Barriers to utilisation of antenatal care services in South Sudan: a qualitative study in Rumbek North County

Reproductive Health
Calistus WilundaAna Pilar Betrán

Abstract

Access to adequate antenatal care (ANC) is critical in ensuring a good maternal health and in preventing maternal and neonatal morbidity and mortality. South Sudan has one of the world's poorest health indicators due to a fragile health system and a combination of socio-cultural, economic, and political factors. This study was conducted to identify barriers to utilisation of ANC services in Rumbek North County. Using a qualitative design, data were collected through 14 focus group discussions with 169 women and 45 men and 12 key informant interviews with community leaders, staff working in health facilities, and the staff of the County Health Department. Data were analysed using inductive content analysis. The perceived barriers to ANC utilisation were categorised as follows: 1) Issues related to access to health facilities and lack of resources. These included long distance to health facilities, lack of means of transportation to the health facilities, floods and poor roads, and demand for payment for health care at some health facilities; 2) The influence of the socio-cultural context and conflict including heavy burden of domestic chores, the negative influence of husbands who were reluctant to allow their wives to attend AN...Continue Reading

References

Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs

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Citations

Aug 2, 2019·African Journal of Primary Health Care & Family Medicine·Fernandos K Ongolly, Salome A Bukachi
Jan 14, 2020·Journal of Pregnancy·Gilbert Ti-Enkawol NachinabPriscilla Adumoah Attafuah
Aug 9, 2017·BMC Health Services Research·Ari ProbandariEti Poncorini Pamungkasari
Jun 21, 2020·International Journal of Environmental Research and Public Health·Rana Dahab, Dikaios Sakellariou
Aug 31, 2019·Journal of Pediatric and Adolescent Gynecology·Ashraf GhiasiKatayon Vakilian

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