Related Experiment Video
Updated: Jan 12, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Healthcare providers' perception about challenges of reproductive health service utilisation
Meaza G Sileshi1, Lebitsi M Modiba2, Portia J Jordan1
1Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Background:
Reproductive health service maintains optimal health and reduces missed opportunities for seropositive women. But it is reported that the service uptake is not adequately recognised.
Aim:
This study helped to explore healthcare providers' perceived challenges of reproductive health service utilisation by seropositive women.
Setting:
This study was conducted in Addis Ababa, June 2021.
Methods:
Qualitative-exploratory research design was carried out. Human immunodeficiency virus (HIV) programme representative health professionals (n = 22) were recruited through the snowball sampling method from different levels of facility and health offices. They participated in three researcher-led focused group discussion (FGD) using semi-structured guiding questions. Prior to actual FGD sessions, a pilot test was done. ATLAS.ti version 7.0 software was used for data analysis. Data visualisation, coding and thematic analysis were done consecutively.
Result:
Participants' mean age was 30.14 years; 12 (54.5%) of them were nurses, and 11 (50%) of them worked for 2-4 years. Low reproductive healthcare utilisation was related to the vertical care delivery approach to HIV, lack of clear guidance for providing multidimensional care, technical skill gaps and the low caring attitude of health professionals. Another factor that lessens reproductive health use was seropositive women's fear of status disclosure, interest for only HIV care or demanding additional incentives for newly introduced care.
Conclusion:
Reproductive health service is inadequately utilised by seropositive women due to several reasons and causes inefficient opportunities to care.
Contribution:
This study helps for task-shifting and to design reproductive health components integration with HIV care that ensures comprehensive service to these target population.
Related Concept Videos
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:17Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...