Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services
Identifieur interne : 002B65 ( Istex/Corpus ); précédent : 002B64; suivant : 002B66Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services
Auteurs : Pulani Tlebere ; Debra Jackson ; Marian Loveday ; Lyness Matizirofa ; Nomafrench Mbombo ; Tanya Doherty ; Alyssa Wigton ; Latasha Treger ; Mickey ChopraSource :
- The Journal of Midwifery & Womens Health [ 1526-9523 ] ; 2007-07-08.
English descriptors
- KwdEn :
- Alyssa wigton, American college, Antenatal, Antenatal care, Antenatal clinic, Antiretroviral therapy, Antiretroviral treatment, Associate professor, Autopsy, Avoidable factors, Beoc facilities, Better utilization, Birth outcomes, Case studies, Clinic, Cohort, Cohort study, Community health workers, Debra jackson, Disease control, Doctoral student, Family members, Further dichotomized, Gynaecol obstet, Health care, Health facility, Health providers, Health services, Health staff, Health systems trust, Infant, Infant death, Infant deaths, Infant mortality, Infant services, International development, Latasha treger, Local solutions, Lyness matizirofa, Major issue, Marian loveday, Maternal, Maternal child, Maternal death, Maternal deaths, Maternal health services, Maternal mortality, Maternity, Maternity care, Maternity services, Mickey chopra, Midwifery, Midwifery health, Nancial resources, National department, Neonatal, Neonatal care, Newborn health, Newborn services, Nomafrench mbombo, Nutrition directorate, Obstetric, Obstetric care, Other studies, Overall estimates, Paarl, Particular focus, Pmtct, Pmtct cohort study, Pmtct cohort study mothers, Poor quality, Poorer utilization, Pregnant women, Provider, Public health, Qualitative case studies, Qualitative interview, Recent report, Rietvlei, Safe motherhood, Sample size, Semistructured, Semistructured household interviews, Semistructured interviews, Situation analysis, Skilled attendance, Skilled attendant, Small sample size, Socioeconomic data, Study sites, Support groups, Tanya doherty, Total number, Traditional healer, Umlazi, Untapped resource, Utilization, Utilization score, Verbal autopsy, Western cape, World health organization.
- Teeft :
- Alyssa wigton, American college, Antenatal, Antenatal care, Antenatal clinic, Antiretroviral therapy, Antiretroviral treatment, Associate professor, Autopsy, Avoidable factors, Beoc facilities, Better utilization, Birth outcomes, Case studies, Clinic, Cohort, Cohort study, Community health workers, Debra jackson, Disease control, Doctoral student, Family members, Further dichotomized, Gynaecol obstet, Health care, Health facility, Health providers, Health services, Health staff, Health systems trust, Infant, Infant death, Infant deaths, Infant mortality, Infant services, International development, Latasha treger, Local solutions, Lyness matizirofa, Major issue, Marian loveday, Maternal, Maternal child, Maternal death, Maternal deaths, Maternal health services, Maternal mortality, Maternity, Maternity care, Maternity services, Mickey chopra, Midwifery, Midwifery health, Nancial resources, National department, Neonatal, Neonatal care, Newborn health, Newborn services, Nomafrench mbombo, Nutrition directorate, Obstetric, Obstetric care, Other studies, Overall estimates, Paarl, Particular focus, Pmtct, Pmtct cohort study, Pmtct cohort study mothers, Poor quality, Poorer utilization, Pregnant women, Provider, Public health, Qualitative case studies, Qualitative interview, Recent report, Rietvlei, Safe motherhood, Sample size, Semistructured, Semistructured household interviews, Semistructured interviews, Situation analysis, Skilled attendance, Skilled attendant, Small sample size, Socioeconomic data, Study sites, Support groups, Tanya doherty, Total number, Traditional healer, Umlazi, Untapped resource, Utilization, Utilization score, Verbal autopsy, Western cape, World health organization.
Abstract
This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.
