| Perceptions of prenatal and obstetric care in Sub-Saharan Africa. | |
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MedLine Citation:
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PMID: 23228816 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: The maternal mortality ratio in Sub-Saharan Africa remains high, despite progress in reducing maternal mortality in other parts of the world. OBJECTIVE: To explore the perceptions of women and communities to identify barriers to the uptake of obstetric services. SEARCH STRATEGY: A systematic review of qualitative studies exploring perceptions of pregnancy and obstetric services, with thematic synthesis of the included studies. SELECTION CRITERIA: Qualitative studies reporting findings from focus group discussions and in-depth interviews between 1996 and 2009 were included. DATA COLLECTION AND ANALYSIS: Thematic synthesis involved collating and reviewing quotations taken directly from included studies. Themes were generated and clustered for analysis. MAIN RESULTS: Twenty-seven studies were included and 6 major themes identified: perceptions of healthcare workers; perceptions of the hospital environment; cultural perceptions of women; cultural perceptions of pregnancy; perceptions of traditional birth attendants and traditional healers; and role of the community in pregnancy and birth. CONCLUSION: Community attitudes regarding cultural beliefs and interactions with healthcare providers were identified as barriers to the utilization of healthcare services during pregnancy in Sub-Saharan Africa. These prevent engagement with prenatal care and timely use of medical services. Addressing the barriers will be seminal to the success of any healthcare intervention. |
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Authors:
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Aimee Brighton; Rhiannon D'Arcy; Shona Kirtley; Stephen Kennedy |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-7 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: - ISSN: 1879-3479 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Palmerston North Hospital, Palmerston North, New Zealand. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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