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CONFERENCE PROCEEDING
Ghanaian midwives readiness for transitioning to continuity of midwifery care models: A quantitative feasibility study
1
University of Ghana, Maternal and Child Health, Accra, Ghana
2
Oslo Metropolitan University, Nursing and Health Promotion, Oslo, Norway
Eur J Midwifery 2026;10(Supplement 1):A57
ABSTRACT
BACKGROUND:
Continuity of Midwifery Care Models (CoMCM) has been shown to improve maternal and neonatal health outcomes, and its implementation is recommended by WHO in settings with well-functioning Midwifery programs. In high-income settings, midwives working in CoMCM report reduced burnout and enhanced job satisfaction. However, evidence on its acceptance and feasibility in Low -and Middle -income Countries (LMICs) remains scarce.
OBJECTIVES:
This study aimed to assess factors influencing the feasibility and acceptance of CoMCM among midwives in Southern Ghana
METHODS:
A cross-sectional quantitative survey was conducted among midwives from 9 randomly selected public healthcare facilities. Data were collected using structured, validated questionnaires. Descriptive statistics (frequencies, means, SDs) and inferential statistics using Structural Equation Modelling (SEM) were conducted in SPSS version 27 and AMOS version 23.
RESULTS:
The 281 midwives who answered were mainly from polyclinics (37.0%), regional hospitals (28.5%), health centers (18.9%), and district hospitals (15.7%). The mean ±SD age was 36.1±7.2 years. There was high acceptance rate of 90.7% of the model, with a mean intention score of 17.49 (SD= 2.23) out of a possible 20. Intention was the strongest predictor of (CoMCM) (β = 0.902, p < .001), significantly influenced by self-efficacy (β = 0.104, p < .001), professional attitude (β= 0.057, p = .002); experience level above 5 years (β = 2.405, p = .006) and travel time (β = -0.014, p = .044) whiles social influence was not a significant factor. However, 46.3% of respondents expressed concerns about work-life balance, while 26% indicated that caseload management could pose a challenge.
CONCLUSIONS:
CoMC model was highly acceptable among midwives in Southern Ghana, with positive professional attitudes and self-efficacy predicting willingness to adopt the model.
KEY MESSAGE:
However, successful implementation requires addressing workload concerns, burnout risks, and support systems. Continuity of care - implementation 1
Continuity of Midwifery Care Models (CoMCM) has been shown to improve maternal and neonatal health outcomes, and its implementation is recommended by WHO in settings with well-functioning Midwifery programs. In high-income settings, midwives working in CoMCM report reduced burnout and enhanced job satisfaction. However, evidence on its acceptance and feasibility in Low -and Middle -income Countries (LMICs) remains scarce.
OBJECTIVES:
This study aimed to assess factors influencing the feasibility and acceptance of CoMCM among midwives in Southern Ghana
METHODS:
A cross-sectional quantitative survey was conducted among midwives from 9 randomly selected public healthcare facilities. Data were collected using structured, validated questionnaires. Descriptive statistics (frequencies, means, SDs) and inferential statistics using Structural Equation Modelling (SEM) were conducted in SPSS version 27 and AMOS version 23.
RESULTS:
The 281 midwives who answered were mainly from polyclinics (37.0%), regional hospitals (28.5%), health centers (18.9%), and district hospitals (15.7%). The mean ±SD age was 36.1±7.2 years. There was high acceptance rate of 90.7% of the model, with a mean intention score of 17.49 (SD= 2.23) out of a possible 20. Intention was the strongest predictor of (CoMCM) (β = 0.902, p < .001), significantly influenced by self-efficacy (β = 0.104, p < .001), professional attitude (β= 0.057, p = .002); experience level above 5 years (β = 2.405, p = .006) and travel time (β = -0.014, p = .044) whiles social influence was not a significant factor. However, 46.3% of respondents expressed concerns about work-life balance, while 26% indicated that caseload management could pose a challenge.
CONCLUSIONS:
CoMC model was highly acceptable among midwives in Southern Ghana, with positive professional attitudes and self-efficacy predicting willingness to adopt the model.
KEY MESSAGE:
However, successful implementation requires addressing workload concerns, burnout risks, and support systems. Continuity of care - implementation 1
| eISSN: | 2585-2906 |
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