Lori, Jody R., Wadsworth, Anna C., Munro, Michelle L. and Rominski, Sarah (2013) Promoting access: the use of maternity waiting homes to achieve safe motherhood. Midwifery, online. ISSN 0266-6138
Full text not available from this repository.Abstract
Objective: to examine the structural and sociocultural factors influencing maternity waiting home (MWH) use through the lens of women, families, and communities in one rural county in postconflict Liberia. Design: an exploratory, qualitative descriptive design using focus groups and in-depth, individual interviews was employed. Content analysis of data was performed using Penchansky and Thomas's (1981) five A's of access as a guiding framework. Setting: rural communities in north-central Liberia. Participants: a convenience sampling was used to recruit participants. Eight focus groups were held with 75 participants from congruent groups of (1) MWH users, (2) MWH non-users, (3) family members of MWH users, and (4) family members of MWH non-users. Eleven individual interviews were conducted with clinic staff or community leaders. Findings: the availability of MWHs decreased the barrier of distance for women to access skilled care around the time of childbirth. Food insecurity while staying at a MWH was identified as a potential barrier by participants. Key conclusions: examining access as a general concept within the specific dimensions of availability, accessibility, accommodation, affordability, and acceptability provides a way to describe the structural and sociocultural factors that influence access to a MWH and skilled attendance for birth. Implications for practice: MWHs can address the barrier of distance in accessing skilled care for childbirth in a rural setting with long distances to a facility.
| Item Type: | Article |
|---|---|
| Official URL: | http://www.journals.elsevier.com/midwifery |
| Additional Information: | © 2013 Elsevier Ltd |
| Divisions: | Psychological and Behavioural Science |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Date Deposited: | 16 Sep 2013 08:57 |
| Last Modified: | 12 Dec 2024 00:26 |
| Projects: | USAID-M-OOA-GH-HSR-10–40, K01 TW008763-01A1, F31NR012852 |
| Funders: | U.S. Agency for International Development, Fogarty International, National Institutes of Health, National Institutes for Nursing Research |
| URI: | http://eprints.lse.ac.uk/id/eprint/52601 |
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