Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.

<h4>Background</h4>Continuum of care is an effective strategy to ensure that every woman receives a series of maternal health services continuously from early pregnancy to postpartum stages. The community perceptions regarding the use of maternal services across the continuum of care are...

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Autores principales:	Gizachew Tadele Tiruneh, Meaza Demissie, Alemayehu Worku, Yemane Berhane
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8dbecf0e4daf43388291fbcd5b06a3c9
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spelling	oai:doaj.org-article:8dbecf0e4daf43388291fbcd5b06a3c92021-12-02T20:18:47ZCommunity's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.1932-620310.1371/journal.pone.0255404https://doaj.org/article/8dbecf0e4daf43388291fbcd5b06a3c92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255404https://doaj.org/toc/1932-6203<h4>Background</h4>Continuum of care is an effective strategy to ensure that every woman receives a series of maternal health services continuously from early pregnancy to postpartum stages. The community perceptions regarding the use of maternal services across the continuum of care are essential for utilization of care in low-income settings but information in that regard is scanty. This study explored the community perceptions on the continuum of care for maternal health services in Ethiopia.<h4>Methods</h4>This study employed a phenomenological qualitative research approach. Four focus group discussions involving 26 participants and eight in-depth interviews were conducted with women who recently delivered, community health workers, and community leaders that were purposively selected for the study in West Gojjam zone, Amhara region. All the interviews and discussions were audio-taped; the records were transcribed verbatim. Data were coded and analyzed thematically using ATLAS.ti software.<h4>Results</h4>We identified three primary themes: practice of maternal health services; factors influencing the decision to use maternal health services; and reasons for discontinuation across the continuum of maternal health services. The study showed that women faced multiple challenges to continuously uptake maternal health services. Late antenatal care booking was the main reasons for discontinuation of maternal health services across the continuum at the antepartum stage. Women's negative experiences during care including poor quality of care, incompetent and unfriendly health providers, disrespectful care, high opportunity costs, difficulties in getting transportation, and timely referrals at healthcare facilities, particularly at health centers affect utilization of maternal health services across the continuum of care. In addition to the reverberation effect of the intrapartum care factors, the major reasons mentioned for discontinuation at the postpartum stage were lack of awareness about postnatal care and service delivery modality where women are not scheduled for postpartum consultations.<h4>Conclusion</h4>This study showed that rural mothers still face multiple challenges to utilize maternal health services as recommended by the national guidelines. Negative experiences women encountered in health facilities, community perceptions about postnatal care services as well as challenges related to service access and opportunity costs remained fundamental to be reasons for discontinuation across the continuum pathways.Gizachew Tadele TirunehMeaza DemissieAlemayehu WorkuYemane BerhanePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255404 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gizachew Tadele Tiruneh Meaza Demissie Alemayehu Worku Yemane Berhane Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
description	<h4>Background</h4>Continuum of care is an effective strategy to ensure that every woman receives a series of maternal health services continuously from early pregnancy to postpartum stages. The community perceptions regarding the use of maternal services across the continuum of care are essential for utilization of care in low-income settings but information in that regard is scanty. This study explored the community perceptions on the continuum of care for maternal health services in Ethiopia.<h4>Methods</h4>This study employed a phenomenological qualitative research approach. Four focus group discussions involving 26 participants and eight in-depth interviews were conducted with women who recently delivered, community health workers, and community leaders that were purposively selected for the study in West Gojjam zone, Amhara region. All the interviews and discussions were audio-taped; the records were transcribed verbatim. Data were coded and analyzed thematically using ATLAS.ti software.<h4>Results</h4>We identified three primary themes: practice of maternal health services; factors influencing the decision to use maternal health services; and reasons for discontinuation across the continuum of maternal health services. The study showed that women faced multiple challenges to continuously uptake maternal health services. Late antenatal care booking was the main reasons for discontinuation of maternal health services across the continuum at the antepartum stage. Women's negative experiences during care including poor quality of care, incompetent and unfriendly health providers, disrespectful care, high opportunity costs, difficulties in getting transportation, and timely referrals at healthcare facilities, particularly at health centers affect utilization of maternal health services across the continuum of care. In addition to the reverberation effect of the intrapartum care factors, the major reasons mentioned for discontinuation at the postpartum stage were lack of awareness about postnatal care and service delivery modality where women are not scheduled for postpartum consultations.<h4>Conclusion</h4>This study showed that rural mothers still face multiple challenges to utilize maternal health services as recommended by the national guidelines. Negative experiences women encountered in health facilities, community perceptions about postnatal care services as well as challenges related to service access and opportunity costs remained fundamental to be reasons for discontinuation across the continuum pathways.
format	article
author	Gizachew Tadele Tiruneh Meaza Demissie Alemayehu Worku Yemane Berhane
author_facet	Gizachew Tadele Tiruneh Meaza Demissie Alemayehu Worku Yemane Berhane
author_sort	Gizachew Tadele Tiruneh
title	Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
title_short	Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
title_full	Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
title_fullStr	Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
title_full_unstemmed	Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.
title_sort	community's experience and perceptions of maternal health services across the continuum of care in ethiopia: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8dbecf0e4daf43388291fbcd5b06a3c9
work_keys_str_mv	AT gizachewtadeletiruneh communitysexperienceandperceptionsofmaternalhealthservicesacrossthecontinuumofcareinethiopiaaqualitativestudy AT meazademissie communitysexperienceandperceptionsofmaternalhealthservicesacrossthecontinuumofcareinethiopiaaqualitativestudy AT alemayehuworku communitysexperienceandperceptionsofmaternalhealthservicesacrossthecontinuumofcareinethiopiaaqualitativestudy AT yemaneberhane communitysexperienceandperceptionsofmaternalhealthservicesacrossthecontinuumofcareinethiopiaaqualitativestudy
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Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study.

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