Existing barriers to utilization of health services for maternal and newborn care in rural Western Kenya

Autor: George Ayodo, Nadia Diamond-Smith, Salome Wawire, George O Onyango
Rok vydání: 2021
Předmět:
Rural Population
8.1 Organisation and delivery of services
Rural Health
Reproductive health and childbirth
Community
Health informatics
Health Services Accessibility
Health administration
Pregnancy
Health care
Child
Qualitative Research
Pediatric
Community Health Workers
health care workers
Health Policy
Nursing research
Prenatal Care
Health Services
Mental Health
Child
Preschool
Public Health and Health Services
Health Policy & Services
Female
Public aspects of medicine
RA1-1270
Health and social care services research
medicine.medical_specialty
Referral
Nursing
Unintended pregnancy
Library and Information Studies
Clinical Research
Environmental health
Utilization of newborn care services
medicine
Humans
Maternal Health Services
Preschool
business.industry
Contraception/Reproduction
Prevention
Research
Public health
Infant
Newborn
Infant
Newborn
Kenya
Focus group
Good Health and Well Being
Rural Health Services
business
Zdroj: BMC Health Services Research
BMC Health Services Research, Vol 21, Iss 1, Pp 1-8 (2021)
BMC health services research, vol 21, iss 1
ISSN: 1472-6963
DOI: 10.1186/s12913-021-06847-w
Popis: BackgroundUnderstanding the existing barriers to utilization of maternal and newborn health care services can inform improvement of care services in the rural settings in sub-Saharan Africa. However, how unintended pregnancy relates to the uptake of antenatal care (ANC) services and also how gaps in the role of the community health workers and health facilities affect maternal and newborn care and referral services are poorly understood.MethodsThis was a formative ethnographic study design to determine barriers to the utilization of health care services for maternal and newborns in rural Western Kenya. We interviewed 45 respondents through in-depth interviews in rural Bondo Sub- County, Western Kenya: Mothers and Fathers with children under 5 years), 2 Focus Group Discussions (FGDs) with Traditional Birth Attendants (TBA), and 2 FGDs with Skilled Birth Attendants (SBAs). The data were analyzed using Atlas-ti.ResultsWe found that unintended pregnancy results into poor uptake of antenatal care (ANC) services due to limited knowledge and poor support system. The respondents appreciated the role of community health workers but poor government infrastructure exists. Also, perceived harshness of the health care providers, poor management of high-risk pregnancies, and unavailability of supplies and equipment at the health facilities are of concern.ConclusionsThe findings of this study highlight barriers to the utilization of maternal and newborn services that if addressed can improve the quality of care within and outside health facilities.
Databáze: OpenAIRE
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