Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions

Abstract Background Alcohol use during pregnancy has been associated with several birth defects and developmental disabilities generally known as Fetal Alcohol Spectrum Disorders (FASD). Contextual in-depth understanding on why women drink while pregnant is scarce. For this reason, we explored pregn...

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Autores principales:	Apophia Agiresaasi, Nazarius Mbona Tumwesigye, Elizabeth Nabiwemba, Juliet Kiguli, Gakenia Wamuyu Maina, Goretti Nassanga
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Alcohol Post-conflict Women Pregnancy Experiences Perceptions Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
Acceso en línea:	https://doaj.org/article/ad3cdfc9b83a4fe386992cc8f683f409
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spelling	oai:doaj.org-article:ad3cdfc9b83a4fe386992cc8f683f4092021-11-14T12:16:42ZAlcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions10.1186/s13011-021-00418-21747-597Xhttps://doaj.org/article/ad3cdfc9b83a4fe386992cc8f683f4092021-11-01T00:00:00Zhttps://doi.org/10.1186/s13011-021-00418-2https://doaj.org/toc/1747-597XAbstract Background Alcohol use during pregnancy has been associated with several birth defects and developmental disabilities generally known as Fetal Alcohol Spectrum Disorders (FASD). Contextual in-depth understanding on why women drink while pregnant is scarce. For this reason, we explored pregnant women’s experiences, knowledge, attitudes as well as provider perceptions regarding prenatal alcohol consumption to inform interventions meant to address alcohol-exposed pregnancies in post-conflict settings. Methods In the months of May and June 2019, 30 in-depth interviews were conducted with pregnant mothers who reported maternal alcohol use during pregnancy. In addition 30 Key informant interviews were carried out with health workers providing Antenatal Care services (ANC) in health facilities in Gulu, Kitgum and Pader districts in Northern Uganda. Data was recorded, transcribed and subjected to thematic content analysis. Results Women reported diverse views regarding maternal alcohol use during pregnancy. Whereas some felt it was favourable, others had misgivings about it. There was marked variability in knowledge on dangers of drinking during pregnancy. In this study, women reported that they found themselves in alluring situations that predisposed them to drinking alcohol. These included brewing alcohol as a source of livelihood, pregnancy-induced craving for alcohol, and participation in cultural festivities that are characterised by eating and drinking alcohol. Nonetheless, women who consume alcohol during pregnancy were not held in high esteem in the Acholi communities. Various prevention interventions reportedly existed in communities to address alcohol use during pregnancy including ANC health education, public debates, radio talk shows, community health worker group and individual counselling, and local council by laws. Conclusions and recommendations Pregnant mothers in post-conflict northern Uganda regard alcohol as a remedy to some of the social, economic and health challenges they face. Hence they continue drinking even during pregnancy because of the existing socio-cultural norms that promote it. The findings of this study demonstrate a need for sensitising communities in which pregnant women live so they can provide a supportive environment for mothers to abstain from alcohol consumption during pregnancy. Health care providers should ensure pregnant women consistently receive accurate and honest messages on the dangers of drinking during pregnancy so they can make informed decisions.Apophia AgiresaasiNazarius Mbona TumwesigyeElizabeth NabiwembaJuliet KiguliGakenia Wamuyu MainaGoretti NassangaBMCarticleAlcoholPost-conflictWomenPregnancyExperiencesPerceptionsPublic aspects of medicineRA1-1270Social pathology. Social and public welfare. CriminologyHV1-9960ENSubstance Abuse Treatment, Prevention, and Policy, Vol 16, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Alcohol Post-conflict Women Pregnancy Experiences Perceptions Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960
spellingShingle	Alcohol Post-conflict Women Pregnancy Experiences Perceptions Public aspects of medicine RA1-1270 Social pathology. Social and public welfare. Criminology HV1-9960 Apophia Agiresaasi Nazarius Mbona Tumwesigye Elizabeth Nabiwemba Juliet Kiguli Gakenia Wamuyu Maina Goretti Nassanga Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
description	Abstract Background Alcohol use during pregnancy has been associated with several birth defects and developmental disabilities generally known as Fetal Alcohol Spectrum Disorders (FASD). Contextual in-depth understanding on why women drink while pregnant is scarce. For this reason, we explored pregnant women’s experiences, knowledge, attitudes as well as provider perceptions regarding prenatal alcohol consumption to inform interventions meant to address alcohol-exposed pregnancies in post-conflict settings. Methods In the months of May and June 2019, 30 in-depth interviews were conducted with pregnant mothers who reported maternal alcohol use during pregnancy. In addition 30 Key informant interviews were carried out with health workers providing Antenatal Care services (ANC) in health facilities in Gulu, Kitgum and Pader districts in Northern Uganda. Data was recorded, transcribed and subjected to thematic content analysis. Results Women reported diverse views regarding maternal alcohol use during pregnancy. Whereas some felt it was favourable, others had misgivings about it. There was marked variability in knowledge on dangers of drinking during pregnancy. In this study, women reported that they found themselves in alluring situations that predisposed them to drinking alcohol. These included brewing alcohol as a source of livelihood, pregnancy-induced craving for alcohol, and participation in cultural festivities that are characterised by eating and drinking alcohol. Nonetheless, women who consume alcohol during pregnancy were not held in high esteem in the Acholi communities. Various prevention interventions reportedly existed in communities to address alcohol use during pregnancy including ANC health education, public debates, radio talk shows, community health worker group and individual counselling, and local council by laws. Conclusions and recommendations Pregnant mothers in post-conflict northern Uganda regard alcohol as a remedy to some of the social, economic and health challenges they face. Hence they continue drinking even during pregnancy because of the existing socio-cultural norms that promote it. The findings of this study demonstrate a need for sensitising communities in which pregnant women live so they can provide a supportive environment for mothers to abstain from alcohol consumption during pregnancy. Health care providers should ensure pregnant women consistently receive accurate and honest messages on the dangers of drinking during pregnancy so they can make informed decisions.
format	article
author	Apophia Agiresaasi Nazarius Mbona Tumwesigye Elizabeth Nabiwemba Juliet Kiguli Gakenia Wamuyu Maina Goretti Nassanga
author_facet	Apophia Agiresaasi Nazarius Mbona Tumwesigye Elizabeth Nabiwemba Juliet Kiguli Gakenia Wamuyu Maina Goretti Nassanga
author_sort	Apophia Agiresaasi
title	Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
title_short	Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
title_full	Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
title_fullStr	Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
title_full_unstemmed	Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions
title_sort	alcohol use during pregnancy in post-conflict northern uganda: pregnant women’s experiences and provider perceptions
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ad3cdfc9b83a4fe386992cc8f683f409
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Alcohol use during pregnancy in post-conflict northern Uganda: pregnant women’s experiences and provider perceptions

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