Provider perspectives on Asram in Ghana

Area of Science:

• Global Health
• Medical Anthropology
• Neonatal Medicine

Background:

• Neonatal mortality remains a critical global health issue, particularly in low- and middle-income countries.
• In Ghana, traditional beliefs about newborn conditions (Asram) attribute spiritual causes, leading to management by traditional healers over allopathic providers.

Purpose of the Study:

• To explore allopathic medical providers' perspectives on Asram in Ghana.
• To understand the implications of traditional newborn care practices on neonatal health outcomes and healthcare delivery.

Main Methods:

• Qualitative study utilizing semi-structured interviews with 20 healthcare providers in Kumasi, Ghana.
• Participants represented tertiary and district hospital settings.

Main Results:

• All interviewed providers were aware of Asram, with varying degrees of acceptance.
• Some providers rationalized Asram due to high mortality rates and cultural beliefs; others expressed frustration over treatment delays and complications.
• Providers employ diverse strategies to navigate cultural differences, emphasizing open communication for improved newborn health.

Conclusions:

• Awareness of socio-cultural contexts, like Asram, is crucial for healthcare providers in Ghana.
• Focusing on shared goals of timely and effective newborn care can improve neonatal survival rates by bridging traditional and allopathic practices.