The impact of strike action by Ghana registered nurses and midwives on the access to and utilization of healthcare services.

Journal: PloS one

Volume: 17

Issue: 10

Year of Publication: 2022

Affiliated Institutions:  Ghana Registered Nurses and Midwives' Association of Ghana, Head Office, Okponglo, Accra, Ghana. Department of Mental Health, School of Nursing and Midwifery, University of Ghana, Legon, Accra, Ghana. GA West Municipal Health Directorate, Accra, Ghana. Bolgatanga Regional hospital, Bolgatanga, Upper West Region, Ghana. Department of Child and Maternal Health, School of Nursing and Midwifery, University of Ghana, Accra, Ghana. Dodowa Health Research Center, Dodowa, Accra, Ghana. Ghana Registered Nurses and Midwives Association. Koforidua, Eastern Region, Ghana.

Abstract summary 

As the largest professional group, nurses and midwives play instrumental roles in healthcare delivery, supporting the smooth administration and operation of the health system. Consequently, the withdrawal of nursing and midwifery services via strike action has direct and indirect detrimental effects on access to healthcare.The current study examined the impact of strike action by nurses and midwives with respect to access to and use of health services.Data were collected retrospectively from a total of 181 health facilities from all the 16 administrative regions of Ghana, with the support of field officers. Because the strike lasted for 3 days, the data collection span three consecutive days before the strike, three days of the strike and three consecutive days after the strike. Data analysis was focused comparing the utilization of healthcare services before, during and after strike. Data were analysed and presented on the various healthcare services. This was done separately for the health facility type and the 16 administrative regions.The results showed that; (1) the average number of patients or clients who accessed healthcare services reduced drastically during the strike period, compared with before the strike. Majority of the regions recorded more than 70% decrease in service use during the strike period; (2) the average number of patients or clients who accessed healthcare services after the strike increased by more than 100% across majority of the regions.The study showed that strike action by nurses and midwives negatively affected access to and utilization of healthcare services.

Authors & Co-authors:  Ampofo Perpetual Ofori PO Tenkorang-Twum David D Adjorlolo Samuel S Chandi Margaretta Gloria MG Wuni Francis Kwaku FK Asiedu Ernestina E Kukula Vida Ami VA Opoku Sampson S

Study Outcome 

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Statistics
Citations :  Van Rensburg AJ, van Rensburg DJ. Nurses, industrial action and ethics: considerations from the 2010 South African public-sector strike. Nursing ethics. 2013;20(7):819–37. doi: 10.1177/0969733012473771
Authors :  8
Identifiers
Doi : e0275661
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Delivery of Health Care
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
United States