Barriers associated with care-seeking for institutional delivery among rural women in three provinces in Afghanistan
| Autor: | Sediq Seddiqi, Ariel Higgins-Steele, Farhad Farewar, Jane Machlin Burke, Karen Edmond, Malalai Naziri, Abo Ismael Foshanji |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Rural Population medicine.medical_specialty Population Psychological intervention Reproductive medicine lcsh:Gynecology and obstetrics Health Services Accessibility Young Adult 03 medical and health sciences 0302 clinical medicine Afghan Pregnancy Environmental health Chi-square test Humans Medicine Maternal Health Services 030212 general & internal medicine Institutional delivery education lcsh:RG1-991 education.field_of_study 030219 obstetrics & reproductive medicine business.industry Afghanistan Attendance Obstetrics and Gynecology Skilled birth attendance Patient Acceptance of Health Care Primary Sampling Unit Delivery Obstetric Cross-Sectional Studies Female Maternal health business Barriers Research Article Qualitative research |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-9 (2018) |
| ISSN: | 1471-2393 |
| Popis: | Background In the past fifteen years, Afghanistan has made substantial progress in extending primary health care. However, coverage of essential health interventions proven to improve maternal and neonatal health outcomes, particularly skilled birth attendance, remains unacceptably low. This is especially true for those in the poorest quintile of the population. This cross-sectional quantitative and qualitative study assessed barriers associated with care-seeking for institutional delivery among rural Afghan women in three provinces. Methods The study was conducted from November to December 2016 in 12 districts across three provinces – Badghis, Bamyan, and Kandahar – which are predominately rural. Districts were used as the primary sampling unit with district-level sample sizes reflecting the ratio of that district’s population to provincial population. Villages within these districts, the secondary sampling units, were randomly selected. A household survey was used to collect data on: demographics, socio-economic status, childbearing history, health transport and service costs, maternal health seeking behavior and barriers to service uptake. Data on barriers to facility delivery were compared across provinces using chi square tests. Results Of the 2479 women of child bearing age interviewed, one-third were from each province (33% n = 813 Badghis, 34% n = 840 Bamyan, 33% n = 824 Kandahar). Among those respondents who had delivered none of their children in a health center, money to pay for services appeared to be most important barrier to accessing institutional delivery (56%, n = 558). No transportation available was the second most widely cited reason (37%, n = 368), followed by family restrictions (n = 30%, n = 302). Respondents in Badghis reported the highest levels of barriers compared to the other two provinces. Respondents in Badghis were more likely to report familial or cultural constraints as the most important barrier to institutional delivery (43%) compared to Bamyan (2%) and Kandahar (12%) (p |
| Databáze: | OpenAIRE |
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