Url:
DOI: 10.1016/j.jmwh.2007.03.016
Links to Exploration step
ISTEX:85C754BCB006E87149D1DF9A73E569831E966852Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title><author><name sortKey="Tlebere, Pulani" sort="Tlebere, Pulani" uniqKey="Tlebere P" first="Pulani" last="Tlebere">Pulani Tlebere</name></author><author><name sortKey="Jackson, Debra" sort="Jackson, Debra" uniqKey="Jackson D" first="Debra" last="Jackson">Debra Jackson</name><affiliation><mods:affiliation>E-mail: bessrfam@iafrica.com</mods:affiliation></affiliation></author><author><name sortKey="Loveday, Marian" sort="Loveday, Marian" uniqKey="Loveday M" first="Marian" last="Loveday">Marian Loveday</name></author><author><name sortKey="Matizirofa, Lyness" sort="Matizirofa, Lyness" uniqKey="Matizirofa L" first="Lyness" last="Matizirofa">Lyness Matizirofa</name></author><author><name sortKey="Mbombo, Nomafrench" sort="Mbombo, Nomafrench" uniqKey="Mbombo N" first="Nomafrench" last="Mbombo">Nomafrench Mbombo</name></author><author><name sortKey="Doherty, Tanya" sort="Doherty, Tanya" uniqKey="Doherty T" first="Tanya" last="Doherty">Tanya Doherty</name></author><author><name sortKey="Wigton, Alyssa" sort="Wigton, Alyssa" uniqKey="Wigton A" first="Alyssa" last="Wigton">Alyssa Wigton</name></author><author><name sortKey="Treger, Latasha" sort="Treger, Latasha" uniqKey="Treger L" first="Latasha" last="Treger">Latasha Treger</name></author><author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:85C754BCB006E87149D1DF9A73E569831E966852</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1016/j.jmwh.2007.03.016</idno><idno type="url">https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002B65</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002B65</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title><author><name sortKey="Tlebere, Pulani" sort="Tlebere, Pulani" uniqKey="Tlebere P" first="Pulani" last="Tlebere">Pulani Tlebere</name></author><author><name sortKey="Jackson, Debra" sort="Jackson, Debra" uniqKey="Jackson D" first="Debra" last="Jackson">Debra Jackson</name><affiliation><mods:affiliation>E-mail: bessrfam@iafrica.com</mods:affiliation></affiliation></author><author><name sortKey="Loveday, Marian" sort="Loveday, Marian" uniqKey="Loveday M" first="Marian" last="Loveday">Marian Loveday</name></author><author><name sortKey="Matizirofa, Lyness" sort="Matizirofa, Lyness" uniqKey="Matizirofa L" first="Lyness" last="Matizirofa">Lyness Matizirofa</name></author><author><name sortKey="Mbombo, Nomafrench" sort="Mbombo, Nomafrench" uniqKey="Mbombo N" first="Nomafrench" last="Mbombo">Nomafrench Mbombo</name></author><author><name sortKey="Doherty, Tanya" sort="Doherty, Tanya" uniqKey="Doherty T" first="Tanya" last="Doherty">Tanya Doherty</name></author><author><name sortKey="Wigton, Alyssa" sort="Wigton, Alyssa" uniqKey="Wigton A" first="Alyssa" last="Wigton">Alyssa Wigton</name></author><author><name sortKey="Treger, Latasha" sort="Treger, Latasha" uniqKey="Treger L" first="Latasha" last="Treger">Latasha Treger</name></author><author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name></author></analytic><monogr></monogr><series><title level="j" type="main">The Journal of Midwifery & Womens Health</title><title level="j" type="alt">THE JOURNAL OF MIDWIFERY AND WOMENS HEALTH</title><idno type="ISSN">1526-9523</idno><idno type="eISSN">1542-2011</idno><imprint><biblScope unit="vol">52</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="342">342</biblScope><biblScope unit="page" to="350">350</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-07-08">2007-07-08</date></imprint><idno type="ISSN">1526-9523</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1526-9523</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alyssa wigton</term><term>American college</term><term>Antenatal</term><term>Antenatal care</term><term>Antenatal clinic</term><term>Antiretroviral therapy</term><term>Antiretroviral treatment</term><term>Associate professor</term><term>Autopsy</term><term>Avoidable factors</term><term>Beoc facilities</term><term>Better utilization</term><term>Birth outcomes</term><term>Case studies</term><term>Clinic</term><term>Cohort</term><term>Cohort study</term><term>Community health workers</term><term>Debra jackson</term><term>Disease control</term><term>Doctoral student</term><term>Family members</term><term>Further dichotomized</term><term>Gynaecol obstet</term><term>Health care</term><term>Health facility</term><term>Health providers</term><term>Health services</term><term>Health staff</term><term>Health systems trust</term><term>Infant</term><term>Infant death</term><term>Infant deaths</term><term>Infant mortality</term><term>Infant services</term><term>International development</term><term>Latasha treger</term><term>Local solutions</term><term>Lyness matizirofa</term><term>Major issue</term><term>Marian loveday</term><term>Maternal</term><term>Maternal child</term><term>Maternal death</term><term>Maternal deaths</term><term>Maternal health services</term><term>Maternal mortality</term><term>Maternity</term><term>Maternity