Attitudes of Community Health Nurses Towards Postnatal Home Visitation: A Study in the Ashanti Region of Ghana
Abstract
1. Introduction
2. Methods
2.1. Research Setting
2.2. Sampling and Sample Size
Inclusion Criteria
- i.
- CHNs actively involved in maternal and neonatal care who had conducted several postnatal home visits.
- ii.
- CHNs who voluntarily consented to participating in the study.
2.3. Study Tools
2.4. Data Collection Process
2.5. Ethics
2.6. Data Analysis
3. Results
3.1. Demographic Characteristics of Community Health Nurses (CHNs)
3.2. Attitude of CHNs Towards PNHV
3.3. Association Between the Age of CHNs and Their Attitude Towards PNHV
3.4. Association Between CHNs’ Years of Service and Their Attitude Towards Postnatal Home Care
4. Discussion
5. Limitations
6. Recommendations
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Item | Age Category | (N) | (N) |
---|---|---|---|
Age of CHNs (years) | 20–24 | 5 | 5 |
25–29 | 33 | 33 | |
30–34 | 41 | 41 | |
35–39 | 16 | 16 | |
40–44 | 2 | 2 | |
45–49 | 1 | 1 | |
50+ years | 2 | 2 | |
Years of service (CHNs) | Within 2 years | 20 | 20 |
3–5 years | 41 | 41 | |
6–9 years | 36 | 36 | |
10 years and above | 3 | 3 |
Statements | N = 100 | Minimum | Maximum | Mean | Std. Deviation |
---|---|---|---|---|---|
Postnatal home visits are important | 1 | 3 | 1.32 | 0.548 | |
Postnatal home visits are not necessary | 1 | 4 | 3.53 | 0.611 | |
Postnatal home visits are time-consuming | 1 | 4 | 2.56 | 0.880 | |
I prefer home visits to working at the hospital | 1 | 4 | 2.54 | 0.758 | |
Home visits are extra workload | 1 | 4 | 3.04 | 0.909 | |
Mothers should use hospital-based postnatal care only | 1 | 4 | 2.79 | 0.820 | |
Family rather than CHNs must help in postnatal home care | 1 | 4 | 2.80 | 0.725 | |
The home environment is not a conducive place for postnatal care | 1 | 4 | 2.63 | 0.774 | |
There is no equipment for postnatal care at home | 1 | 4 | 2.13 | 0.747 | |
It is difficult educating mothers and family in the home environment | 1 | 4 | 2.06 | 0.952 | |
Mothers and their families can provoke CHN caregivers | 1 | 4 | 2.16 | 0.762 | |
Valid N (listwise) |
CHNs’ Attitude | Age (in Years) N (%) | Rating | Chi Square | p Value | ||||
---|---|---|---|---|---|---|---|---|
20–29 | 30–39 | 40–49 | 50+ | |||||
Home visitation is important | Agree | 0 (0) | 0 (0) | 2 (2) | 2 (2) | Negative attitude | 101.61 | 0.000 |
Disagree | 38 (38) | 57 (57) | 1 (1) | 0 (0) | ||||
Home visitation is not necessary | Agree | 36 (36) | 57 (57) | 0 (0) | 0 (0) | Negative attitude | 37.12 | 0.000 |
Disagree | 2 (2) | 0 (0) | 3 (3) | 2 (2) | ||||
Postnatal home visits are time-consuming | Agree | 0 (0) | 49 (49) | 3 (3) | 2 (2) | Negative attitude | 35.34 | 0.000 |
Disagree | 38 (38) | 8 (8) | 0 (0) | 0 (0) | ||||
I prefer home visits to working at the hospital | Agree | 0 (0) | 47 (47) | 3 (3) | 2 (2) | Positive attitude | 37.43 | 0.000 |
Disagree | 38 (38) | 10 (10) | 0 (0) | 0 (0) | ||||
Home visits are an extra workload | Agree | 19 (19) | 57 (57) | 3 (3) | 2 (2) | Negative attitude | 29.08 | 0.000 |
Disagree | 19 (19) | 0 (0) | 0 (0) | 0 (0) | ||||
Mothers should use hospital-based postnatal care only | Agree | 10 (10) | 57 (57) | 3 (3) | 2 (2) | Negative attitude | 29.45 | 0.000 |
Disagree | 28 (28) | 0 (0) | 0 (0) | 0 (0) | ||||
Family rather than CHNs must help in postpartum care | Agree | 8 (8) | 57 (57) | 3 (3) | 2 (2) | Negative attitude | 28.89 | 0.000 |
Disagree | 30 (30) | 0 (0) | 0 (0) | 0 (0) | ||||
Home environment is not a conducive place for postnatal care | Agree | 1 (1) | 57 (57) | 3 (3) | 2 (2) | Negative attitude | 29.90 | 0.000 |
Disagree | 37 (37) | 0 (0) | 0 (0) | 0 (0) | ||||
