Low Use of Rural Maternity Services in Uganda: Impact of Women's Status, Traditional Beliefs and Limited Resources

Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices: a quasi-experimental study in three rural Ugandan districts

“…Delay in seeking care and delay in reaching care are caused by inadequate birth preparedness and delay in recognizing danger signs [6–11]; long distances to health facilities, compounded by poor transport and inability to afford transport costs [6,8–14]; and a preference for alternative traditional providers for prenatal or delivery care services [8,11]. Intra-institutional delay has been attributed to factors such as inadequate human resources for health, who are poorly motivated and may not have the appropriate skills set; poor attitudes towards pregnant women; lack of an enabling environment and inadequate infrastructure (equipment, theatres, electricity, ambulances) required to provide emergency obstetric care services; and lack of adherence to quality of care standards [6,8–12,15,16]. …”

Awareness and Associated Factors towards Neonatal Danger Signs among Mothers Attending Public Health Institutions of Mekelle City, Tigray, Ethiopia, 2015

“…Low utilization of available health services, such as supervised deliveries and postnatal care continue to persist even where financial and geographic access is deemed adequate [9]. As people attribute high neonate deaths to low utilization of neonatal care services at crucial stages of pregnancy, delivery, postpartum and post-natal periods, neonatal complications during birth or after the birth of a child greatly contribute to neonate mortality in developing nations [10]. If those factors affecting neonate danger sign are not well known and identified by the mothers, neonatal mortality and morbidity might continue and a challenge to the community as well as the government in the future.…”

Choice of place for childbirth: prevalence and correlates of utilization of health facilities in Chongwe district, Zambia

“…In spite of the closeness to a health facility, only 27.9% of live births were delivered at such health facilities 2 , suggesting that 22.1% of the expectant women did not deliver at a health facility despite being within reach of a health facility. There is overwhelming evidence that distance to a health facility is a strong determinant of the choice for maternal health services 3,4 , However, factors other than distance to health facility have been reported to be associated with health service utilization for childbirth such as education [5][6][7][8] , maternal age 3,6 , parity 6,8 , economic status 7 , cultural factors and beliefs, lack of skilled staff at primary health care level, and health worker negative attitudes towards expectant mothers 9 .…”