care</term><term>Maternity services</term><term>Mickey chopra</term><term>Midwifery</term><term>Midwifery health</term><term>Nancial resources</term><term>National department</term><term>Neonatal</term><term>Neonatal care</term><term>Newborn health</term><term>Newborn services</term><term>Nomafrench mbombo</term><term>Nutrition directorate</term><term>Obstetric</term><term>Obstetric care</term><term>Other studies</term><term>Overall estimates</term><term>Paarl</term><term>Particular focus</term><term>Pmtct</term><term>Pmtct cohort study</term><term>Pmtct cohort study mothers</term><term>Poor quality</term><term>Poorer utilization</term><term>Pregnant women</term><term>Provider</term><term>Public health</term><term>Qualitative case studies</term><term>Qualitative interview</term><term>Recent report</term><term>Rietvlei</term><term>Safe motherhood</term><term>Sample size</term><term>Semistructured</term><term>Semistructured household interviews</term><term>Semistructured interviews</term><term>Situation analysis</term><term>Skilled attendance</term><term>Skilled attendant</term><term>Small sample size</term><term>Socioeconomic data</term><term>Study sites</term><term>Support groups</term><term>Tanya doherty</term><term>Total number</term><term>Traditional healer</term><term>Umlazi</term><term>Untapped resource</term><term>Utilization</term><term>Utilization score</term><term>Verbal autopsy</term><term>Western cape</term><term>World health organization</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alyssa wigton</term><term>American college</term><term>Antenatal</term><term>Antenatal care</term><term>Antenatal clinic</term><term>Antiretroviral therapy</term><term>Antiretroviral treatment</term><term>Associate professor</term><term>Autopsy</term><term>Avoidable factors</term><term>Beoc facilities</term><term>Better utilization</term><term>Birth outcomes</term><term>Case studies</term><term>Clinic</term><term>Cohort</term><term>Cohort study</term><term>Community health workers</term><term>Debra jackson</term><term>Disease control</term><term>Doctoral student</term><term>Family members</term><term>Further dichotomized</term><term>Gynaecol obstet</term><term>Health care</term><term>Health facility</term><term>Health providers</term><term>Health services</term><term>Health staff</term><term>Health systems trust</term><term>Infant</term><term>Infant death</term><term>Infant deaths</term><term>Infant mortality</term><term>Infant services</term><term>International development</term><term>Latasha treger</term><term>Local solutions</term><term>Lyness matizirofa</term><term>Major issue</term><term>Marian loveday</term><term>Maternal</term><term>Maternal child</term><term>Maternal death</term><term>Maternal deaths</term><term>Maternal health services</term><term>Maternal mortality</term><term>Maternity</term><term>Maternity care</term><term>Maternity services</term><term>Mickey chopra</term><term>Midwifery</term><term>Midwifery health</term><term>Nancial resources</term><term>National department</term><term>Neonatal</term><term>Neonatal care</term><term>Newborn health</term><term>Newborn services</term><term>Nomafrench mbombo</term><term>Nutrition directorate</term><term>Obstetric</term><term>Obstetric care</term><term>Other studies</term><term>Overall estimates</term><term>Paarl</term><term>Particular focus</term><term>Pmtct</term><term>Pmtct cohort study</term><term>Pmtct cohort study mothers</term><term>Poor quality</term><term>Poorer utilization</term><term>Pregnant women</term><term>Provider</term><term>Public health</term><term>Qualitative case studies</term><term>Qualitative interview</term><term>Recent report</term><term>Rietvlei</term><term>Safe motherhood</term><term>Sample size</term><term>Semistructured</term><term>Semistructured household interviews</term><term>Semistructured interviews</term><term>Situation analysis</term><term>Skilled attendance</term><term>Skilled attendant</term><term>Small sample size</term><term>Socioeconomic data</term><term>Study sites</term><term>Support groups</term><term>Tanya doherty</term><term>Total number</term><term>Traditional healer</term><term>Umlazi</term><term>Untapped resource</term><term>Utilization</term><term>Utilization score</term><term>Verbal autopsy</term><term>Western cape</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>antenatal</json:string><json:string>pmtct</json:string><json:string>semistructured</json:string><json:string>maternity</json:string><json:string>cohort</json:string><json:string>maternal mortality</json:string><json:string>world health organization</json:string><json:string>rietvlei</json:string><json:string>provider</json:string><json:string>paarl</json:string><json:string>antenatal care</json:string><json:string>maternal deaths</json:string><json:string>obstetric</json:string><json:string>umlazi</json:string><json:string>infant deaths</json:string><json:string>public health</json:string><json:string>midwifery</json:string><json:string>pmtct cohort study</json:string><json:string>case