What are the Barriers to Antenatal Care Utilization in Rufisque District, Senegal?: a Bottleneck Analysis

Journal of Korean Medical Science
Kyung Hee KimYongKyoung Woo

Abstract

This study aimed to analyze the barriers affecting the utilization of antenatal care (ANC) among Senegalese mothers. Health facility staffs were surveyed to examine the availability coverage of ANC (infrastructural capacity of health posts to handle maternal and newborn healthcare). A total of 113 women of childbearing age were surveyed to identify factors associated with the accessibility coverage (physical, economic, and information accessibility factors), acceptability coverage (socio-cultural features, social acceptance, and language), and effectiveness coverage (ratio of mothers having completed 4 visits) of ANC. Further, to identify the socio-cultural factors and the specific characteristics of the barriers, 5 focus group discussions were conducted with women of childbearing age, their husbands and mothers-in-law, community health workers, and health facility staff. The effectiveness coverage of ANC was analyzed by reviewing materials from the District Health Information System 2 of Senegal. Key barriers of ANC utilization were associated with acceptability coverage. ANC during early pregnancy was avoided owing to the negative social stigma surrounding miscarriage. The survey results indicated an extremely high miscarriag...Continue Reading

References

Feb 8, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I ParedesJ Eugenio
May 26, 2006·International Family Planning Perspectives·Marie Furuta, Sarah Salway
Jul 3, 2010·BMC Pregnancy and Childbirth·Bibha SimkhadaEdwin R van Teijlingen
May 24, 2014·Lancet·Kim E DicksonUNKNOWN Lancet Every Newborn Study Group
Jan 16, 2016·JBI Database of Systematic Reviews and Implementation Reports·Catalin Tufanaru
Oct 6, 2016·Obstetrics and Gynecology International·Célestin Ndosimao NsibuMichel Ntetani Aloni
Nov 12, 2017·Women and Birth : Journal of the Australian College of Midwives·Britni L AyersPearl A McElfish

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