Postnatal Care Experiences and Barriers to Care Utilization for Home- and Facility-Delivered Newborns in Uganda and Zambia

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dc.contributor.authorSacks, Emma
dc.contributor.authorMasvawure, Tsitsi B.
dc.contributor.authorAtuyambe, Lynn M.
dc.contributor.authorNeema, Stella
dc.contributor.authorMacwan’gi, Mubiana
dc.contributor.authorSimbaya, Joseph
dc.contributor.authorKruk, Margaret
dc.date.accessioned2022-04-29T12:08:55Z
dc.date.available2022-04-29T12:08:55Z
dc.date.issued2017
dc.description.abstractObjectives The objective of this study was to examine experiences with, and barriers to, accessing postnatal care services, in the context of a maternal health initiative. Methods As part of a larger evaluation of an initiative to promote facility deliveries in 8 rural districts in Uganda and Zambia, 48 focus groups were held with recently-delivered women with previous home and facility deliveries (6 per district). Data on postnatal care experiences were translated, coded and analyzed using thematic content analysis techniques. Results were categorized into: positive postnatal care experiences, barriers to postnatal care utilization, and negative postnatal care experiences. Results Women who accessed care largely reported positive experiences, with Zambian women generally reporting more positive interactions than Ugandan women. The main reasons given for low postnatal care utilization were low awareness about the need, fear of mistreatment by clinic staff, cost and distance. In half of the focus groups, women described personal experience or knowledge of denial or threatened denial of postnatal care due to the birth location. Although outright denial of care was not common, women frequently described various types of actual or presumed discrimination because of having a home birth. Conclusions for Practice While many women reported positive experiences with postnatal care utilization, cases of delay or denial of postnatal care exist. As programs incentivize facility deliveries, the lack of focus on postnatal support may place home-delivered newborns in ‘‘double jeopardy’’ due to poor quality intra-partum care and reduced access to postnatal care.en_US
dc.identifier.citationSacks, E., Masvawure, T. B., Atuyambe, L. M., Neema, S., Macwan’gi, M., Simbaya, J., & Kruk, M. (2017). Postnatal care experiences and barriers to care utilization for home-and facility-delivered newborns in Uganda and Zambia. Maternal and child health journal, 21(3), 599-606. DOI 10.1007/s10995-016-2144-4en_US
dc.identifier.other10.1007/s10995-016-2144-4
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/2963
dc.language.isoenen_US
dc.publisherMaternal and child health journalen_US
dc.subjectNewborn careen_US
dc.subjectNeonatal careen_US
dc.subjectPostnatal careen_US
dc.subjectMaternal healthen_US
dc.subjectDisrespectful careen_US
dc.subjectHealth servicesen_US
dc.subjectQualitative methodsen_US
dc.subjectUnintended consequencesen_US
dc.subjectUgandaen_US
dc.subjectZambiaen_US
dc.titlePostnatal Care Experiences and Barriers to Care Utilization for Home- and Facility-Delivered Newborns in Uganda and Zambiaen_US
dc.typeArticleen_US
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