ArticlePloS one2025
Barriers hindering attendance and adherence to antenatal care visits among women in rural areas in Rwanda: An exploratory qualitative study.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed.
- Factors associated with utilisation of antenatal care visit services in Nepal: evidence from Demographic and Health Survey 2016-2022.BMJ open · 2026Article
- Article
- Review
- Factors Affecting Antenatal Care Attendance among Pregnant Women in Mogadishu, Somalia.SAGE open nursingArticle
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Authors and funding
7 authors.
Funding
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Abstract
backgroundAntenatal care (ANC) improves maternal and neonatal health. However, less than half of pregnant women in sub-Saharan African (SSA) countries, including Rwanda, attend adequate ANC designed to provide routine care and detect and treat early pregnancy complications. This article explores the women's views on factors that hinder adherence to ANC visits in Rwanda.
methodsThis exploratory qualitative research used in-depth interviews to collect data from 22 pregnant women. Data were recorded, transcribed verbatim, and analyzed using a thematic approach.
resultsA Thematic analysis revealed four themes: a) stigma dynamics, b) sociocultural beliefs and practices, c) lack of partner's support, and d) Challenges to and at the healthcare setting. Unintended pregnancies, multiparity, and early weaning were identified as reasons why participants delayed attending the ANC. Sociocultural practices and beliefs that place women at the center of domestic chores, cultural misbeliefs, the influence of intergenerational behaviours, and social context were also reported as barriers to attending or adhering to ANC visits. The lack of partner support has been reported as a barrier due to existing family conflicts, domestic violence, competing personal priorities of partners over ANC, and fear of partners of HIV tests. They reported several structural barriers, including attendance and adherence to ANC visits, mandatory requirements before receiving ANC, long distance to the health facility, scattered health services within a health facility, long wait times, and negative attitudes and actions of healthcare providers.
conclusionsThe identified factors hindering pregnant women's participation in ANC visits are modifiable in progressive countries such as Rwanda. Continued National support could reduce these barriers, increase ANC attendance, and meet the 2030 Sustainable Development Goal 3.
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