Understanding barriers preventing pregnant women from starting antenatal clinic in the first trimester of pregnancy in Ntcheu District-Malawi

Reproductive Health
Chancy S ChimatiroAdamson Sinjani Muula

Abstract

Exploring barriers contributing to low utilization of Antenatal Care (ANC) during the first trimester of pregnancy is of national programmatic importance. We conducted an exploratory study in 2013 at Bilira Health Centre in Ntcheu district-Malawi with an aim of understanding barriers that prevent pregnant women from attending antenatal clinics in the first trimester of pregnancy. This was cross sectional exploratory study using qualitative approach. Data were collected from ANC clients, key informants, health services professionals and women of child bearing age (15-49 years) using an in-depth interviews and Focus Group Discussions (FGDs). Data were analysed manually by reading the transcriptions and memos several times inorder to be familiar with the themes emerged. The emerged themes were coded. Most of the women reported that they have a feeling of starting ANC in the early days of their pregnancies, however, they also reported several barriers ranging from cultural beliefs, social economic to service delivery barriers. On cultural barriers many women wait for marriage counselors from husband's side to give them advice before starting ANC in the process called "Kuthimba". Some women hide the pregnancy in early months to avoi...Continue Reading

References

Feb 21, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·H S GaladanciU S Umar
Aug 3, 2014·BMC Pregnancy and Childbirth·Cátia Regina Branco da FonsecaRosana Fiorini Puccini
Jan 20, 2016·International Journal of Pediatrics·Ravi Kumar BhaskarParas Kumar Pokharel
May 10, 2017·African Health Sciences·Jimoh Maryam AbimbolaAremu Ayodele Olatayo

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Citations

Nov 30, 2019·International Journal of Health Policy and Management·Isabel KazangaMalcolm MacLachlan
May 27, 2020·Journal of Primary Care & Community Health·Ali SsetaalaOlivier Degomme

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