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Mendeley readers
Attention Score in Context
| Title |
Barriers and facilitators to antenatal and delivery care in western Kenya: a qualitative study
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, February 2015
|
| DOI | 10.1186/s12884-015-0453-z |
| Pubmed ID | |
| Authors |
Linda Mason, Stephanie Dellicour, Feiko Ter Kuile, Peter Ouma, Penny Phillips-Howard, Florence Were, Kayla Laserson, Meghna Desai |
| Abstract |
In western Kenya, maternal mortality is a major public health problem estimated at 730/100,000 live births, higher than the Kenyan national average of 488/100,000 women. Many women do not attend antenatal care (ANC) in the first trimester, half do not receive 4 ANC visits. A high proportion use traditional birth attendants (TBA) for delivery and 1 in five deliver unassisted. The present study was carried out to ascertain why women do not fully utilise health facility ANC and delivery services. A qualitative study using 8 focus group discussions each consisting of 8-10 women, aged 15-49 years. Thematic analysis identified the main barriers and facilitators to health facility based ANC and delivery. Attending health facility for ANC was viewed positively. Three elements of care were important; testing for disease including HIV, checking the position of the foetus, and receiving injections and / or medications. Receiving a bed net and obtaining a registration card were also valuable. Four barriers to attending a health facility for ANC were evident; attitudes of clinic staff, long clinic waiting times, HIV testing and cost, although not all women felt the cost was prohibitive being worth it for the health of the child. Most women preferred to deliver in a health facility due to better management of complications. However cost was a barrier, and a reason to visit a TBA because of flexible payment. Other barriers were unpredictable labour and transport, staff attitudes and husbands' preference. Our findings suggest that women in western Kenya are amenable to ANC and would be willing and even prefer to deliver in a healthcare facility, if it were affordable and accessible to them. However for this to happen there needs to be investment in health promotion, and transport, as well as reducing or removing all fees associated with antenatal and delivery care. Yet creating demand for service will need to go alongside investment in antenatal services at organisational, staffing and facility level in order to meet both current and future increase in demand. |
Mendeley readers
The data shown below were compiled from readership statistics for 382 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Nigeria | 1 | <1% |
| Tanzania, United Republic of | 1 | <1% |
| Unknown | 380 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 98 | 26% |
| Researcher | 34 | 9% |
| Student > Bachelor | 32 | 8% |
| Student > Ph. D. Student | 31 | 8% |
| Student > Postgraduate | 28 | 7% |
| Other | 56 | 15% |
| Unknown | 103 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 90 | 24% |
| Medicine and Dentistry | 84 | 22% |
| Social Sciences | 39 | 10% |
| Agricultural and Biological Sciences | 11 | 3% |
| Arts and Humanities | 6 | 2% |
| Other | 41 | 11% |
| Unknown | 111 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2022.
All research outputs
#7,807,070
of 23,698,019 outputs
Outputs from BMC Pregnancy and Childbirth
#2,146
of 4,364 outputs
Outputs of similar age
#111,313
of 362,040 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#38
of 59 outputs
Altmetric has tracked 23,698,019 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,364 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 362,040 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.