The role of mothers-in-law in antenatal care decision-making in Nepal: a qualitative study.
The role of mothers-in-law in antenatal care decision-making in Nepal: a qualitative study.
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DOI：
10.1186/1471-2393-10-34
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发表时间：
2010-07-01
影响因子：
3.1
通讯作者：
van Teijlingen ER
中科院分区：
文献类型：
--
作者：
Simkhada B;Porter MA;van Teijlingen ER
产前护理被认为是改善孕妇及其婴儿健康状况的一种方式。然而，在尼泊尔，只有29%的孕妇接受了建议的四次产前检查，但人们对这种低利用率的原因知之甚少。与南亚许多国家一样，婆婆在决定是否使用保健设施和保健提供者方面发挥着至关重要的作用。本文旨在探讨婆婆的作用（a）她的儿媳的ANC摄取;（B）决策过程中使用ANC服务在尼泊尔。在两个不同的（城市和农村）社区，30个有目的地选择产前或产后的母亲（一半用户，一半非ANC用户），10个丈夫和10个岳母进行了深入的访谈。我们的研究结果表明，婆婆有时会产生积极的影响，例如鼓励妇女寻求ANC，但更多的时候是负面的。与同时代的许多农村妇女一样，这项研究中的所有婆婆都是文盲，而且大多数婆婆自己都没有使用过产前护理。导致婆婆不支持/鼓励产前保健检查的主要因素是对孕妇履行家务的期望、主要根据她们自己过去的经历认为产前保健无益、她们控制的资源稀缺以及婆婆和儿媳之间的权力关系。用户和非用户的岳母的个人知识和社会阶层显着不同，这很可能对他们的看法ANC的好处产生了影响。岳母有很大的影响，在尼泊尔ANC的摄取。了解他们的作用是重要的，如果我们要设计和针对有效的社区健康促进干预措施。促进健康和教育干预措施，以改善产前护理的使用，应针对妇女、丈夫和家庭成员，特别是婆婆，因为他们控制着家庭资源的使用。
Antenatal care (ANC) has been recognised as a way to improve health outcomes for pregnant women and their babies. However, only 29% of pregnant women receive the recommended four antenatal visits in Nepal but reasons for such low utilisation are poorly understood. As in many countries of South Asia, mothers-in-law play a crucial role in the decisions around accessing health care facilities and providers. This paper aims to explore the mother-in-law's role in (a) her daughter-in-law's ANC uptake; and (b) the decision-making process about using ANC services in Nepal. In-depth interviews were conducted with 30 purposively selected antenatal or postnatal mothers (half users, half non-users of ANC), 10 husbands and 10 mothers-in-law in two different (urban and rural) communities. Our findings suggest that mothers-in-law sometime have a positive influence, for example when encouraging women to seek ANC, but more often it is negative. Like many rural women of their generation, all mothers-in-law in this study were illiterate and most had not used ANC themselves. The main factors leading mothers-in-law not to support/encourage ANC check ups were expectations regarding pregnant women fulfilling their household duties, perceptions that ANC was not beneficial based largely on their own past experiences, the scarcity of resources under their control and power relations between mothers-in-law and daughters-in-law. Individual knowledge and social class of the mothers-in-law of users and non-users differed significantly, which is likely to have had an effect on their perceptions of the benefits of ANC. Mothers-in-law have a strong influence on the uptake of ANC in Nepal. Understanding their role is important if we are to design and target effective community-based health promotion interventions. Health promotion and educational interventions to improve the use of ANC should target women, husbands and family members, particularly mothers-in-law where they control access to family resources.
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影响因子：
2.1
作者：
Karra, MV;Stark, NN;Wolf, J
通讯作者：
Wolf, J
影响因子：
5.4
作者：
McCray, TM
通讯作者：
McCray, TM
影响因子：
6
作者：
DiCicco-Bloom, B;Crabtree, BF
通讯作者：
Crabtree, BF
DOI：
10.1363/3201706
发表时间：
2006-03-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Furuta, M;Salway, S
通讯作者：
Salway, S
影响因子：
2.1
作者：
Miles-Doan, R;Brewster, KL
通讯作者：
Brewster, KL