Knowledge on Place of Delivery and Postnatal Care Among Reproductive Women in Urban Ghana: A Qualitative Thematic Synthesis

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Abstract Background Place of birth delivery continues to be a canker to maternal healthcare despite the introduction of interventions and policies aimed to promote maternal health. Otutcomes on the choice of place of delivery has not been captured using rigorous qualitative approaches, which are empirically proven. This study investigated the accounts of mothers who have delivered in the last five years either home, assisted by TBAs or health facilities backed by care providers during labour and delivery and to evaluate the reasons for choice of delivery in urban Ghana. Methods Using an in-depth interview and two focus groups conducted with women of reproductive age (15–49) who had delivered in the past five years in the study area. The study investigated women's opinions, perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services and whether they would recommend services to neighbours. Results 2 out of 16 mothers delivered home assisted TBA’s by despite the introduction of the free maternal delivery in addition to other available interventions such as focused ANC aimed at improving maternal healthcare. Conclusion The findings suggest that enabling factors to healthcare delivery are key to women's expectations, which in turn build up satisfaction. Service improvements, which address aspects of care, are likely to have an impact on health seeking behaviour and utilisation. Findings recommend that the Municipal health directorate adopt more user-friendly approaches and interventions to attract mothers who use home delivery and retain those who deliver in facilities.

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