Barriers to early prenatal care in South Africa

Show simple item record Haddad, Diane N. Makin, J.D. (Jennifer Dianne) Pattinson, Robert Clive Forsyth, Brian William Cameron 2015-12-03T08:59:05Z 2016-01
dc.description.abstract OBJECTIVE : To understand the barriers delaying early prenatal care for women in South Africa. METHODS : Amixedmethods study was conducted at a center in Pretoria. RESULTS : Following interviews with 21women at a prenatal clinic in Pretoria, a quantitative survey was completed by 204 postpartum women. During interviews, women described presenting late owing to contemplating induced abortion, fear of HIV testing, and fear of jealousy and bewitching. The survey results demonstrated that a majority of women (133 [65.2%]) reported knowledge of recommendations to present before 12 weeks; however, the average gestational age at initial presentation was 19.1 ± 7.7 weeks. Women were more likely to present earlier if the pregnancy was planned (P = 0.013) and were less likely to if they had at any point contemplated induced abortion (P=0.021). Fears of bewitching and harmful psychological stress owing to a positive HIV test result prevailed in both the interviews and the surveys. CONCLUSION : Significant efforts should be devoted to improving access to contraception and prepregnancy counseling in order to improve early prenatal care attendance. Similarly, addressing cultural concerns and fears regarding pregnancy is imperative in promoting early attendance. en_ZA
dc.description.embargo 2017-01-30
dc.description.librarian hb2015 en_ZA
dc.description.sponsorship In part by the Doris Duke Charitable Foundation through a grant supporting the Doris Duke International Clinical Research Fellows Program at Yale University. en_ZA
dc.description.uri en_ZA
dc.identifier.citation Haddad, DN, Makin, JD, Pattinson, RC & Forsyth, BW 2016, 'Barriers to early prenatal care in South Africa', International Journal of Gynecology and Obstetrics, vol. 132, no. 1, pp. 64-67. en_ZA
dc.identifier.issn 0020-7292 (print)
dc.identifier.issn 1879-3479 (online)
dc.identifier.other 10.1016/j.ijgo.2015.06.041
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in International Journal of Gynecology and Obstetrics. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Gynecology and Obstetrics, vol. 132, no. 1, pp. 64-67, 2016. doi : 10.1016/j.ijgo.2015.06.041. en_ZA
dc.subject Access to care en_ZA
dc.subject Maternal mortality en_ZA
dc.subject Mixed-methods study en_ZA
dc.subject Obstetrics en_ZA
dc.subject Prenatal care en_ZA
dc.subject Sub-Saharan Africa en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject South Africa (SA) en_ZA
dc.title Barriers to early prenatal care in South Africa en_ZA
dc.type Postprint Article en_ZA

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