Understanding barriers preventing pregnant women from starting antenatal clinic in the first trimester of pregnancy in Ntcheu District-Malawi.
Understanding barriers preventing pregnant women from starting antenatal clinic in the first trimester of pregnancy in Ntcheu District-Malawi.
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了解阻止孕妇在NTCHEU地区 - 马拉维的怀孕的头三个月开始产前诊所的障碍。
DOI：
10.1186/s12978-018-0605-5
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发表时间：
2018-09-21
影响因子：
3.4
通讯作者：
Muula AS
中科院分区：
文献类型：
--
作者：
Chimatiro CS;Hajison P;Chipeta E;Muula AS
探索导致怀孕前三个月产前护理(ANC)利用率低的障碍具有国家方案重要性。2013年，我们在马拉维恩切乌区的Bilira卫生中心进行了一项探索性研究，目的是了解阻碍孕妇在怀孕前三个月前往产前诊所的障碍。这是一项采用定性方法的横断面探索性研究。使用深入访谈和焦点小组讨论(FGD)从非国大客户、关键线人、卫生服务专业人员和育龄妇女(15-49岁)收集数据。通过多次阅读文字记录和备忘录，对数据进行了人工分析，以便熟悉出现的主题。出现的主题是经过编码的。大多数女性报告说，她们在怀孕早期就有开始非国大的感觉，然而，她们也报告了几个障碍，从文化信仰、社会经济到服务提供障碍。在文化障碍上，许多女性在创办非国大之前，都会等待丈夫一方的婚姻顾问给她们建议，这个过程被称为“Kuthimba”。一些女性在怀孕的前几个月隐瞒怀孕，以避免被施以魔法。关于社会经济障碍，一些女性提到，她们不会提早开始ANC等待新衣服。卫生工作者态度不佳也对非国大医护人员产生影响。大多数女性指出，她们之所以起步较晚，是因为一些卫生工作者态度粗鲁，不遵守保密规定。男性因害怕艾滋病毒检测而拒绝陪配偶去产前诊所，以及一些限制婚外怀孕妇女首先寻求传统领导人的授权信，以便在医疗机构启动ANC的法规也被提到是造成障碍的原因。妇女应遵循关于重点非国大(非国大)的国家指导方针，该指导方针主张至少进行4次访问。还应该有关于非国大的信息、教育和传播(IEC)和干预措施，以处理社会文化问题，同时改善卫生设施的服务提供，以便非国大的服务能够获得和充分响应。
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 avoid being bewitched. On social-economic barriers, some of the women mentioned that they don’t start ANC early waiting for new clothes. Poor attitude of health workers also has an effect on ANC attendants. Most women pointed out that they started ANC late because some health workers were rude and do not observe confidentiality. Men’s refusal to accompany their spouses to antenatal clinic in fear of HIV test and some by-laws which restrict women who had pregnancy outside marriage to seek an authorisation letter first from Traditional Leaders for them to start ANC at the health facility were also mentioned as contributing barriers. Women should be oriented on the national guidelines on Focused ANC (FANC) which advocates for at least 4 visits. There should also be Information, Education and Communication (IEC) on ANC and interventions to deal with social-cultural issues while at the same time improving service delivery at the health facility so that ANC services can be accessible and responsive enough.
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影响因子：
3.7
作者：
Pell C;Meñaca A;Were F;Afrah NA;Chatio S;Manda-Taylor L;Hamel MJ;Hodgson A;Tagbor H;Kalilani L;Ouma P;Pool R
通讯作者：
Pool R
影响因子：
1
作者：
Abimbola, Jimoh Maryam;Makanjuola, Akande Tanimola;Olatayo, Aremu Ayodele
通讯作者：
Olatayo, Aremu Ayodele
DOI：
10.1111/j.1471-0528.2007.01229.x
发表时间：
2007-04-01
影响因子：
5.8
作者：
Galadanci, H. S.;Ejembi, C. L.;Umar, U. S.
通讯作者：
Umar, U. S.
影响因子：
4.5
作者：
Nyondo AL;Chimwaza AF;Muula AS
通讯作者：
Muula AS
影响因子：
3.1
作者：
Branco da Fonseca, Catia Regina;Louzada Strufaldi, Maria Wany;Puccini, Rosana Fiorini
通讯作者：
Puccini, Rosana Fiorini