Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana
Background. Global evidence has shown significant contribution of Antenatal care (ANC) in the detection and treatment of pregnancy related complications. Over the years, many areas in Ghana have recorded high uptake of ANC. However, this is not the case for Binduri district in Northern Ghana where o...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2019/3532749 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545305184174080 |
|---|---|
| author | Gilbert Ti-enkawol Nachinab Charles Ampong Adjei Florence Assibi Ziba Richard Asamoah Priscilla Adumoah Attafuah |
| author_facet | Gilbert Ti-enkawol Nachinab Charles Ampong Adjei Florence Assibi Ziba Richard Asamoah Priscilla Adumoah Attafuah |
| author_sort | Gilbert Ti-enkawol Nachinab |
| collection | DOAJ |
| description | Background. Global evidence has shown significant contribution of Antenatal care (ANC) in the detection and treatment of pregnancy related complications. Over the years, many areas in Ghana have recorded high uptake of ANC. However, this is not the case for Binduri district in Northern Ghana where only 37.4% of pregnant women utilised the services of ANC during their period of pregnancy compared to a national figure of 87%. We therefore sought to explore the determinants of ANC uptake among women who failed to utilise ANC services during their period of pregnancy in Binduri District in Northern Ghana. Methodology. The study was an exploratory descriptive study using purposive sampling technique. A total of 15 women who met the inclusion criteria for the study were recruited for a face-to-face interview. The data were analysed using the procedure of inductive thematic analysis. Results. The study findings showed that several factors hindered the use of ANC among our participants. The individual factors that were responsible for nonutilisation of ANC included financial constraints hindering registration with the national health insurance scheme, excuses of being busy, perception that pregnancy was not sickness and concentration on work. Perceived poor attitude of nurses was the only health system factor that contributed to non utilisation of ANC services. Conclusion. There is the need for establishment of registration centres of the national health insurance in all communities to make the scheme more accessible. There should also be intensive public education on importance of attending ANC. |
| format | Article |
| id | doaj-art-53f62bd76b1b4f6d87fa4a0c9ed5bb27 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-53f62bd76b1b4f6d87fa4a0c9ed5bb272025-02-03T07:26:18ZengWileyJournal of Pregnancy2090-27272090-27352019-01-01201910.1155/2019/35327493532749Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern GhanaGilbert Ti-enkawol Nachinab0Charles Ampong Adjei1Florence Assibi Ziba2Richard Asamoah3Priscilla Adumoah Attafuah4Department of Midwifery, School of Allied Health Sciences, University for Development Studies, Tamale, GhanaDepartment of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Legon, GhanaDepartment of Nursing, School of Allied Health Sciences, University for Development Studies, Tamale, GhanaUniversity of Ghana Hospital, Legon, GhanaDepartment of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Legon, GhanaBackground. Global evidence has shown significant contribution of Antenatal care (ANC) in the detection and treatment of pregnancy related complications. Over the years, many areas in Ghana have recorded high uptake of ANC. However, this is not the case for Binduri district in Northern Ghana where only 37.4% of pregnant women utilised the services of ANC during their period of pregnancy compared to a national figure of 87%. We therefore sought to explore the determinants of ANC uptake among women who failed to utilise ANC services during their period of pregnancy in Binduri District in Northern Ghana. Methodology. The study was an exploratory descriptive study using purposive sampling technique. A total of 15 women who met the inclusion criteria for the study were recruited for a face-to-face interview. The data were analysed using the procedure of inductive thematic analysis. Results. The study findings showed that several factors hindered the use of ANC among our participants. The individual factors that were responsible for nonutilisation of ANC included financial constraints hindering registration with the national health insurance scheme, excuses of being busy, perception that pregnancy was not sickness and concentration on work. Perceived poor attitude of nurses was the only health system factor that contributed to non utilisation of ANC services. Conclusion. There is the need for establishment of registration centres of the national health insurance in all communities to make the scheme more accessible. There should also be intensive public education on importance of attending ANC.http://dx.doi.org/10.1155/2019/3532749 |
| spellingShingle | Gilbert Ti-enkawol Nachinab Charles Ampong Adjei Florence Assibi Ziba Richard Asamoah Priscilla Adumoah Attafuah Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana Journal of Pregnancy |
| title | Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana |
| title_full | Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana |
| title_fullStr | Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana |
| title_full_unstemmed | Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana |
| title_short | Exploring the Determinants of Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Northern Ghana |
| title_sort | exploring the determinants of antenatal care services uptake a qualitative study among women in a rural community in northern ghana |
| url | http://dx.doi.org/10.1155/2019/3532749 |
| work_keys_str_mv | AT gilberttienkawolnachinab exploringthedeterminantsofantenatalcareservicesuptakeaqualitativestudyamongwomeninaruralcommunityinnorthernghana AT charlesampongadjei exploringthedeterminantsofantenatalcareservicesuptakeaqualitativestudyamongwomeninaruralcommunityinnorthernghana AT florenceassibiziba exploringthedeterminantsofantenatalcareservicesuptakeaqualitativestudyamongwomeninaruralcommunityinnorthernghana AT richardasamoah exploringthedeterminantsofantenatalcareservicesuptakeaqualitativestudyamongwomeninaruralcommunityinnorthernghana AT priscillaadumoahattafuah exploringthedeterminantsofantenatalcareservicesuptakeaqualitativestudyamongwomeninaruralcommunityinnorthernghana |