Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique
Abstract Background: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of mortality comes from the poor and vulnerable communities, who frequently reside in remote and rural areas with limited access to health care services. This study aimed to und...
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| Language: | English |
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BioMed Central
2022
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| Online Access: | https://doi.org/10.1186/s12978-016-0141-0 http://hdl.handle.net/11408/5175 |
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| author | Munguambe, Khátia Boene, Helena Vidler, Marianne Bique, Cassimo Sawchuck, Diane Firoz, Tabassum Makanga, Prestige Tatenda Qureshi, Rahat Macete, Eusébio Menéndez, Clara Dadelszen, Peter von Sevene, Esperança |
| author_facet | Munguambe, Khátia Boene, Helena Vidler, Marianne Bique, Cassimo Sawchuck, Diane Firoz, Tabassum Makanga, Prestige Tatenda Qureshi, Rahat Macete, Eusébio Menéndez, Clara Dadelszen, Peter von Sevene, Esperança |
| author_sort | Munguambe, Khátia |
| collection | DSpace |
| description | Abstract
Background: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution
of mortality comes from the poor and vulnerable communities, who frequently reside in remote and rural areas
with limited access to health care services. This study aimed to understand women’s health care seeking practices
during pregnancy, taking into account the underlying social, cultural and structural barriers to accessing timely
appropriate care in Maputo and Gaza Provinces, southern Mozambique.
Methods: This ethnographic study collected data through in-depth interviews and focus group discussions with
women of reproductive age, including pregnant women, as well as household-level decision makers (partners,
mothers and mothers-in-law), traditional healers, matrons, and primary health care providers. Data was analysed
thematically using NVivo 10.
Results: Antenatal care was sought at the heath facility for the purpose of opening the antenatal record. Women
without antenatal cards feared mistreatment during labour. Antenatal care was also sought to resolve discomforts,
such as headaches, flu-like symptoms, body pain and backache. However, partners and husbands considered lower
abdominal pain as the only symptom requiring care and discouraged women from revealing their pregnancy early
in gestation. Health care providers for pregnant women often included those at the health facility, matrons, elders,
traditional birth attendants, and community health workers. Although seeking care from traditional healers was
discouraged during the antenatal period, they did provide services during pregnancy and after delivery. Besides
household-level decision-makers, matrons, community health workers, and neighbours were key actors in the
referral of pregnant women. The decision-making process may be delayed and particularly complex if an emergency
occurs in their absence. Limited access to transport and money makes the decision-making process to seek care at the
health facility even more complex |
| format | Article |
| id | ir-11408-5175 |
| institution | My University |
| language | English |
| publishDate | 2022 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | ir-11408-51752022-09-30T10:01:33Z Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique Munguambe, Khátia Boene, Helena Vidler, Marianne Bique, Cassimo Sawchuck, Diane Firoz, Tabassum Makanga, Prestige Tatenda Qureshi, Rahat Macete, Eusébio Menéndez, Clara Dadelszen, Peter von Sevene, Esperança Care-seeking Maternal health Mozambique Prenatal care Pregnancy Abstract Background: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of mortality comes from the poor and vulnerable communities, who frequently reside in remote and rural areas with limited access to health care services. This study aimed to understand women’s health care seeking practices during pregnancy, taking into account the underlying social, cultural and structural barriers to accessing timely appropriate care in Maputo and Gaza Provinces, southern Mozambique. Methods: This ethnographic study collected data through in-depth interviews and focus group discussions with women of reproductive age, including pregnant women, as well as household-level decision makers (partners, mothers and mothers-in-law), traditional healers, matrons, and primary health care providers. Data was analysed thematically using NVivo 10. Results: Antenatal care was sought at the heath facility for the purpose of opening the antenatal record. Women without antenatal cards feared mistreatment during labour. Antenatal care was also sought to resolve discomforts, such as headaches, flu-like symptoms, body pain and backache. However, partners and husbands considered lower abdominal pain as the only symptom requiring care and discouraged women from revealing their pregnancy early in gestation. Health care providers for pregnant women often included those at the health facility, matrons, elders, traditional birth attendants, and community health workers. Although seeking care from traditional healers was discouraged during the antenatal period, they did provide services during pregnancy and after delivery. Besides household-level decision-makers, matrons, community health workers, and neighbours were key actors in the referral of pregnant women. The decision-making process may be delayed and particularly complex if an emergency occurs in their absence. Limited access to transport and money makes the decision-making process to seek care at the health facility even more complex 2022-09-30T10:01:33Z 2022-09-30T10:01:33Z 2016-06-08 Article Munguambe, K., Boene, H., Vidler, M. et al. Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique. Reprod Health 13 (Suppl 1), 31 (2016). https://doi.org/10.1186/s12978-016-0141-0 1742-4755 https://doi.org/10.1186/s12978-016-0141-0 http://hdl.handle.net/11408/5175 en Reproductive health;Vol. 13, No1; Pages 83 - 97 open BioMed Central |
| spellingShingle | Care-seeking Maternal health Mozambique Prenatal care Pregnancy Munguambe, Khátia Boene, Helena Vidler, Marianne Bique, Cassimo Sawchuck, Diane Firoz, Tabassum Makanga, Prestige Tatenda Qureshi, Rahat Macete, Eusébio Menéndez, Clara Dadelszen, Peter von Sevene, Esperança Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title | Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title_full | Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title_fullStr | Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title_full_unstemmed | Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title_short | Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique |
| title_sort | barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern mozambique |
| topic | Care-seeking Maternal health Mozambique Prenatal care Pregnancy |
| url | https://doi.org/10.1186/s12978-016-0141-0 http://hdl.handle.net/11408/5175 |
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