دورية أكاديمية
أعرض في EDS

"If there are no female nurses to attend to me, I will just go and deliver at home": a qualitative study in Garissa, Kenya.

التفاصيل البيبلوغرافية
العنوان: "If there are no female nurses to attend to me, I will just go and deliver at home": a qualitative study in Garissa, Kenya.
المؤلفون: N'Gbichi C; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya. coralieaudrey@gmail.com., Ziraba AK; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya., Wambui DW; Department of Public Health, Brody School of Medicine, East Carolina University, North Carolina, USA., Bakibinga P; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya., Kisiangani I; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya., Njoroge P; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya., Noor R; Sister Maternity Home, P.O. Box 545, Garissa, 70100, Kenya., Njoroge N; Sister Maternity Home, P.O. Box 545, Garissa, 70100, Kenya., Salah RA; African Population and Health Research Center (APHRC), P.O. Box 10787, Nairobi, 00100, Kenya., Mohamed E; Preventive Healthcare and Epidemiology Consultancy (PHCEC), P.O. Box 639, Wajir, 70200, Kenya.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2019 Sep 10; Vol. 19 (1), pp. 332. Date of Electronic Publication: 2019 Sep 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Culture* , Delivery, Obstetric*/methods , Delivery, Obstetric*/psychology , Delivery, Obstetric*/statistics & numerical data , Maternal Health Services*/organization & administration , Maternal Health Services*/statistics & numerical data , Patient Acceptance of Health Care*/psychology , Patient Acceptance of Health Care*/statistics & numerical data, Nurses, Male/*psychology , Pregnant Women/*psychology, Adult ; Female ; Focus Groups ; Humans ; Kenya ; Male ; Midwifery/organization & administration ; Midwifery/standards ; Needs Assessment ; Pregnancy ; Qualitative Research ; Sex Factors ; Social Perception ; Treatment Refusal/psychology ; Treatment Refusal/statistics & numerical data
مستخلص: Background: The North Eastern region in Kenya experiences challenges in the utilization of maternal and newborn health services. In this region, culture and religion play a major role in influencing healthcare seeking behaviour of the community. This study was conducted to (i) understand key inherent barriers to health facility delivery in the Somali community of North Eastern Kenya and (ii) inform interventions on specific needs of this community.
Methods: The study was conducted among community members of Garissa sub-County as part of a baseline assessment before the implementation of an intervention package aimed at creating demand and increasing utilization of maternal and newborn services. Focus group discussions and key informant interviews were conducted with clan leaders, Imams, health managers, member of the county assembly, and service users (women and men) in three locations of Garissa sub-County. Data were analysed through content analysis, by coding recurrent themes and pre-established themes.
Results: Using health facility for delivery was widely acceptable and most respondents acknowledged the advantages and benefits of skilled birth delivery. However, a commonly cited barrier in using health facility delivery was the issue of male nurses and doctors attending to women in labour. According to participants, it is against their culture and thus a key disincentive to using maternity services. Living far from the health facility and lack of a proper and reliable means of transportation was also highlighted as a reason for home delivery. At the health facility level, respondents complained about the poor attitude of health care providers, especially female nurses being disrespectful; and the limited availability of healthcare workers, equipment and supplies. Lack of awareness and information on the importance of skilled birth attendance was also noted.
Conclusion: To increase health facility delivery, interventions need to offer services that take into consideration the sociocultural aspect of the recipients. Culturally acceptable and sensitive services, and awareness on the benefits of skilled birth attendance among the community members are likely to attract more women to use maternity services and thus reduce adverse maternal and newborn health outcomes.
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معلومات مُعتمدة: N/A DFID
فهرسة مساهمة: Keywords: Barriers; Kenya; Skilled birth attendance; Sociocultural factors health facility delivery
تواريخ الأحداث: Date Created: 20190911 Date Completed: 20200221 Latest Revision: 20200225
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6734258
DOI: 10.1186/s12884-019-2477-2
PMID: 31500582
قاعدة البيانات: MEDLINE
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