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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28903
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dc.contributor.authorSchuler, Christina-
dc.contributor.authorAgbozo, Faith-
dc.contributor.authorNtow, George Edward-
dc.contributor.authorWaldboth, Veronika-
dc.date.accessioned2023-10-20T14:21:09Z-
dc.date.available2023-10-20T14:21:09Z-
dc.date.issued2023-10-05-
dc.identifier.issn1471-2431de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/28903-
dc.description.abstractBackground: Low birth weight (LBW) is associated with short and long-term consequences including neonatal mortality and disability. Effective linkages in the continuum of care (CoC) for newborns at the health facility, community (primary care) and home care levels have a high tendency of minimizing adverse events associated with LBW. But it is unclear how these linkages work and what factors influence the CoC process in Ghana as literature is scarce on the views of health professionals and families of LBW infants regarding the CoC. Therefore, this study elicited the drivers influencing the CoC for LBW infants in Ghana and how linkages in the CoC could be strengthened to optimize quality of care. Methods: A constructivist grounded theory study design was used. Data was collected between September 2020 to February 2021. A total of 25 interviews were conducted with 11 family members of LBW infants born in a secondary referral hospital in Ghana, 9 healthcare professionals and 7 healthcare managers. Audio recordings were transcribed verbatim, analyzed using initial and focused coding. Constant comparative techniques, theoretical memos, and diagramming were employed until theoretical saturation was determined. Results: Emerging from the analysis was a theoretical model describing ten major themes along the care continuum for LBW infants, broadly categorized into health systems and family-systems drivers. In this paper, we focused on the former. Discharge, review, and referral systems were neither well-structured nor properly coordinated. Efficient dissemination and implementation of guidelines and supportive supervision contributed to higher staff motivation while insufficient investments and coordination of care activities limited training opportunities and human resource. A smooth transition between care levels is hampered by procedural, administrative, logistics, infrastructural and socio-economic barriers. Conclusion: A coordinated care process established on effective communication across different care levels, referral planning, staff supervision, decreased staff shuffling, routine in-service training, staff motivation and institutional commitment are necessary to achieve an effective care continuum for LBW infants and their families.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Pediatricsde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectConstructivist grounded theoryde_CH
dc.subjectContinuum of carede_CH
dc.subjectCoordination of carede_CH
dc.subjectDelivery of health carede_CH
dc.subjectGhanade_CH
dc.subjectLow birth weightde_CH
dc.subjectNeonatal nursingde_CH
dc.subjectNewborn carede_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.subject.ddc618.92: Pädiatriede_CH
dc.titleHealth-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghanade_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1186/s12887-023-04330-5de_CH
dc.identifier.doi10.21256/zhaw-28903-
dc.identifier.pmid37798632de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start501de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume23de_CH
zhaw.publication.reviewOpen peer reviewde_CH
zhaw.webfeedG: Gesundheit von Kindern und Jugendlichende_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Schuler, C., Agbozo, F., Ntow, G. E., & Waldboth, V. (2023). Health-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghana. BMC Pediatrics, 23(1), 501. https://doi.org/10.1186/s12887-023-04330-5
Schuler, C. et al. (2023) ‘Health-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghana’, BMC Pediatrics, 23(1), p. 501. Available at: https://doi.org/10.1186/s12887-023-04330-5.
C. Schuler, F. Agbozo, G. E. Ntow, and V. Waldboth, “Health-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghana,” BMC Pediatrics, vol. 23, no. 1, p. 501, Oct. 2023, doi: 10.1186/s12887-023-04330-5.
SCHULER, Christina, Faith AGBOZO, George Edward NTOW und Veronika WALDBOTH, 2023. Health-system drivers influencing the continuum of care linkages for low-birth-weight infants at the different care levels in Ghana. BMC Pediatrics. 5 Oktober 2023. Bd. 23, Nr. 1, S. 501. DOI 10.1186/s12887-023-04330-5
Schuler, Christina, Faith Agbozo, George Edward Ntow, and Veronika Waldboth. 2023. “Health-System Drivers Influencing the Continuum of Care Linkages for Low-Birth-Weight Infants at the Different Care Levels in Ghana.” BMC Pediatrics 23 (1): 501. https://doi.org/10.1186/s12887-023-04330-5.
Schuler, Christina, et al. “Health-System Drivers Influencing the Continuum of Care Linkages for Low-Birth-Weight Infants at the Different Care Levels in Ghana.” BMC Pediatrics, vol. 23, no. 1, Oct. 2023, p. 501, https://doi.org/10.1186/s12887-023-04330-5.


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