Factors contributing to the underutilisation of midwife obstetric units in the Tshwane District Region, South Africa

Abstract

AIM : To determine why midwife obstetric units are not being utilised in the Tshwane District Region, South Africa. DESIGN : A qualitative, cross-sectional study design was used to explore and describe the factors contributing to the underutilisation of midwife obstetric units by low-risk women in the Tshwane District Region. METHOD : Semistructured interviews provided information about individuals’ perceptions, beliefs and attitudes towards midwife obstetric units in 16 diverse, low-risk postnatal women between the ages of 18 and 25 years old. Interviews were audiorecorded and transcribed, and thematic analysis was conducted to identify themes. RESULTS : We identified four major themes: (1) superior facilities and services; (2) negative experiences and perceptions; (3) staff behaviour; and (4) educational gaps. CONCLUSIONS : This study provided greater insight into the factors contributing to why midwife obstetric units are being underutilised in the Tshwane District Region. Understanding these perceptions and reasons allows public health nurses, specifically those involved in midwifery to use the research, to improve the services available.