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African Journal of Reproductive Health
Women's Health and Action Research Centre
ISSN: 1118-4841
Vol. 25, No. 3s, 2021, pp. 121-134
Bioline Code: rh21068
Full paper language: English
Document type: Research Article
Document available free of charge

African Journal of Reproductive Health, Vol. 25, No. 3s, 2021, pp. 121-134

 fr
Yeates, Karen; Chard, Sidonie; Eberle, Alexa; Lucchese, Alexandra; West, Nicola; Chelva, Melinda; Marandu, Prisca Dominic; Smith, Graeme; Kaushal, Sanchit; Mtema, Zacharia; Erwin, Erica; Nswilla, Anna & Tillya, Robert Philemon

Résumé

L'objectif de cette étude était d'examiner les facteurs qui servent d'obstacles et de facilitateurs à l'accès aux services de santé maternelle et reproductive chez les femmes en Tanzanie rurale. Une étude qualitative, utilisant des discussions de groupe (FGD), a été menée dans trois districts. Un guide d'entretien a été élaboré, axé sur les facteurs individuels ou communautaires affectant l'accès des femmes aux services de santé reproductive et maternelle. Les données ont été collectées en décembre 2017 et mai 2018 et analysées selon une approche thématique. Les obstacles comprenaient le manque d'autonomie, le manque de connaissances et d'éducation, les obstacles aux déplacements et au transport, le manque de ressources financières, le manque d'infrastructures, le manque de confidentialité, le manque d'implication des hommes, les croyances culturelles et le recours à des accoucheuses traditionnelles. En revanche, l'autonomie accrue des femmes et la mise en oeuvre des politiques gouvernementales ont été identifiées comme des catalyseurs. Des innovations doivent être identifiées pour surmonter ces obstacles afin d'améliorer l'accès aux services de santé maternelle et reproductive dans ces districts. (Afr J Reprod Health 2021; 25[3s]: xx-xx).

Mots Clés
Autonomie; qualitatif; santé maternelle; santé reproductive; focus group

 
 en ‘She needs permission’: A qualitative study to examine barriers and enablers to accessing maternal and reproductive health services among women and their communities in rural Tanzania
Yeates, Karen; Chard, Sidonie; Eberle, Alexa; Lucchese, Alexandra; West, Nicola; Chelva, Melinda; Marandu, Prisca Dominic; Smith, Graeme; Kaushal, Sanchit; Mtema, Zacharia; Erwin, Erica; Nswilla, Anna & Tillya, Robert Philemon

Abstract

The objective of this study was to examine the factors which serve as barriers and enablers to accessing maternal and reproductive health services among women in rural Tanzania. A qualitative study, utilizing focus group discussions (FGDs), was conducted in three districts. An interview guide was developed that focused on individual or community-based factors affecting women’s access to reproductive and maternal health services. Data was collected during December 2017 and May 2018, and analyzed using a thematic approach. The barriers included a lack of autonomy, lack of knowledge and education, travel and transportation barriers, lack of financial resources, lack of infrastructure, lack of confidentiality, lack of male involvement, cultural beliefs, and the use of traditional birth attendants. In contrast, the increased autonomy for women and the implementation of government policies were identified as enablers. Innovations need to be identified that address these barriers in order to increase access to maternal and reproductive health services in these districts. (Afr J Reprod Health 2021; 25[3s]: 121-134).

Keywords
Autonomy; qualitative; maternal health; reproductive health; focus group

 
© Copyright 2021 - African Journal of Reproductive Health
Alternative site location: http://www.ajrh.info

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