Neonatal mortality is one of the leading causes of under-five mortality globally, with the majority of these deaths occurring in low- and middle-income countries. In Ghana, there is a belief in an array of newborn conditions, called Asram, that are thought to have a spiritual, rather than physical, cause. These conditions are predominantly managed by traditional healers as they are considered unable to be treated by allopathic medical providers. Through a series of semi-structured qualitative interviews of medical providers in Kumasi, Ghana, conducted in July–August 2018, this study sought to elucidate perspectives of allopathic medical providers about Asram, including the perceived implications of traditional newborn care patterns on newborn health and higher-level neonatal care. Twenty health care providers participated and represented a tertiary care hospital and a district hospital. Medical providers were universally aware of Asram but varied on the latitude they gave this belief system within the arena of newborn care. Some providers rationalized the existence of Asram in the backdrop of high neonatal mortality rates and long-standing belief systems. Others highlighted their frustration with Asram, citing delays in care and complications due to traditional medical treatments. Providers utilized varying approaches to bridge culture gaps with families in their care and emphasized the importance of open communication with the shared goal of improved newborn health and survival. This study describes the importance of providers being aware of socio-cultural constructs within which pregnant women operate and suggests a focus on the shared goal of timely and effective newborn care in Ghana.

新生儿死亡率是全球五岁以下儿童死亡的主要原因之一，其中大部分死亡发生在低收入和中等收入国家。在加纳，人们相信一系列新生儿病症被称为阿斯拉姆（Asram），人们认为这些病症是由精神而非身体原因引起的。这些病症主要由传统治疗师治疗，因为它们被认为无法由对抗疗法医疗提供者治疗。通过 2018 年 7 月至 8 月对加纳库马西的医疗提供者进行的一系列半结构化定性访谈，本研究试图阐明对抗疗法医疗提供者对Asram的看法，包括传统新生儿护理模式对新生儿健康和新生儿健康的影响。更高水平的新生儿护理。二十名医疗保健提供者参加了会议，代表一家三级医院和一家地区医院。医疗服务提供者普遍了解阿斯拉姆，但他们在新生儿护理领域赋予这一信仰体系的范围有所不同。在新生儿死亡率高和信仰体系长期存在的背景下，一些提供者合理化了阿斯拉姆的存在。其他人则强调了他们对阿斯拉姆的失望，理由是传统医学治疗导致护理延误和并发症。提供者利用不同的方法来弥合与所照顾的家庭的文化差距，并强调开放沟通的重要性，以实现改善新生儿健康和生存的共同目标。 这项研究描述了提供者了解孕妇所处的社会文化结构的重要性，并建议关注加纳及时有效的新生儿护理的共同目标。