studies</json:string><json:string>maternal</json:string><json:string>western cape</json:string><json:string>utilization score</json:string><json:string>semistructured interviews</json:string><json:string>maternal health services</json:string><json:string>obstetric care</json:string><json:string>health services</json:string><json:string>health providers</json:string><json:string>family members</json:string><json:string>disease control</json:string><json:string>maternity services</json:string><json:string>associate professor</json:string><json:string>situation analysis</json:string><json:string>better utilization</json:string><json:string>national department</json:string><json:string>qualitative case studies</json:string><json:string>pregnant women</json:string><json:string>neonatal</json:string><json:string>health systems trust</json:string><json:string>community health workers</json:string><json:string>semistructured household interviews</json:string><json:string>infant death</json:string><json:string>maternal death</json:string><json:string>total number</json:string><json:string>cohort study</json:string><json:string>newborn services</json:string><json:string>maternity care</json:string><json:string>health care</json:string><json:string>health staff</json:string><json:string>midwifery health</json:string><json:string>infant mortality</json:string><json:string>autopsy</json:string><json:string>clinic</json:string><json:string>lyness matizirofa</json:string><json:string>doctoral student</json:string><json:string>international development</json:string><json:string>nomafrench mbombo</json:string><json:string>tanya doherty</json:string><json:string>recent report</json:string><json:string>alyssa wigton</json:string><json:string>antenatal clinic</json:string><json:string>sample size</json:string><json:string>latasha treger</json:string><json:string>qualitative interview</json:string><json:string>major issue</json:string><json:string>pmtct cohort study mothers</json:string><json:string>nutrition directorate</json:string><json:string>safe motherhood</json:string><json:string>verbal autopsy</json:string><json:string>mickey chopra</json:string><json:string>untapped resource</json:string><json:string>infant services</json:string><json:string>particular focus</json:string><json:string>poorer utilization</json:string><json:string>further dichotomized</json:string><json:string>gynaecol obstet</json:string><json:string>neonatal care</json:string><json:string>american college</json:string><json:string>nancial resources</json:string><json:string>socioeconomic data</json:string><json:string>health facility</json:string><json:string>birth outcomes</json:string><json:string>traditional healer</json:string><json:string>avoidable factors</json:string><json:string>poor quality</json:string><json:string>debra jackson</json:string><json:string>skilled attendance</json:string><json:string>skilled attendant</json:string><json:string>beoc facilities</json:string><json:string>local solutions</json:string><json:string>other studies</json:string><json:string>support groups</json:string><json:string>antiretroviral treatment</json:string><json:string>newborn health</json:string><json:string>small sample size</json:string><json:string>overall estimates</json:string><json:string>study sites</json:string><json:string>antiretroviral therapy</json:string><json:string>marian loveday</json:string><json:string>maternal child</json:string><json:string>infant</json:string><json:string>utilization</json:string></teeft></keywords><author><json:item><name>Pulani Tlebere MBChB, MMed</name></json:item><json:item><name>Debra Jackson RNC, MPH, DSc</name><affiliations><json:string>E-mail: bessrfam@iafrica.com</json:string></affiliations></json:item><json:item><name>Marian Loveday BSc, MPhil</name></json:item><json:item><name>Lyness Matizirofa BSc, MSc</name></json:item><json:item><name>Nomafrench Mbombo MCur, PhD</name></json:item><json:item><name>Tanya Doherty BCur, MPH, PhD</name></json:item><json:item><name>Alyssa Wigton MHS, MSc</name></json:item><json:item><name>Latasha Treger MPH</name></json:item><json:item><name>Mickey Chopra MSc, BMed</name></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>HIV/AIDS</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>infant mortality</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>maternity care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>maternal mortality</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neonatal follow‐up</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>postpartum care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>situation analysis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>utilization of health services</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>verbal autopsy</value></json:item></subject><articleId><json:string>JMWH4554</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>miscellaneous</json:string></originalGenre><abstract>This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.