Ipas Ghana, PMB CT 193 Cantonments, Accra, Ghana.
Hum Resour Health. 2010 Feb 23;8:2. doi: 10.1186/1478-4491-8-2.
Ghana has a high maternal mortality rate of 540 per 100 000. Although abortion complications usually are treatable, the risks of morbidity and death increase when treatment is delayed. Delay in care may occur when women have difficulty accessing treatment because health care providers are not trained, equipped, or willing to treat the complications of abortion. Gaps in the midwifery tutors' knowledge on comprehensive abortion care (CAC) have resulted in most midwives in Ghana not knowing the legal indications under which safe abortion care can be provided, and lacking the skills and competencies for CAC services. The aim of this study is to assess the capacity and willingness of midwifery tutors to teach contraception, post abortion care and legal termination in Ghana.
This study focused on all 14 midwifery schools in the country. A total of 74 midwifery tutors were interviewed for this study. Structured self-administered questionnaires were used for data collection. The data were entered and checked for consistencies using Epiinfo 6.04 and analyzed using Stata 8. Descriptive analysis was used and frequencies reported with percentages.
In total, 74 midwifery tutors were interviewed. Of these, 66 (89.2%) were females. The tutors had mainly been trained as midwives (51.4%) and graduate nurses (33.8%). Respondents were predominantly Christians (97.3%).The study discovered that only 18.9% of the tutors knew all the legal indications under which safe abortion care could be provided. The content of pre-service training of tutors did not include uterine evacuation with manual vacuum aspirator (MVA).The study also highlighted some factors that influence midwifery tutors' willingness to teach comprehensive abortion care. It was also revealed that personal and religious beliefs greatly influence teaching of Comprehensive Abortion Care.
The findings of this survey suggest that the majority of tutors did not know the abortion law in Ghana as well as the Ghana Health Service Reproductive Health Standards and Protocol. Thus, there is a need to enhance their capacities to teach the present pre-service students the necessary skills to offer CAC after school and to understand related issues such as related legal matters.
加纳的孕产妇死亡率为每 10 万人中有 540 人。尽管堕胎并发症通常是可以治疗的，但如果治疗延迟，发病率和死亡率的风险会增加。当卫生保健提供者没有接受过培训、装备或不愿意治疗堕胎并发症时，妇女可能会因为难以获得治疗而导致治疗延迟。助产士导师在全面堕胎护理 (CAC) 方面的知识差距导致加纳大多数助产士不知道在哪些合法情况下可以提供安全的堕胎护理，并且缺乏 CAC 服务的技能和能力。这项研究的目的是评估加纳助产士导师教授避孕、流产后护理和合法终止妊娠的能力和意愿。
本研究集中在加纳的 14 所助产学校。共有 74 名助产士导师接受了这项研究的采访。使用结构化的自我管理问卷进行数据收集。使用 Epiinfo 6.04 输入和检查数据的一致性，并使用 Stata 8 进行分析。使用描述性分析，并以百分比报告频率。
共有 74 名助产士导师接受了采访。其中，66 人（89.2%）为女性。导师主要接受过助产士培训（51.4%）和注册护士培训（33.8%）。受访者主要是基督教徒（97.3%）。研究发现，只有 18.9%的导师知道所有可以提供安全堕胎护理的合法指示。导师的职前培训内容不包括使用手动真空抽吸器（MVA）进行子宫排空。研究还强调了一些影响助产士导师教授全面堕胎护理意愿的因素。还发现个人和宗教信仰极大地影响综合堕胎护理的教学。
这项调查的结果表明，大多数导师不知道加纳的堕胎法以及加纳卫生服务生殖健康标准和议定书。因此，需要增强他们的能力，以便在放学后向目前的职前学生教授提供 CAC 所需的技能，并了解相关问题，如相关法律事项。
