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“They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg

To assess women’s experience of public antenatal care (ANC) services and reasons for late antenatal care attendance in inner-city Johannesburg, South Africa. This cross-sectional study was conducted at three public labour wards in Johannesburg. Interviews were conducted with 208 women who had a live...

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Detalles Bibliográficos
Autores principales: Solarin, Ijeoma, Black, Vivian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587683/
https://www.ncbi.nlm.nih.gov/pubmed/22527767
http://dx.doi.org/10.1007/s10995-012-1019-6
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author Solarin, Ijeoma
Black, Vivian
author_facet Solarin, Ijeoma
Black, Vivian
author_sort Solarin, Ijeoma
collection PubMed
description To assess women’s experience of public antenatal care (ANC) services and reasons for late antenatal care attendance in inner-city Johannesburg, South Africa. This cross-sectional study was conducted at three public labour wards in Johannesburg. Interviews were conducted with 208 women who had a live-birth in October 2009. Women were interviewed in the labour wards post-delivery about their ANC experience. Gestational age at first clinic visit was compared to gestational age at booking (ANC service provided). ANC attendance was high (97.0 %) with 46.0 % seeking care before 20 weeks gestation (early). Among the 198 women who sought care, 19.2 % were asked to return more than a month later, resulting in a 3-month delay in being booked into the clinic for these women. Additionally 49.0 % of women reported no antenatal screening being conducted when they first sought care at the clinic. Delay in recognizing pregnancy (21.7 %) and lack of time (20.8 %) were among the reasons women gave for late attendance. Clinic booking procedures and delays in diagnosing pregnancy are important factors causing women to access antenatal care late. In a country where a third of pregnant women are HIV infected, early ANC is vital in order to optimise ART initiation and thereby reduce maternal mortality and paediatric HIV infection. It is therefore imperative that existing antenatal care policies are implemented and reinforced and that women are empowered to demand better services.
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spelling pubmed-35876832013-03-07 “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg Solarin, Ijeoma Black, Vivian Matern Child Health J Article To assess women’s experience of public antenatal care (ANC) services and reasons for late antenatal care attendance in inner-city Johannesburg, South Africa. This cross-sectional study was conducted at three public labour wards in Johannesburg. Interviews were conducted with 208 women who had a live-birth in October 2009. Women were interviewed in the labour wards post-delivery about their ANC experience. Gestational age at first clinic visit was compared to gestational age at booking (ANC service provided). ANC attendance was high (97.0 %) with 46.0 % seeking care before 20 weeks gestation (early). Among the 198 women who sought care, 19.2 % were asked to return more than a month later, resulting in a 3-month delay in being booked into the clinic for these women. Additionally 49.0 % of women reported no antenatal screening being conducted when they first sought care at the clinic. Delay in recognizing pregnancy (21.7 %) and lack of time (20.8 %) were among the reasons women gave for late attendance. Clinic booking procedures and delays in diagnosing pregnancy are important factors causing women to access antenatal care late. In a country where a third of pregnant women are HIV infected, early ANC is vital in order to optimise ART initiation and thereby reduce maternal mortality and paediatric HIV infection. It is therefore imperative that existing antenatal care policies are implemented and reinforced and that women are empowered to demand better services. Springer US 2012-04-19 2013 /pmc/articles/PMC3587683/ /pubmed/22527767 http://dx.doi.org/10.1007/s10995-012-1019-6 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Article
Solarin, Ijeoma
Black, Vivian
“They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title_full “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title_fullStr “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title_full_unstemmed “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title_short “They Told Me to Come Back”: Women’s Antenatal Care Booking Experience in Inner-City Johannesburg
title_sort “they told me to come back”: women’s antenatal care booking experience in inner-city johannesburg
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587683/
https://www.ncbi.nlm.nih.gov/pubmed/22527767
http://dx.doi.org/10.1007/s10995-012-1019-6
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