Journal ArticleDOI
Barriers to Access of Maternity Care in Kenya: A Social Perspective
Laura Byford-Richardson,Mark Walker,Wendy Muckle,Ann E. Sprague,Stevenson Fergus,Ruth Rennicks White,Bertha Dick +6 more
TLDR
The perceptions rural women have about barriers to access to maternity care in Asembo Bay, Kenya are explored to provide a descriptive account of the barriers that prevent rural Kenyan mothers from accessing health care throughout their pregnancies.Abstract:
Objective In response to high maternal mortality rates, the global community has rallied to improve the state of maternal health worldwide. However, progress towards the fifth Millennium Development Goal, "Improve Maternal Health," has been disappointingly slow. There is a pressing need to address the factors that contribute to maternal mortality, one of which is access to care. This health demand is particularly urgent in countries in sub-Saharan Africa, where maternal mortality is disproportionately high compared with developed countries. The aim of this study was to explore the perceptions rural women have about barriers to access to maternity care in Asembo Bay, Kenya. Methods We conducted interviews with individuals and convened a focus group of lay women and care professionals. The results of the interviews and focus group were then analyzed thematically. Results Common social themes that emerged related to women's access of maternity care in this population included fears associated with HIV testing or disclosure of HIV status, gender inequalities, and attitudes towards facility-based care. Conclusion Data and themes in this study are consistent with previous research and provide a descriptive account of the barriers that prevent rural Kenyan mothers from accessing health care throughout their pregnancies. Each barrier explored here translates into an area of improvement where focus is needed to increase access to care and, ultimately, to reduce maternal mortality in this setting.read more
Citations
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Journal ArticleDOI
Manifestations and drivers of mistreatment of women during childbirth in Kenya: implications for measurement and developing interventions
TL;DR: Qualitative data is used to describe mistreatment of women in Kenya and builds on the expanding literature on mistreatment during labour and childbirth – outlining drivers from an individual, family, community, facility and policy level.
Journal ArticleDOI
Factors associated with delivery outside a health facility: cross-sectional study in rural Malawi.
Jacob Mazalale,Jacob Mazalale,Christabel Kambala,Christabel Kambala,Stephan Brenner,Jobiba Chinkhumba,Jobiba Chinkhumba,Julia Lohmann,Don P. Mathanga,Bjarne Robberstad,Adamson S Muula,Manuela De Allegri +11 more
TL;DR: To identify factors associated with delivery outside a health facility in rural Malawi, a large number of cases are reported to have come from outside the health facility.
Journal ArticleDOI
Exploring Meaning and Types of Trust in Maternity Care in Peri-Urban Kenya: A Qualitative Cross-Perspective Analysis:
Pooja Sripad,Sachiko Ozawa,Maria W. Merritt,Larissa Jennings,Deanna Kerrigan,Charity Ndwiga,Timothy Abuya,Charlotte E. Warren +7 more
TL;DR: Combined coding and memo-writing showed that trust in maternity care is nested within understandings of institutional and societal trust, which reveals structural underpinnings, repercussions for trust in other health areas, and health systems inequities, which have implications for maternal health policy, programming, and service utilization.
Journal ArticleDOI
Factors influencing the use of supervised delivery services in Garu-Tempane District, Ghana
TL;DR: There is need for targeted interventions, including community mobilization and health education, and male partner involvement to help generate local demand for, and uptake of, supervised delivery services.
Journal ArticleDOI
Barriers related to prenatal care utilization among women.
TL;DR: Prenatal care utilization barrier can be divided into various domains such as individual barriers, financial barriers, organizational barriers, social, and cultural barriers, and it is necessary to pay attention to all domains, especially individual and financial barriers.
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Journal ArticleDOI
Use of antenatal services and delivery care among women in rural western Kenya: a community based survey
Anna Maria van Eijk,Hanneke M Bles,Frank Odhiambo,John G. Ayisi,Ilse E Blokland,Daniel H. Rosen,Kubaje Adazu,Laurence Slutsker,Kim A. Lindblade +8 more
TL;DR: In this rural area, usage of the ANC was high, but this opportunity to deliver important health services was not fully utilized, and almost 1 out of 5 women delivered unassisted.