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Published on: January 12, 2018
Midwives' perceptions about adolescents' utilisation of public prenatal services in Bulawayo, Zimbabwe
Cynthia N Chaibva1, Valerie J Ehlers, Janetta H Roos
1University of South Africa, Department of Health Sciences, Zimbabwe Open University, Bulawayo, Republic of Zimbabwe.
Objectives:
to identify midwives' perceptions about adolescents' failure to utilise prenatal services or to initiate such utilisation late during their pregnancies.
Design:
a quantitative descriptive and exploratory design, using questionnaires to collect data, to describe midwives' perceptions about factors influencing pregnant adolescents' non-utilisation or late utilisation of prenatal services.
Setting:
20 public health centres (comprising two hospitals and 18 primary health-care clinics) rendering prenatal services, distributed throughout the city of Bulawayo, Zimbabwe.
Participants:
52 midwives, rendering prenatal services in Bulawayo, completed questionnaires.
Measurements And Findings:
demographic, socio-economic, knowledge-related and service-related factors (unfriendly midwives and substandard prenatal services) influenced pregnant adolescents' late or non-utilisation of prenatal services.
Key Conclusions:
transport costs and charges for prenatal services were major factors influencing adolescents' late or non-utilisation of prenatal services. Adolescents needed more knowledge about the advantages of prenatal services. Effective prenatal services should be provided by friendly and welcoming midwives.
Implications For Practice:
pregnant adolescents need more knowledge about the advantages of prenatal services, and these should be more accessible. Charges for public prenatal services must be reduced or abandoned; subsidised or free public transport for pregnant adolescents could enhance their utilisation of prenatal services.
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