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  11. Context Matters: Examining Factors Influencing The Implementation Of Evidence-based Family Systems Care For Small And Sick Newborns Across The Care Continuum

Context matters: examining factors influencing the implementation of evidence-based family systems care for small and sick newborns across the care continuum

Christina Schuler1,2, Faith Agbozo3, Emmanuel Bansah4

  • 1Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.

Frontiers in Health Services
|April 25, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Healthcare professionals in Ghana are ready for family systems care (FSC) training for newborns, despite limited resources. Findings from the COACH tool guide context-adapted FSC implementation and training strategies.

Area of Science:

  • Neonatal Care
  • Public Health
  • Healthcare Systems

Background:

  • Family systems care (FSC) enhances the well-being of sick newborns and their families.
  • FSC is a broader approach than family-centered care, focusing on strengths and relational interventions.
  • Contextual factors are crucial for implementing FSC in healthcare settings.

Purpose of the Study:

  • To assess healthcare professionals' perceptions of health system features influencing FSC implementation for newborns in Ghana.
  • To identify barriers and facilitators for context-adapted FSC in the Ghanaian healthcare setting.

Main Methods:

  • Cross-sectional data collected from 143 healthcare professionals (nurses, midwives, physicians) in Ghana.
  • The Context Assessment for Community Health (COACH) instrument used for data collection.
Keywords:
Ghanacontext assessmentcontinuum of carefamily-centered care

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  • Descriptive statistics analyzed using STATA.

    • Main Results:

    • Nearly all (96.5%) healthcare professionals desire in-service training in FSC.
    • Organizational resources (2.8/5) and informal payment (3.7-3.9/5) received lower COACH scores.
    • Leadership (4.1/5) and work culture (4.2/5) received higher scores, indicating positive perceptions.

    Conclusions:

    • The COACH tool offers guidance for developing context-appropriate FSC training strategies in Ghana.
    • Healthcare professionals show commitment and a favorable work culture but face resource limitations.
    • Findings suggest readiness for FSC training to improve care for newborns and families.
    implementation science
    maternal and neonatal care
    small and sick newborns