Factors influencing the uptake of antenatal care in Uganda: a mixed methods systematic review (vol 24, 730, 2024)

被引：0

作者：

Bhutada, Kiran ^{[1
,2
]}

Venkateswaran, Mahima ^{[1
,3
]}

Atim, Maureen ^{[4
]}

Munabi-Babigumira, Susan ^{[5
]}

Nankabirwa, Victoria ^{[3
,4
]}

Namagembe, Flavia ^{[4
]}

Froen, J. Frederik ^{[1
,3
]}

Papadopoulou, Eleni ^{[1
]}

机构：

[1] Norwegian Inst Publ Hlth, Div Hlth Serv, Global Hlth Cluster, POB 222, Oslo, Norway

[2] Albert Einstein Coll Med, Global Hlth Ctr, 1300 Morris Pk Ave Block 505, Bronx, NY 10461 USA

[3] Univ Bergen, Ctr Intervent Sci Maternal & Child Hlth CISMAC, Bergen, Norway

[4] Makerere Univ, Sch Publ Hlth, New Mulago Gate Rd, Kampala, Uganda

[5] Western Norway Univ Appl Sci, Dept Hlth & Functioning, Bergen, Norway

来源：

BMC PREGNANCY AND CHILDBIRTH | 2024年 / 24卷 / 01期

关键词：

ANC guidelines; Antenatal care; Barriers; Delivery of health care; Health workers; Healthcare utilization; Implementation; Maternity care; Respectful care; Uganda;

D O I：

10.1186/s12884-024-07001-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BackgroundIn 2016, the World Health Organization (WHO) recommended increasing antenatal care (ANC) visits from four to eight to reduce maternal morbidity and mortality. However, many low-middle income countries (LMICs), including Uganda, struggle to achieve even the basic four ANC visits. To further improve ANC attendance, understanding the perceptions and beliefs of end users is crucial. This systematic review explores the perceptions, experiences, and behavior of pregnant or previously pregnant women, their families and healthcare workers on ANC attendance in Uganda.MethodsThe review includes qualitative and quantitative studies published from January 2012 to September 2022. Outcomes include early initiation of ANC visits and any attendance or utilization of routine ANC services. The Critical Appraisal Skills Programme (CASP) checklist was used to assess the quality of included studies.ResultsWe searched 7 databases, identified 725 references and assessed 107 in full text for eligibility based on selected inclusion criteria. Forty-seven studies were eligible and are included in this review. Quantitative findings highlight socioeconomic factors like occupation, wealth index, and marital status as key determinants of ANC uptake and timely uptake of care, favoring higher wealth, younger age, marriage, and media access. Qualitative evidence reveals challenges to ANC attendance including financial constraints, cultural beliefs, gendered decision-making, and geographical distance from healthcare facilities. Potential solutions involve financially empowering women, providing reliable ANC equipment and medication, and community engagement and education.ConclusionsThis review offers valuable insights for policymakers and healthcare providers seeking to tailor interventions that address the unique needs and challenges faced by pregnant women, their families, and healthcare workers in Uganda. By doing so, it may enhance ANC accessibility and quality, ultimately aligning with the WHO's recommendation of eight ANC contacts (ANC8) and contributing to reducing maternal morbidity and mortality rates.

引用

页数：1