Browsing by Author "Rominski, S.D."
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Item Discontinuation of long‐acting reversible contraception versus short‐term hormonal methods in urban Ghana: A pilot longitudinal study(International Journal of Gynecology and Obstetrics, 2018-08) Rominski, S.D.; Manu, A.; Maya, E.; Morhe, E.S.K.; Dalton, V.K.Rates of contraceptive discontinuation are high worldwide,1 including in Ghana.2 Although long‐acting reversible contraceptive (LARC) methods are widely available and safe for most women,3 few Ghanaian women use them.4 We aimed to prospectively assess whether discontinuation rates differed among women who adopted a LARC method versus those who adopted a short‐term hormonal method. This article is protected by copyright. All rights reserved.Item Female autonomy and reported abortion-seeking in Ghana, West Africa(International Journal of Gynecology and Obstetrics, 2014-09) Rominski, S.D.; Gupta, M.; Aborigo, R.; Adongo, P.; Engman, C.; Hodgson, A.; Moyer, C.Objective To investigate factors associated with self-reported pregnancy termination in Ghana and thereby appreciate the correlates of abortion-seeking in order to understand safe abortion care provision. Methods In a retrospective study, data from the Ghana 2008 Demographic and Health Survey were used to investigate factors associated with self-reported pregnancy termination. Variables on an individual and household level were examined by both bivariate analyses and multivariate logistic regression. A five-point autonomy scale was created to explore the role of female autonomy in reported abortion-seeking behavior. Results Among 4916 women included in the survey, 791 (16.1%) reported having an abortion. Factors associated with abortion-seeking included being older, having attended school, and living in an urban versus a rural area. When entered into a logistic regression model with demographic control variables, every step up the autonomy scale (i.e. increasing autonomy) was associated with a 14.0% increased likelihood of reporting the termination of a pregnancy (P < 0.05). Conclusion Although health system barriers might play a role in preventing women from seeking safe abortion services, autonomy on an individual level is also important and needs to be addressed if women are to be empowered to seek safe abortion services. © 2014 International Federation of Gynecology and Obstetrics.Item Is abortion justified to save the life or health of a woman? Evidence of public opinion from Accra, Ghana(International Journal of Gynecology & Obstetrics, 2019-07-16) Yawson, A.E.; Rominski, S.D.; Bell, A.J.; Nakua, E.K.; Moyer, C.A.Objective: In this study, we sought to determine to what extent the abortion law in Ghana is reflective of public opinion. Methods: In a cross-sectional, community-based survey, individuals in two fishing communities in Accra were interviewed about their beliefs on abortion between May and July 2016, and sociodemographic, attitudinal, and experience data were collected. Factors associated with the outcome variable (abortion is justified to save the life/health of the woman: Yes/No) were entered into a multivariate logistic regression. Results: A total of 508 participants completed the survey. Thirty-nine percent (n=198) of the sample agreed that abortion was justified to save the life/health of the woman, with no significant differences in this finding when controlling for understanding of the law, gender, marital status, or personal experience of abortion in multivariate analysis. Higher education (odds ratio [OR] 1.64 [P<0.001]) and older age (OR 1.28 [P<0.001]) are positively associated with abortion being justified to save life/health, while those who have had an experience of unwanted sex are less likely to believe that (OR 0.60 [P=0.029]). Conclusion: The participants held conservative views about the justification of abortion to save a woman's life and/or health. Improving access to safe abortion services will require acknowledgment of the broader social and cultural context that may make accessing such services difficult.Item Is abortion justified to save the life or health of a woman? Evidence of public opinion from Accra, Ghana(International Journal of Gynecology & Obstetrics, 2019-08-06) Yawson, A.E.; Rominski, S.D.; Bell, A.J.; Nakua, E.K.Objective: In this study, we sought to determine to what extent the abortion law in Ghana is reflective of public opinion. Methods: In a cross-sectional, community-based survey, individuals in two fishing communities in Accra were interviewed about their beliefs on abortion between May and July 2016, and sociodemographic, attitudinal, and experience data were collected. Factors associated with the outcome variable (abortion is justified to save the life/health of the woman: Yes/No) were entered into a multivariate logistic regression. Results: A total of 508 participants completed the survey. Thirty-nine percent (n=198) of the sample agreed that abortion was justified to save the life/health of the woman, with no significant differences in this finding when controlling for understanding of the law, gender, marital status, or personal experience of abortion in multivariate analysis. Higher education (odds ratio [OR] 1.64 [P<0.001]) and older age (OR 1.28 [P<0.001]) are positively associated with abortion being justified to save life/health, while those who have had an experience of unwanted sex are less likely to believe that (OR 0.60 [P=0.029]). Conclusion: The participants held conservative views about the justification of abortion to save a woman's life and/or health. Improving access to safe abortion services will require acknowledgment of the broader social and cultural context that may make accessing such services difficult.Item Perceived barriers and motivating factors influencing student midwives’ acceptance of rural postings in Ghana(2012-07-24) Lori, J.R.; Rominski, S.D.; Gyakobo, M.; Muriu, E.W; Kweku, N.E.; Agyei-Baffour, P.Abstract Background Research on the mal-distribution of health care workers has focused mainly on physicians and nurses. To meet the Millennium Development Goal Five and the reproductive needs of all women, it is predicted that an additional 334,000 midwives are needed. Despite the on-going efforts to increase this cadre of health workers there are still glaring gaps and inequities in distribution. The objectives of this study are to determine the perceived barriers and motivators influencing final year midwifery students’ acceptance of rural postings in Ghana, West Africa. Methods An exploratory qualitative study using focus group interviews as the data collection strategy was conducted in two of the largest midwifery training schools in Ghana. All final year midwifery students from the two training schools were invited to participate in the focus groups. A purposive sample of 49 final year midwifery students participated in 6 focus groups. All students were women. Average age was 23.2 years. Glaser’s constant comparative method of analysis was used to identify patterns or themes from the data. Results Three themes were identified through a broad inductive process: 1) social amenities; 2) professional life; and 3) further education/career advancement. Together they create the overarching theme, quality of life, we use to describe the influences on midwifery students’ decision to accept a rural posting following graduation. Conclusions In countries where there are too few health workers, deployment of midwives to rural postings is a continuing challenge. Until more midwives are attracted to work in rural, remote areas health inequities will exist and the targeted reduction for maternal mortality will remain elusive.