http://hdl.handle.net/123456789/1016 2026-04-14T23:09:16Z http://hdl.handle.net/123456789/11984 Electronic Health Record System for Health Service Delivery in Central Region, Ghana Agyemang, Edward This study assesses the Lightwave Hospital Information Management System for health service delivery in the Central Region of Ghana. The Theory of Planned Behaviour, Technology Acceptance Model, and the ISO Usability Framework underpinned the study. The study design adopted was cross-sectional and phenomenology. The survey recruited 1126 health professionals and 30 Unit Heads for the qualitative interviews from 10 healthcare facilities that utilised the LHIMS. Data was analysed using SPSS v26, and Amos v26. Weighted Averages (3.44 – 3.88) indicated that respondents found the LHIMS effective, efficient, and satisfied using the LHIMS for service delivery. Health professionals' satisfaction with the use of the LHIMS was significantly influenced by variables such as work experience (OR=0.563, 95% CI=0.415-0.763), status of training (OR=0.652, 95% CI=0.454-0.937), training duration (OR=0.606, 95% CI=0.416-0.883), and computer proficiency (OR=0.767, 95% CI=0.588-1.00). Structural Equation Modelling showed a significant positive association between satisfaction and efficiency (b=0.120, s.e. =0.030, p=0.000), effectiveness and satisfaction (b=0.254, s.e.=0.031, p=0.000), and effectiveness and efficiency (b=0.118, s.e.=0.034, p=0.001). Also, results from the qualitative revealed technology, technical, and human-related challenges associated with using the LHIMS. Despite these bottlenecks, the study concludes that LHIMS has positively enhanced healthcare delivery in Ghana, particularly improving service efficiency, effectiveness and satisfaction which significantly contributes to progress towards attaining Goal 3 of the SDGs and the Universal Health Coverage (UHC). xvii 235p:, ill 2024-05-01T00:00:00Z http://hdl.handle.net/123456789/11966 Quality Post-Abortion Care Services in the Greater Accra Region Adde, Kenneth Setorwu The provision of high-quality post-abortion care (PAC) services is critical to reducing maternal mortality since it is a key component in lowering abortion-related morbidity and mortality. However, there is paucity in literature pertaining to the synthesis between PAC service providers and of the clients‟ views on quality PAC services. The study assessed the quality of PAC services in Greater Accra. The study adopted the interpretivist philosophical position to social sciences research. Primary data was collected from 34 PAC clients and service providers selected from 7 health facilities. Data was managed and managed using QSR NVivo 12 plus computer software. The analyses followed the thematic analytic procedures. The results showed that quality of PAC services is based on three dimensions of quality which are structural, process and outcome. The ability of health facilities to provide an enabling environment for privacy and confidentiality was a key component of structural quality. The low doctor to patient ratio affected the provision of prompt attention to clients. Concerning process quality, PAC was provided with the client-centred approach. This was, however, affected when the proportion of clients outweighed the service providers. Regarding the outcome dimension of quality PAC services, both service providers and clients consider the PAC services to be of quality; however, they held divergent views on what constitutes the quality of PAC services. It is therefore recommended that the management of health facilities take steps to ensure all health facilities have an enabling environment for the provision of PAC services. xiv, 211p:, ill. 2024-11-01T00:00:00Z http://hdl.handle.net/123456789/11961 Quality Post-Abortion Care Services in the Greater Accra Region Adde, Kenneth Setorwu The provision of high-quality post-abortion care (PAC) services is critical to reducing maternal mortality since it is a key component in lowering abortion-related morbidity and mortality. However, there is paucity in literature pertaining to the synthesis between PAC service providers and of the clients‟ views on quality PAC services. The study assessed the quality of PAC services in Greater Accra. The study adopted the interpretivist philosophical position to social sciences research. Primary data was collected from 34 PAC clients and service providers selected from 7 health facilities. Data was managed and managed using QSR NVivo 12 plus computer software. The analyses followed the thematic analytic procedures. The results showed that quality of PAC services is based on three dimensions of quality which are structural, process and outcome. The ability of health facilities to provide an enabling environment for privacy and confidentiality was a key component of structural quality. The low doctor to patient ratio affected the provision of prompt attention to clients. Concerning process quality, PAC was provided with the client-centred approach. This was, however, affected when the proportion of clients outweighed the service providers. Regarding the outcome dimension of quality PAC services, both service providers and clients consider the PAC services to be of quality; however, they held divergent views on what constitutes the quality of PAC services. It is therefore recommended that the management of health facilities take steps to ensure all health facilities have an enabling environment for the provision of PAC services. University of Cape Coast https://ir.ucc.edu.gh/xmlui Digitized xiv, 211p:,ill 2024-11-01T00:00:00Z http://hdl.handle.net/123456789/11820 Lived Experiences And Support Systems For Maternal Near- Miss Patients At The Cape Coast Teaching Hospital Yeboah-Sarpong, Atta Maternal Morbidity (MMb) of which Maternal Near-Miss (MNM) is a major constituent, receives less attention compared with Maternal Mortality (MMt) despite its greater contribution to the global burden of poor maternal health of an estimated 27 million cases annually. The nature of Maternal Near-Miss (MNM) serves as proxy for the study of MMt and thus, for assessing quality maternal health, the experiences of MNM patients give an indication of the support system required to promote healthy life of the women concerned. This study explored the lived experiences and support systems available to MNM patients at the Cape Coast Teaching Hospital (CCTH), as well as experiences of Primary Caregivers (PCGs), perspectives and experiences of Healthcare Workers (HCWs) of MNMPatients, and the support systems available to MNM patients. Using a phenomenological study design, 15 MNM patients, 5 HCWs and 13 PCGs were interviewed using a semi-structured interview guide. Thematic content analysis was done using the Collaizi’s seven distinctive steps. The main findings were that MNM patients experienced physical, psychological/emotional, social and financial consequences that disrupted the physical, psychological, social and financial domains of their lives. These were mediated by support from their families, spouses, HCWs/facilities, religious bodies and NGOs. It was observed that the various forms of support provided were not coordinated. Therefore, there is the need for the coordination of stakeholders’ support to ensure a quality support system for MNM patients. Results of the study suggest the need to strengthen healthcare activities on MNM and thereby ensure an improvement in support to MNM patients at the facility and community levels. xvii, 248p; , ill. 2024-03-01T00:00:00Z