Evidence map›Paper›PMID 39488416›Full record

ArticleBMJ open2024

Barriers and facilitators to antenatal care services utilisation in Somaliland: a qualitative study.

Saad Ahmed Abdiwali, Olubukola A Adesina, Gedefaw Abeje Fekadu, Teshome Gensa Geta

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Saad Ahmed AbdiwaliPan African University Life and Earth Sciences Institute (including Health and Agriculture), Ibadan, Oyo State, Nigeria Gooni794@gmail.com.ORCID http://orcid.org/0000-0001-5143-6574
Olubukola A AdesinaPan African University Life and Earth Sciences Institute (including Health and Agriculture), Ibadan, Oyo State, Nigeria.
Gedefaw Abeje FekaduReproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Teshome Gensa GetaDepartment of Public Health, School of Medicine and Health Sciences, Tima-ade University, Gabiley, Somaliland.ORCID http://orcid.org/0000-0002-7259-208X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the barriers and facilitators of antenatal care (ANC) utilisation in Somaliland.

designAn exploratory qualitative study design.

settingVarious settings were considered for study including maternal and child health clinics, hospitals and community.

methods74 study participants including 33 pregnant women, 22 healthcare providers, 10 community elders and ten religious leaders were purposively selected. Data was collected via focus group discussion and in-depth interviews in the local Somali language. The data was audio recorded, transcribed verbatim, translated into English and imported into NVivo V.12 software. Thematic framework analysis was used to assess barriers and facilitators of ANC utilisation.

resultsSix main themes were identified as barriers of ANC utilisation. These include lack of awareness, long distance and lack of transportation access, economic barriers, lack of social support, beliefs and thoughts and health facility-related factors such as caregivers approach, waiting time and inadequate skill of providers. Proper dissemination of ANC information, adequate spousal support and cheap pricing of services were found to be facilitators of ANC uptake.

conclusionA strategy that focuses on raising awareness about ANC, making it accessible by reducing the cost-of-service charge, encouraging partner involvement, improving the quality of services and making it customer-friendly will help to overcome the barriers of antenatal utilisation.

Indexed as

Focus GroupsHealth Services AccessibilityPatient Acceptance of Health CarePrenatal CareQualitative ResearchAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMiddle AgedPregnancySocial SupportSomaliaYoung AdultAntenatalHealth ServicesQualitative research

Identifiers

PMID39488416
PMCPMC11535687

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.