Barriers of Antenatal Care Service Utilization in Somali Regional State Using Social Ecological Framework, Eastern Ethiopia, Ethiopia: a Qualitative Study

2020 ◽  
Author(s):  
Abdurehman Mohammed ◽  
Alula Teklu ◽  
Senait Beyene ◽  
Abdiwahab Hashi ◽  
Zerihun Abebe ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Ecological Model ◽  
Care Service ◽  
Structured Interview ◽  
Organizational Level ◽  
Enabling Factors ◽  
Eastern Ethiopia ◽  
Factors Affecting ◽  
Regional State

Abstract Background: A good Antenatal Care during pregnancy is important to ensure the health of the mother and the healthy development of the fetus. In 2016, at Ethiopian Somali region (43.6 %) of pregnant mothers had an Antenatal Care (ANC) visit at least once during their last pregnancy and only (11.8%) had a history of four or more visits for Antenatal Care, which are the lowest rates among all regions in Ethiopia.Objective: The objective of the study was to explore the barriers and determine enabling factors affecting Antenatal Care service utilization in Somali Regional state.Methods: A qualitative exploration was conducted from February 18 to March 11, 2017. A pre-tested semi-structured interview guides, and facility abstractions with checklists were used to collect the data. A total of 31 individual interviews, 12 focus group discussions, and 21 facility abstractions were collected. The population of the region were stratified into three areas based on their settlement characteristics as agro-pastoralist, pastoralist, and urban. Two districts were selected from each category based on their performance. The data was entered, coded, categorized, and analyzed by utilizing Nvivo version 11software. A thematic analysis was conducted using themes that were developed based on the constructs of the socio-ecological model.Results: According to the study, economic constraints, place of residence, mothers’ being lack of awareness, preference of female health care provider, husband’s disapproval, lack of acceptance by the community, absence of full ANC services packages related with shortage of manpower, medical supply in majority of the health facilities and lack of perceived benefits from ANC service were the main barriers of ANC service utilization. Conclusion: Individual, interpersonal, and organizational level factors were the most dominant barriers for ANC service utilization. Therefore, FMOH, regional, zonal and district level health administrators and other stakeholders should design effective IEC, community mobilization and work on supply-related problems to .increase ANC utilization in the region.

scholarly journals Barriers of Antenatal Care Service Utilization in Somali Regional State Using Socio Ecological Model Framework, Eastern Ethiopia, Ethiopia: a Qualitative Study

2019 ◽  
Author(s):  
Abdurehman Mohammed ◽  
Alula Teklu ◽  
Senait Beyene ◽  
Abdiwahab Hashi ◽  
Zerihun Abebe ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Ecological Model ◽  
Care Service ◽  
Structured Interview ◽  
Organizational Level ◽  
Model Framework ◽  
Enabling Factors ◽  
Eastern Ethiopia ◽  
Factors Affecting

Abstract Background A good Antenatal Care during pregnancy is important to ensure the health of the mother and the healthy development of the fetus. In 2016, at Ethiopian Somali region (43.6%) of pregnant mothers had an Antenatal Care (ANC) visit at least once during their last pregnancy and only (11.8%) had a history of Four or more visits for Antenatal Care, which are the lowest rates among all regions in Ethiopia.Objective The objective of the study was to explore the barriers and determine enabling factors affecting Antenatal Care service utilization in Somali Regional state.Methods A qualitative exploration was conducted from February 18 to March 11, 2017. A pre-tested semi-structured interview guides, and facility abstractions with checklists were used to collect the data. A total of 31 individual interviews, 12 focus group discussions, and 21 facility abstractions were collected. The population of the region were stratified into three areas based on their settlement characteristics as agro-pastoralist, pastoralist, and urban. Two districts were selected from each category based on their performance. The data was entered, coded, categorized, and analyzed by utilizing Nvivo version 11software. A thematic analysis was conducted using themes that were developed based on the constructs of the socio-ecological model.Results According to the study, economic constraints, place of residence, mothers’ being lack of awareness, preference of female health care provider, husband’s disapproval, lack of acceptance by the community, absence of full ANC services packages related with shortage of manpower, medical supply in majority of the health facilities and lack of perceived benefits from ANC service were the main barriers of ANC service utilization.Conclusion Individual, interpersonal, and organizational level factors were the most dominant barriers for ANC service utilization. Therefore, FMOH, regional, zonal and district level health administrators and other stakeholders should design effective IEC, community mobilization and work on supply-related problems to .increase ANC utilization in the region.

