We won’t go there: Barriers to accessing maternal and newborn care in district thatta, Pakistan

Muhammad Asim, Sameen Siddiqi, Sarah Saleem, Zarak Husain Ahmed, Imran Naeem, Farina Abrejo, Zafar Fatmi

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Accessibility and utilization of healthcare plays a significant role in preventing complica-tions during pregnancy, labor, and the early postnatal period. However, multiple barriers can prevent women from accessing services. The aim of this study was to explore the multifaceted barriers that inhibit women from seeking maternal and newborn health care in Thatta, Sindh, Pakistan. This study employed an interpretive research design using a purposive sampling approach. Pre-tested, semi-structured interview guides were used for data collection. The data were collected through eight focus group discussions with men and women, and six in-depth interviews with lady health workers and analyzed through thematic analysis. The study identified individual, sociocultural, and structural-level barriers that inhibit women from seeking maternal and newborn care. Individual barriers included mistrust towards public health facilities and inadequate symptom recognition. The three identified sociocultural barriers were aversion to biomedical interventions, gendered imbalances in decision making, and women’s restricted mobility. The structural barriers included in-effective referral systems and prohibitively expensive transportation services. Increasing the coverage of healthcare service without addressing the multifaceted barriers that influence service utilization will not reduce the burden of maternal and neonatal mortality. As this study reveals, care seeking is influenced by a diverse array of barriers that are individual, sociocultural, and structural in nature. A combination of capacity development, health awareness, and structural interventions can address many if not all of these barriers.

Original languageEnglish
Article number1314
JournalHealthcare (Switzerland)
Volume9
Issue number10
DOIs
Publication statusPublished - Oct 2021

Keywords

  • Health-seeking behavior
  • Healthcare
  • Maternal and newborn care
  • Service utilization

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