Agyeman-Duah Yvonne, Bimerew Million
School of Nursing, Faculty of Community and Health Sciences, University of Western Cape, Private Bag X17, Bellville 7535, Western Cape, South Africa.
Int J Environ Res Public Health. 2025 Apr 1;22(4):534. doi: 10.3390/ijerph22040534.
Enhancing maternal and newborn care is a key priority for governments worldwide. World leaders have taken deliberate steps to improve these essential services, with an emphasis on postnatal care, including home visits for mothers and their newborns. However, in the Ashanti Region and across Ghana, challenges surrounding the delivery and effectiveness of postnatal home visits remain a significant concern. This study aimed to assess the attitudes of Community Health Nurses towards postnatal home visitation in selected districts of the Ashanti Region. A quantitative survey approach was used to gather data from 100 CHNs randomly selected from 10 regional districts. Structured questionnaires were used to gather quantitative data from CHNs. Findings from the study were analysed using descriptive and inferential tests. The study results indicated that most of the CHNs were young adults, 35 years of age (79%), with the majority having 3-5 years of work experience. The respondents generally demonstrated a negative attitude towards PNHV as they believed it was an extra workload, time-consuming, and unnecessary. A Pearson chi-square test indicated strong significant association between CHNs' attitude towards the components of the attitude scale and years of experience as well as their age. In conclusion, the study revealed that even though CHNs are expected, as part of their job description, to embark on home visitation activities, most of them have a negative attitude towards this professional duty. There should be conscientious, novel ways to ignite the interest of these essential service providers to help improve infant and maternal health.
加强孕产妇和新生儿护理是世界各国政府的一项关键优先事项。世界各国领导人已采取审慎措施来改善这些基本服务，重点是产后护理，包括对母亲及其新生儿的家访。然而，在阿散蒂地区乃至整个加纳，产后家访的实施和效果所面临的挑战仍然是一个重大问题。本研究旨在评估阿散蒂地区选定地区社区卫生护士对产后家访的态度。采用定量调查方法，从10个地区随机抽取的100名社区卫生护士中收集数据。使用结构化问卷从社区卫生护士那里收集定量数据。研究结果采用描述性和推断性检验进行分析。研究结果表明，大多数社区卫生护士是35岁的年轻人（79%），大多数人有3至5年的工作经验。受访者普遍对产后家访持消极态度，因为他们认为这是一项额外的工作量，既耗时又不必要。皮尔逊卡方检验表明，社区卫生护士对态度量表各组成部分的态度与工作经验年限以及年龄之间存在强烈的显著关联。总之，该研究表明，尽管按照工作职责要求，社区卫生护士应进行家访活动，但他们中的大多数人对这项专业职责持消极态度。应该有切实可行的新方法来激发这些基本服务提供者的兴趣，以帮助改善婴儿和孕产妇健康。