Antenatal care service utilization in tribal and rural areas in a South Indian district

2011 ◽  
Vol 86 (1&2) ◽  
pp. 11-15 ◽  
Author(s):  
Godi Rajendra Varma ◽  
Yadlapalli Sriparvathi Kusuma ◽  
Bontha Veerraju Babu
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Rural Areas ◽  
Care Service ◽  
South Indian

scholarly journals Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-SUMAN Trial

2018 ◽  
Vol 15 (11) ◽  
pp. 2450 ◽  
Author(s):  
Dilaram Acharya ◽  
Jitendra Singh ◽  
Rajendra Kadel ◽  
Seok-Ju Yoo ◽  
Ji-Hyuk Park ◽  
...  
Keyword(s):  
Birth Weight ◽  
Child Health ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Child Health Service ◽  
Major Public Health Problem ◽  
Maternal Factors ◽  
Rural Nepal

Low birth weight (LBW) remains a major public health problem in developing countries, including Nepal. This study was undertaken to examine the association between LBW and maternal factors and antenatal care service utilization, in rural Nepal, using data obtained for a capacity-building and text-messaging intervention, designed to enhance maternal and child health service utilization among pregnant women, in rural Nepal (“MATRI-SUMAN”). The study used a clustered randomized controlled design and was conducted during 2015–2016. We investigated maternal and antenatal care service utilization determinants of LBW, using a logistic regression model. Of the four hundred and two singleton babies, included in the present study, seventy-eight (19.4%) had an LBW (mean (SD), 2210.64 (212.47)) grams. It was found that Dalit caste/ethnicity, illiteracy, manual labor, a female baby, and having more than four family members were significantly positively associated with LBW. In addition, mothers who did not visit an antenatal care (ANC) unit, visited an ANC < 4 times, did not take iron and folic acid (IFA), de-worming tablets, and mothers that did not consume additional food, during pregnancy, were more likely to have an LBW baby, than their counterparts. The MATRI-SUMAN intervention and availability of a kitchen garden at home, were found to reduce the risk of LBW. Nepalese child survival policies and programs should pay attention to these maternal and antenatal care service utilization factors, while designating preventive strategies to improve child health outcomes.

scholarly journals Utilization of Antenatal Care Services in Urban Slums of Nanded City

2019 ◽  
Vol 5 (2) ◽  
pp. 69-73
Author(s):  
Sunita P. Pawar ◽  
◽  
Geeta S. Pardeshi ◽  
Shriram Gosavi ◽  
◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Urban Slums ◽  
Reproductive Age ◽  
Care Utilization ◽  
Special Focus ◽  
Age Group ◽  
Care Services ◽  
Reproductive Age Group

Background: Complications during pregnancy and delivery are well documented and can be prevented and managed effectively especially with adequate antenatal care. Women in urban slums represent a marginalized community and improving health care utilization in this group remains a challenge. Objective: To study existing antenatal care practices and study the factors associated with it among women of reproductive age group in urban slums of Nanded city. Methods: This is a community based cross sectional descriptive study carried out from March 2010 to April 2011 in which 400 women reporting delivery in past two years were selected using Probability Proportionate Sampling. Data on Sociodemographic factors and different components of antennal care were collected using a Semi structured questionnaire. Analysis was done using chi square test. Results: Among the 400 women included in the study, coverage of full Antenatal care (ANC) services was reported by 80 (20%) respondents. While 381 (95%) women were immunized with Tetanus Toxoid, only 98 (25%) women had consumed 100 or more Iron and Folic acid tablets, 315 (79%) women had three or more antenatal check-ups and 213 (53%) had registered themselves in first trimester of pregnancy. There was significant association between full antenatal care and woman’s education, husband’s education and occupation, religion and socio-economic status of family (<0.05). Conclusion: There is a need to improve the utilization of full antenatal care package among women in urban slums with a special focus on early registration and IFA consumption. Sociodemographic variables of reproductive age group women have impact on utilization of antenatal care services. The risk factors identified for low antenatal care service utilization were low educational status of women and their husbands and low socioeconomic status. Special efforts should be made to motivate this group for antenatal care service utilization

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