There is no equipment for postnatal care at home | Agree | 0 (0) | 24 (24) | 3 (3) | 0 (0) | Positive attitude | 87.34 | 0.000 |
Disagree | 38 (38) | 33 (33) | 0 (0) | 2 (2) | ||||
It is difficult educating mothers and family in the home environment | Agree | 0 (0) | 27 (27) | 3 (3) | 2 (2) | Positive attitude | 81.52 | 0.000 |
Disagree | 38 (38) | 30 (30) | 0 (0) | 0 (0) | ||||
Mothers and their families can provoke CHN caregivers | Agree | 0 (0) | 27 (27) | 2 (2) | 2 (2) | Positive attitude | 73.83 | 0.000 |
Disagree | 38 (38) | 30 (30) | 0 (0) | 0 (0) |
CHNs Attitude | Years of Service N (%) | Rating | Chi-Square | p-Value | ||||
---|---|---|---|---|---|---|---|---|
Within 2 | 3–5 | 6–9 | 10+ | |||||
Home visitation is Important | Agree | 0 (0) | 0 (0) | 1 (1) | 3 (3) | Negative attitude | 107.18 | 0.000 |
Disagree | 20 (20) | 41 (41) | 35 (35) | 0 (0) | ||||
Home visitation is not necessary | Agree | 18 (18) | 41 (41) | 36 (36) | 3 (3) | Negative attitude | 8.12 | 0.044 |
Disagree | 2 (2) | 0 (0) | 0 (0) | 0 (0) | ||||
Postnatal home visits are time-consuming | Agree | 0 (0) | 15 (15) | 36 (36) | 3 (3) | Negative attitude | 83.75 | 0.000 |
Disagree | 20 (20) | 26 (26) | 0 (0) | 0 (0) | ||||
I prefer home visits to working at the hospital | Agree | 0 (0) | 13 (13) | 36 (36) | 3 (3) | Positive attitude | 87.95 | 0.000 |
Disagree | 20 (20) | 28 (28) | 0 (0) | 0 (0) | ||||
Home visits are an extra workload | Agree | 1 (1) | 41 (41) | 36 (36) | 3 (3) | Negative attitude | 89.33 | 0.000 |
Disagree | 19 (19) | 0 (0) | 0 (0) | 0 (0) | ||||
Mothers should use hospital-based postnatal care only | Agree | 0 (0) | 33 (33) | 36 (36) | 3 (3) | Positive attitude | 93.88 | 0.000 |
Disagree | 20 (20) | 8 (8) | 0 (0) | 0 (0) | ||||
Family rather than CHNs must help in postpartum | Agree | 0 (0) | 31 (31) | 36 (36) | 3 (3) | Negative attitude | 85.65 | 0.000 |
Disagree | 20 (20) | 10 (10) | 0 (0) | 0 (0) | ||||
Home environment is not conducive place for postnatal care | Agree | 0 (0) | 24 (24) | 36 (36) | 3 (3) | Negative attitude | 77.62 | 0.000 |
Disagree | 20 (20) | 17 (17) | 0 (0) | 0 (0) | ||||
There is no equipment for postnatal care at home | Agree | 0 (0) | 0 (0) | 26 (26) | 3 (3) | Positive attitude | 86.73 | 0.000 |
Disagree | 20 (20) | 41 (41) | 10 (10) | 0 (0) | ||||
It is difficult educating mothers and family in the home environment | Agree | 0 (0) | 2 (2) | 27 (27) | 3 (3) | Positive attitude | 92.44 | 0.000 |
Disagree | 20 (20) | 39 (39) | 9 (9) | 0 (0) | ||||
Mothers and their families can provoke CHN caregivers | Agree | 0 (0) | 0 (0) | 29 (29) | 3 (3) | Positive attitude | 101.72 | 0.000 |
Disagree | 20 (20) | 41 (41) | 7 (7) | 0 (0) |
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Agyeman-Duah, Y.; Bimerew, M. Attitudes of Community Health Nurses Towards Postnatal Home Visitation: A Study in the Ashanti Region of Ghana. Int. J. Environ. Res. Public Health 2025, 22, 534. https://doi.org/10.3390/ijerph22040534
Agyeman-Duah Y, Bimerew M. Attitudes of Community Health Nurses Towards Postnatal Home Visitation: A Study in the Ashanti Region of Ghana. International Journal of Environmental Research and Public Health. 2025; 22(4):534. https://doi.org/10.3390/ijerph22040534
Chicago/Turabian StyleAgyeman-Duah, Yvonne, and Million Bimerew. 2025. "Attitudes of Community Health Nurses Towards Postnatal Home Visitation: A Study in the Ashanti Region of Ghana" International Journal of Environmental Research and Public Health 22, no. 4: 534. https://doi.org/10.3390/ijerph22040534
APA StyleAgyeman-Duah, Y., & Bimerew, M. (2025). Attitudes of Community Health Nurses Towards Postnatal Home Visitation: A Study in the Ashanti Region of Ghana. International Journal of Environmental Research and Public Health, 22(4), 534. https://doi.org/10.3390/ijerph22040534