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Experiences of homeless women on maternity health service utilization and associated challenge in Aksum town, Northern Ethiopia.
Gebreyesus, Hailay; Mamo, Abebe; Teweldemedhin, Mebrahtu; Gidey, Berihu; Hdush, Znabu; Birhanu, Zewdie.
Afiliación
  • Gebreyesus H; Department of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia. ghailay2015@gmail.com.
  • Mamo A; Department of Health, Behavior and Society, Institutes of Health, Jimma University, Jimma, Ethiopia.
  • Teweldemedhin M; Department of Medical Laboratory Science, College of Health Sciences, Aksum University, Aksum, Ethiopia.
  • Gidey B; Department of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.
  • Hdush Z; Department of Public Health, Mekelle University, Mekelle, Ethiopia.
  • Birhanu Z; Department of Health, Behavior and Society, Institutes of Health, Jimma University, Jimma, Ethiopia.
BMC Health Serv Res ; 19(1): 359, 2019 Jun 06.
Article en En | MEDLINE | ID: mdl-31170981
BACKGROUND: Homeless women are a highly vulnerable group for risks of pregnancy and childbirth-related complications. They may also face multiple challenges to access and utilize maternity healthcare services. This study was aimed to explore the experience of homeless women on maternity healthcare service utilization and associated challenges in Aksum Town, Northern Ethiopia. METHODS: An exploratory qualitative study was employed using in-depth interviews among 22 study participants from February to March 2016. Purposive sampling was used to recruit 12 homeless mothers who gave birth when being homeless in the last 12 months and 10 healthcare providers as key informants. Data were captured using audio recorders and field notes and transcribed, translated verbatim and thematic analysis approach was facilitated using ATLAS.ti7 software. RESULTS: The finding reveals that homeless women did not use any of the basic maternity health care services, namely antenatal care, skilled birth attendance, and postnatal care. Lack of permanent place and awareness, and fear of stigma and discrimination were some reasons hindering homeless women from using the services. CONCLUSIONS: Even though maternity health service utilization is the most crucial intervention to reduce maternal and newborn deaths, this finding shows that maternity health service utilization among homeless women was limited. Socio-cultural, socioeconomic and healthcare-related factors contributed to the non-use of these services. Efforts should be made to address the challenges faced by homeless women to utilize maternity health services.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Aceptación de la Atención de Salud / Accesibilidad a los Servicios de Salud / Servicios de Salud Materna / Madres Tipo de estudio: Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2019 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Aceptación de la Atención de Salud / Accesibilidad a los Servicios de Salud / Servicios de Salud Materna / Madres Tipo de estudio: Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2019 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido