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|Title: ||Midwives’ perceptions and experiences of health promotion practice in Ghana|
|Authors: ||Owusu-Addo, Ebenezer|
|Keywords: ||Health promotion|
Education (including health education)
|Issue Date: ||2015|
|Publisher: ||Global Health Promotion|
|Citation: ||Global Health Promotion Vol. 0, No. 0 201X, 2015|
|Abstract: ||Introduction: This research explores midwives’ perceptions and experiences of health promotion
practice in Ghana.
Methods: A qualitative descriptive exploratory design was used in order to gain better insight into
midwives’ perceptions and experiences of health promotion practice. A total of 21 midwives took
part in the study. Data were collected by individual in-depth semi-structured interviews. Thematic
analysis was used to analyse the transcript.
Results: Five dominant themes emerged from the interview transcripts, namely: health promotion as
education, health promotion activities, the value of health promotion, client participation, and
midwives’ barriers to promoting health. Although midwives underscored the importance of health
promotion to their work, their reports indicated that, in practice, midwives mostly delivered health
education and behaviour change communication rather than health promotion. The midwives
expressed the view that by way of their close association with women, they were in a better position
to influence women’s health. Health promotion activities engaged by the midwives included weight
management, healthy eating, infection prevention, personal hygiene, counselling on family planning,
and screening for hazardous and harmful substance use such as alcohol and smoking. All the midwives
mentioned that clients participated in their health promotion activities. Factors that were identified
by the midwives to enhance client participation were trust, attitude of the midwife, building rapport,
creating enabling environment, listening and paying attention to clients and using simple language.
The barriers to health promotion identified by the midwives included time, stress, culture, lack of
training and inadequate health educational materials.
Discussion: Midwives in this study had limited knowledge about health promotion, yet could play a
significant role in influencing health; thus there is a need for on-going in-service training for midwives
to focus on health promotion.|
|Description: ||An article published by Global Health Promotion Vol. 0, No. 0 201X, 2015|
|Appears in Collections:||College of Health Sciences|
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