Barriers in health seeking behaviour among tribal pregnant women in a hilly tribal area of Kashmir: a qualitative study

Zahoor, Nazia; Bashir, Khalid; Kausar, Zeenat; Ain, Syed Najmul

doi:10.18203/2320-6012.ijrms20204884

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…A total of 30 studies, including 17 quantitative [ 2 , 4 , 5 , 9 , 11 , 18 , 21 , 22 , 24 , 29 , 30 , 36 , 47 – 51 ], 10 qualitative [ 1 , 8 , 23 , 26 , 35 , 52 – 56 ], and 3 mix-methods studies [ 25 , 57 , 58 ], reported that lack of knowledge and awareness are prominent barrier, resulting in incomplete or non-utilization of obstetric care services (OCS). Dalal et al [2022] explained that due to a lack of awareness, women were unable to understand the processes and systems followed in the health facilities and felt uncomfortable visiting them, which directly influenced their utilization of OCS [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Poor communication between health care providers and women availing OCS was another interpersonal barrier that led to poor utilization of OCS [ 5 , 59 , 60 ]. These types of barriers were primarily found in the forest and hill-dwelling communities as they are socially, culturally, and linguistically different from the mainstream population of India [ 34 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…The qualitative studies revealed that the cost of services was a key determining factor for the majority of women in deciding between home birth and institutional delivery [ 17 , 35 , 47 ]. A few studies found that due to the poor economic status of women and their families, they were unable to bear delivery cost and choose home delivery [ 1 , 67 , 55 , 56 , 60 , 63 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

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Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Singh,

Rajak

2024

BMC Pregnancy Childbirth

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Background Despite the reduction in the maternal mortality ratio, barriers in obstetric care services (OCS) remain a significant risk factor for adverse maternal and perinatal outcomes in India. This review covers the ‘continuum of care’ (ANC, child delivery, and PNC services) and identifies multiple barriers in provisioning as well as utilization of OCS in India. We conducted a systematic review to understand the barriers using a mixed-methods approach. Methods PubMed, Scopus, Web of Science, Google Scholar, and Science Direct databases were searched from 1 January 2000 to 30 June 2022. The methodological quality of the included studies was assessed using appropriate tools. After a full-text review of 164 studies, total of 56 studies (33 quantitative, 18 qualitative, and 5 mixed-methods studies) were finally included in the review. All the barriers were classified into five major themes: (i) individual and interpersonal barriers, (ii) social and cultural barriers, (iii) structural barriers, (iv) logistical barriers, and (v) organizational barriers. A thematic synthesis approach was used to present the findings of the included studies. Results Lack of knowledge and awareness and less family support in availing the required OCS were key individual and interpersonal barriers. Negative social and cultural practices, such as belief in traditional herbs/healers, dietary restrictions, and discarding colostrum were frequently reported barriers, especially in rural settings. Poor economic status and high health service costs were the most often cited barriers to low institutional delivery and delayed ANC services. Long distances to health facilities and poor road conditions were the most frequently reported logistical barriers. On the provisioning side, poor quality of treatment, shortage of drugs and equipment, and non-cooperative attitude of health professionals were the most significant barriers. Conclusion This review identified several important barriers ranging from individual and cultural to structural, logistical, and organizational, which are prevalent in India. To mitigate the barriers, the governments need to develop strategies at the individual and organizational levels. Innovative interventions and program implementation at the community and village levels could also be contributory steps towards improving OCS utilization in India.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Singh,

Rajak

2024

BMC Pregnancy Childbirth

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“…There was higher level of prompt treatment-seeking behaviour among guardians of the active reproductive ages of 30–49 years compared to the non-reproductive age groups. This could be attributed to constant messages that these guardians (who were mostly women) receive when they go for other health services such as antenatal care, postnatal and family planning [ 32 ]. In addition to programs that seek to promote treatment-seeking behaviours, key malaria control interventions should leverage on the already existing health services that are provided to guardians.…”

Section: Discussionmentioning

confidence: 99%

Prompt treatment-seeking behaviour varies within communities among guardians of children with malaria-related fever in Malawi

Stanley,

Chirombo,

Msuku

et al. 2023

Malar J

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Background In Malawi, malaria is responsible for 40% of hospital deaths. Prompt diagnosis and effective treatment within 24 h of fever onset is critical to prevent progression from uncomplicated to severe disease and to reduce transmission. Methods As part of the large evaluation of the malaria vaccine implementation programme (MVIP), this study analysed survey data to investigate whether prompt treatment-seeking behaviour is clustered at community-level according to socio-economic demographics. Results From 4563 households included in the survey, 4856 children aged 5–48 months were enrolled. Out of 4732 children with documented gender, 52.2% were female and 47.8% male. Among the 4856 children, 33.8% reported fever in the two weeks prior to the survey. Fever prevalence was high in communities with low socio-economic status (SES) (38.3% [95% CI: 33.7–43.5%]) and low in areas with high SES (29.8% [95% CI: 25.6–34.2%]). Among children with fever, 648 (39.5%) sought treatment promptly i.e., within 24 h from onset of fever symptoms. Children were more likely to be taken for prompt treatment among guardians with secondary education compared to those without formal education (aOR:1.37, 95% CI: 1.11–3.03); in communities with high compared to low SES [aOR: 2.78, 95% CI: 1.27–6.07]. Children were less likely to be taken for prompt treatment if were in communities far beyond 5 km to health facility than within 5 km [aOR: 0.44, 95% CI: 0.21–0.92]. Conclusion The high heterogeneity in prevalence of fever and levels of prompt treatment-seeking behaviour underscore the need to promote community-level malaria control interventions (such as use of long-lasting insecticide-treated nets (LLINs), indoor residual spraying (IRS), intermittent preventive therapy (IPT), presumptive treatment and education). Programmes aimed at improving treatment-seeking behaviour should consider targeting communities with low SES and those far from health facility.

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Barriers in health seeking behaviour among tribal pregnant women in a hilly tribal area of Kashmir: a qualitative study

Cited by 2 publications

References 3 publications

Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Prompt treatment-seeking behaviour varies within communities among guardians of children with malaria-related fever in Malawi

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