Pan African University Life and Earth Sciences Institute (including Health and Agriculture), Ibadan, Oyo State, Nigeria
Department of Public Health, School of Medicine and Health Sciences, Tima-ade University, Gabiley, Somaliland.
BMJ Open. 2024 Nov 2;14(11):e085073. doi: 10.1136/bmjopen-2024-085073.
To explore the barriers and facilitators of antenatal care (ANC) utilisation in Somaliland.
An exploratory qualitative study design.
Various settings were considered for study including maternal and child health clinics, hospitals and community.
74 study participants including 33 pregnant women, 22 healthcare providers, 10 community elders and ten religious leaders were purposively selected. Data was collected via focus group discussion and in-depth interviews in the local Somali language. The data was audio recorded, transcribed verbatim, translated into English and imported into NVivo V.12 software. Thematic framework analysis was used to assess barriers and facilitators of ANC utilisation.
Six main themes were identified as barriers of ANC utilisation. These include lack of awareness, long distance and lack of transportation access, economic barriers, lack of social support, beliefs and thoughts and health facility-related factors such as caregivers approach, waiting time and inadequate skill of providers. Proper dissemination of ANC information, adequate spousal support and cheap pricing of services were found to be facilitators of ANC uptake.
A strategy that focuses on raising awareness about ANC, making it accessible by reducing the cost-of-service charge, encouraging partner involvement, improving the quality of services and making it customer-friendly will help to overcome the barriers of antenatal utilisation.
探索在索马里兰利用产前护理（ANC）的障碍和促进因素。
探索性定性研究设计。
考虑了包括母婴健康诊所、医院和社区在内的各种环境进行研究。
共选择了 74 名研究参与者，包括 33 名孕妇、22 名医疗保健提供者、10 名社区长老和 10 名宗教领袖。通过焦点小组讨论和当地索马里语的深入访谈收集数据。将数据录制音频、逐字转录、翻译成英文并导入 NVivo V.12 软件。使用主题框架分析评估 ANC 利用的障碍和促进因素。
确定了六个主要主题作为 ANC 利用的障碍。这些障碍包括缺乏意识、距离远和缺乏交通设施、经济障碍、缺乏社会支持、信仰和思想以及医疗机构相关因素，如护理人员的方法、等待时间和提供者技能不足。适当传播 ANC 信息、充分的配偶支持和服务的廉价定价被认为是 ANC 接受度的促进因素。
一项专注于提高 ANC 意识、通过降低服务收费使 ANC 更便于获取、鼓励伴侣参与、提高服务质量并使其更方便客户的策略将有助于克服产前利用的障碍。
