The tipping point of antenatal engagement: A qualitative grounded theory in Tanzania and Zambia

Laisser, Rose; Woods, Roberta; Bedwell, Carol; Kasengele, Chowa Tembo; Nsemwa, Livuka; Kimaro, Debora; Kuzenza, Flora; Lyangenda, Kutemba; Shayo, Happiness; Tuwele, Khuzuet; Wakasiaka, Sabina; Ringia, Prisca; Lavender, Tina

doi:10.1016/j.srhc.2021.100673

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…The attributes and levels included in the DCE are summarised in Table 1. Based on qualitative interviews conducted as part of the broader research programme a long list of potential attributes for the DCE was generated [14,15]. The attributes on this list were: cleanliness of clinic, ease of travel (distance, availability of transport), facility comfort, waiting time to be seen, incentive to attend (e.g.…”

Section: Selection Of Attributes and Levelsmentioning

confidence: 99%

Women’s preferences for antenatal care in Tanzania: a discrete choice experiment

Camacho

Smyth

Danna

et al. 2022

BMC Pregnancy Childbirth

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Background The stillbirth rate in Tanzania remains high. Greater engagement with antenatal care may help to reduce stillbirths. We investigated which characteristics of antenatal care clinics are preferred by pregnant women in Tanzania. Methods We conducted an unlabelled discrete choice experiment (DCE) with think-aloud interviews. Participants were pregnant women, regardless of parity/gestation, from the Mwanza and Manyara regions of Tanzania. We asked participants to choose which of two hypothetical antenatal clinics they would rather attend. Clinics were described in terms of transport mode, cleanliness, comfort, visit content, and staff attitude. Each participant made 12 choices during the experiment, and a purposively selected sub-set simultaneously verbalised the rationale for their choices. We analysed DCE responses using a multinomial logit model adjusted for study region, and think-aloud data using the Framework approach. Results We recruited 251 participants split evenly between the 2 geographical regions. Staff attitude was the most important attribute in clinic choice and dominated the think-aloud narratives. Other significant attributes were mode of transport (walking was preferred) and content of clinic visit (preference was stronger with each additional element of care provided). Cleanliness of the clinic was not a significant attribute overall and the think-aloud exercise identified a willingness to trade-off cleanliness and comfort for respectful care. Conclusion Women would prefer to attend a clinic with kind staff which they can access easily. This study suggests that exploration of barriers to providing respectful care, and enabling staff to deliver it, are important areas for future investment. The DCE shows us what average preferences are; antenatal care that is aligned with identified preferences should increase uptake and engagement versus care which does not acknowledge them.

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Section: Selection Of Attributes and Levelsmentioning

confidence: 99%

Women’s preferences for antenatal care in Tanzania: a discrete choice experiment

Camacho

Smyth

Danna

et al. 2022

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

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Anemia in Pregnant Women as a Cultural Phenomenon: A Literature Review

Aden,

Pandin,

Nursalam

2023

Preprint

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BackgroundExplores how restrictions on food intake during pregnancy, due to cultural taboos, can lead to anemia. The study aims to provide an overview of prohibited food types, the supportive environment, the impact on pregnancy, and interventions that can be implemented to overcome anemia.MethodThe authors conducted a literature review by searching for articles on five databases, namely Science Direct, Springer Link, Pubmed, Sage, and Scopus. They also searched for suitable articles from other references, mainly journal articles published in the last five years (2019-2023).ResultsIn total, there were 20 reviewed explaining the types of food prohibited during pregnancy and the reasons for this as well as support from family, religious figures, mothers, and in-laws. Overcoming anemia in pregnant women with a cultural approach resulted in meaningful results, with the intervention carried out for around three months. The use of picture books that are appropriate to the cultural context and local wisdom increases information about the importance of iron for pregnant women, increases the frequency of eating, the number of iron tablet intakes, the amount of food intake containing iron each day, and increases the baby’s birth weight.ConclusionAnemia caused by cultural taboos on certain foods during pregnancy can be prevented and treated with local wisdom intervention approaches.

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The tipping point of antenatal engagement: A qualitative grounded theory in Tanzania and Zambia

Cited by 2 publications

References 27 publications

Women’s preferences for antenatal care in Tanzania: a discrete choice experiment

Women’s preferences for antenatal care in Tanzania: a discrete choice experiment

Anemia in Pregnant Women as a Cultural Phenomenon: A Literature Review

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