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Examining Antenatal Health Literacy in Ghana
dc.contributor.authorLori, Jody R.en_US
dc.contributor.authorDahlem, Chin Hwa Y.en_US
dc.contributor.authorAckah, Jacqueline V.en_US
dc.contributor.authorAdanu, Richard M.K.en_US
dc.date.accessioned2014-11-04T16:35:33Z
dc.date.availableWITHHELD_13_MONTHSen_US
dc.date.available2014-11-04T16:35:33Z
dc.date.issued2014-11en_US
dc.identifier.citationLori, Jody R.; Dahlem, Chin Hwa Y.; Ackah, Jacqueline V.; Adanu, Richard M.K. (2014). "Examining Antenatal Health Literacy in Ghana." Journal of Nursing Scholarship 46(6): 432-440.en_US
dc.identifier.issn1527-6546en_US
dc.identifier.issn1547-5069en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/109308
dc.description.abstractPurpose To explore Ghanaian pregnant women's understanding and recognition of danger signs in pregnancy, birth preparedness and complication readiness, and their understanding of newborn care. Design An exploratory, qualitative study design was used. Methods Data were gathered through six focus group discussions with 68 pregnant women attending antenatal care at a busy urban hospital in Ghana. Qualitative and descriptive data were analyzed using SPSS version 21. Health literacy was used as the guiding framework to analyze the qualitative data. Data were analyzed in the content domains of (a) understanding and recognition of danger signs in pregnancy, (b) preparedness for childbirth, (c) understanding and recognition of danger signs in the newborn, and (d) appropriate and timely referral. Findings Women in this study identified danger signs of pregnancy and in the newborn, but had difficulty interpreting and operationalizing information they received during antenatal care visits, indicating that health education did not translate to appropriate health behaviors. Cultural beliefs in alternative medicine, lack of understanding, and prior negative encounters with healthcare professionals may have led to underutilization of professional midwives for delivery and health services. Conclusions Women in this study exhibited low health literacy by incorrectly interpreting and operationalizing health education received during antenatal care. With limited health literacy, pregnant women cannot fully comprehend the scope of services that a health system can provide for them and their families. Clinical Relevance Achieving the greatest impact with limited time in antenatal care is a challenge. Since antenatal care is widely available to pregnant women in Ghana, it is vital to reexamine the way antenatal education is delivered. Pregnant women must receive health information that is accurate and easy to understand in order to make informed health choices that will improve maternal and child health.en_US
dc.publisherMedline Plus, U.S. National Library of Medicine, National Institutes of Healthen_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherAfricaen_US
dc.subject.otherFocused Antenatal Careen_US
dc.subject.otherGhanaen_US
dc.subject.otherHealth Literacyen_US
dc.subject.otherAntenatal Careen_US
dc.titleExamining Antenatal Health Literacy in Ghanaen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNursingen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/109308/1/jnu12094.pdf
dc.identifier.doi10.1111/jnu.12094en_US
dc.identifier.sourceJournal of Nursing Scholarshipen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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