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Barriers to essential surgical care experienced by women in the two northernmost regions of Ghana: a cross-sectional survey

Overview of attention for article published in BMC Women's Health, May 2016
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Citations

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18 Dimensions

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97 Mendeley
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Title
Barriers to essential surgical care experienced by women in the two northernmost regions of Ghana: a cross-sectional survey
Published in
BMC Women's Health, May 2016
DOI 10.1186/s12905-016-0308-4
Pubmed ID
Authors

Adam Gyedu, Francis Abantanga, Godfred Boakye, Shailvi Gupta, Easmon Otupiri, Anita Eseenam Agbeko, Adam Kushner, Barclay Stewart

Abstract

Women in developing countries might experience certain barriers to care more frequently than men. We aimed to describe barriers to essential surgical care that women face in five communities in Ghana. Questions regarding potential barriers were asked during surgical outreaches to five communities in the northernmost regions of Ghana. Responses were scored in three dimensions from 0 to 18 (i.e., 'acceptability,' 'affordability,' and 'accessibility'; 18 implied no barriers). A barrier to care index out of 10 was derived (10 implied no barriers). An open-ended question to elicit gender-specific barriers was also asked. Of the 320 participants approached, 315 responded (response rate 98 %); 149 were women (47 %). Women had a slightly lower barriers to surgical care index (median index 7.4; IQR 3.9-9.1) than men (7.9; IQR 3.9-9.4; p = 0.002). Compared with men, women had lower accessibility and acceptability dimension scores (14.4/18 vs 14.4/18; p = 0.001 and 13.5/18 vs 14/18; p = 0.05, respectively), but similar affordability scores (13.5/18 vs 13.5/18; p = 0.13). Factors contributing to low dimension scores among women included fear of anesthesia, lack of social support, and difficulty navigating healthcare, as well as lack of hospital privacy and confidentiality. Women had a slightly lower barriers to surgical care index than men, which may indicate greater barriers to surgical care. However, the actual significance of this difference is not yet known. Community-level education regarding the safety and benefits of essential surgical care is needed. Additionally, healthcare facilities must ensure a private and confidential care environment. These interventions might ameliorate some barriers to essential surgical care for women in Ghana, as well as other LMICs more broadly.

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X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 97 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Kenya 1 1%
Unknown 95 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 14 14%
Student > Master 12 12%
Researcher 10 10%
Student > Ph. D. Student 8 8%
Student > Doctoral Student 8 8%
Other 25 26%
Unknown 20 21%
Readers by discipline Count As %
Medicine and Dentistry 34 35%
Nursing and Health Professions 16 16%
Social Sciences 9 9%
Psychology 3 3%
Agricultural and Biological Sciences 2 2%
Other 7 7%
Unknown 26 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 June 2016.
All research outputs
#12,840,565
of 22,875,477 outputs
Outputs from BMC Women's Health
#873
of 1,825 outputs
Outputs of similar age
#163,781
of 337,040 outputs
Outputs of similar age from BMC Women's Health
#5
of 10 outputs
Altmetric has tracked 22,875,477 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,825 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one has gotten more attention than average, scoring higher than 52% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 337,040 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 5 of them.