fistula treatment. Improved awareness of obstetric fistula and establishment of more fistula centres would be beneficial.Item Planning among nurse managers in district hospitals in Ghana(Nursing Management, 2013-12) Asamani, J.A.; Kwafo, E.O.; Ansah-Ofei, A.M.This article reports the results of a study that explored the planning practices of nurse managers at ward level, their knowledge of planning process and the factors that influence effective planning. Although the practice of planning was almost universal, half the participants had no knowledge of the process, and this knowledge gap was traced to a lack of educational preparation before their appointment. In-service training, support from management and staff, and funding were identified as major factors influencing effective planning at ward level. The authors recommend that prospective nurse managers have educational preparation before they take up these positions and nurse managers already in post have capacity-building training in planning. © 2013 RCN Publishing Ltd. All rights reserved.