NDLI: What prevent women for a sustainable use of maternal care in two medical districts of Burkina Faso? A qualitative study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Somé, Donmozoun Télesphore Sombie, Issiaka Meda, Nicolas
Spatial Coverage	Burkina Faso
Description	Country affiliation: Burkina Faso Author Affiliation: Somé DT ( Société d'Etudes et de Recherche en Santé Publique, Ouagadougou (SERSAP), Burkina Faso.); Sombie I ( West African Health Organization (WAHO), Bobo-Dioulasso, Burkina Faso.); Meda N ( Centre MURAZ, Bobo-Dioulasso, Burkina Faso.)
Abstract	INTRODUCTION: Skilled attendance is one of the major strategies to curtail maternal mortality, specifically in developing countries. Despite the low level of equipment, it is only in health facilities that skilled care are provided during pregnancy and childbirth; but there are some barriers which prevent women to use health facilities for good care. METHODS: This study was carried out in Ouargaye where a skilled care initiative was implemented by Family care International with the aim to increase the skilled attendance at delivery and Diapaga, the control district. Thirty (30) In-depth interviews, 8 Focus group discussions and 6 non participant observations were carried out. Participants were women from 15-49 years. All the interviews were tape-recorded, transcribed and analysed line by line. NVIVO was used to manage the interviews. RESULTS: Four types of barriers have been described by women; 1) the cultural barriers concern the low status of women in the two districts and some traditional beliefs which mean that women can not always decide to use health facility by themselves. 2) The geographical barrier is about the distance to reach health facility and the lack of transport means. 3) The financial barrier to pay care and drugs. 4) Bad organization of care and poor quality of care provided to women. CONCLUSION: To minimize the risk of complications during pregnancy and childbirth, it is important that women use health facilities. The barriers described by women are not insurmountable but needed to be integrated in a global comprehensive health policy.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2014.18.43.2210
Journal	Pan African Medical Journal
Volume Number	18
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2014-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Cultural Characteristics Delivery, Obstetric Maternal Health Services Organization & Administration Adolescent Burkina Faso Utilization Maternal Mortality Pregnancy Transportation Of Patients Statistics & Numerical Data
Content Type	Text
Resource Type	Article

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