A qualitative study on post-natal mothers' decision making processes and barriers to facility-based care for newborn danger signs in urban setting in Ghana

Introduction: The initial 28 days of life continue to stand as the period of highest vulnerability for child survival. Poor identification of various newborn illnesses and delay in seeking care results in high neonatal mortality and morbidity. Newborn fatalities are avoidable through the pursuit of timely and appropriate healthcare. The study aimed at exploring post-natal mothers’ decision-making processes and barriers to facility-based care for newborn danger signs in Urban Region, Ghana. Methods: An exploratory design using the qualitative approach was employed. Purposive sampling technique was used to select fifteen (15) participants. Face-to-face interviews using a semi-structured interview format was used for data collection. The thematic analysis approach was employed to analyze the data. Findings: The study revealed that, decision making through effective communication with significant others and unavailability of essential resources in community facilities influenced health-seeking for newborn danger signs. Conclusion: The study recommends targeted educational interventions and policies aimed at improving access to resources to significantly enhance maternal and child health outcomes.