</abstract><qualityIndicators><score>7.768</score><pdfVersion>1.4</pdfVersion><pdfPageSize>576 x 774 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1355</abstractCharCount><pdfWordCount>6072</pdfWordCount><pdfCharCount>39658</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>189</abstractWordCount></qualityIndicators><title>Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title><genre><json:string>other</json:string></genre><host><title>The Journal of Midwifery & Womens Health</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1542-2011</json:string></doi><issn><json:string>1526-9523</json:string></issn><eissn><json:string>1542-2011</json:string></eissn><publisherId><json:string>JMWH</json:string></publisherId><volume>52</volume><issue>4</issue><pages><first>342</first><last>350</last><total>9</total></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>social science</json:string><json:string>nursing</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>obstetrics & reproductive medicine</json:string></scienceMetrix><inist><json:string>sciences humaines et sociales</json:string></inist></categories><publicationDate>2007</publicationDate><copyrightDate>2007</copyrightDate><doi><json:string>10.1016/j.jmwh.2007.03.016</json:string></doi><id>85C754BCB006E87149D1DF9A73E569831E966852</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>2007 American College of Nurse Midwives</licence></availability><date type="published" when="2007-07-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="other" source="miscellaneous" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-7474895G-0">other</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="other"><analytic><title level="a" type="main">Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title><author xml:id="author-0000"><persName><forename type="first">Pulani</forename><surname>Tlebere</surname><roleName type="degree">MBChB, MMed</roleName></persName></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Debra</forename><surname>Jackson</surname><roleName type="degree">RNC, MPH, DSc</roleName></persName><affiliation>Address correspondence to Debra J. Jackson, RNC, MPH, DSc, Associate Professor, School of Public Health, University of the Western Cape, PB X17, Bellville, South Africa, 7535. E‐mail: bessrfam@iafrica.com</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Marian</forename><surname>Loveday</surname><roleName type="degree">BSc, MPhil</roleName></persName></author><author xml:id="author-0003"><persName><forename type="first">Lyness</forename><surname>Matizirofa</surname><roleName type="degree">BSc, MSc</roleName></persName></author><author xml:id="author-0004"><persName><forename type="first">Nomafrench</forename><surname>Mbombo</surname><roleName type="degree">MCur, PhD</roleName></persName></author><author xml:id="author-0005"><persName><forename type="first">Tanya</forename><surname>Doherty</surname><roleName type="degree">BCur, MPH, PhD</roleName></persName></author><author xml:id="author-0006"><persName><forename type="first">Alyssa</forename><surname>Wigton</surname><roleName type="degree">MHS, MSc</roleName></persName></author><author xml:id="author-0007"><persName><forename type="first">Latasha</forename><surname>Treger</surname><roleName type="degree">MPH</roleName></persName></author><author xml:id="author-0008"><persName><forename type="first">Mickey</forename><surname>Chopra</surname><roleName type="degree">MSc, BMed</roleName></persName></author><idno type="istex">85C754BCB006E87149D1DF9A73E569831E966852</idno><idno type="ark">ark:/67375/WNG-8T311RRJ-Z</idno><idno type="DOI">10.1016/j.jmwh.2007.03.016</idno><idno type="unit">JMWH4554</idno><idno type="toTypesetVersion">file:JMWH.JMWH4554.pdf</idno></analytic><monogr><title level="j" type="main">The Journal of Midwifery & Womens Health</title><title level="j" type="alt">THE JOURNAL OF MIDWIFERY AND WOMENS HEALTH</title><idno type="pISSN">1526-9523</idno><idno type="eISSN">1542-2011</idno><idno type="book-DOI">10.1111/(ISSN)1542-2011</idno><idno type="book-part-DOI">10.1111/jmwh.2007.52.issue-4</idno><idno type="product">JMWH</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">52</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="342">342</biblScope><biblScope unit="page" to="350">350</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-07-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">HIV/AIDS</term><term xml:id="k2">infant mortality</term><term xml:id="k3">maternity care</term><term xml:id="k4">maternal mortality</term><term xml:id="k5">neonatal follow‐up</term><term xml:id="k6">postpartum care</term><term xml:id="k7">situation analysis</term><term xml:id="k8">utilization of health services</term><term xml:id="k9">verbal autopsy</term></keywords><keywords rend="tocHeading1"><term>Features</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1542-2011</doi><issn type="print">1526-9523</issn><issn type="electronic">1542-2011</issn><idGroup><id type="product" value="JMWH"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="THE JOURNAL OF MIDWIFERY AND WOMENS HEALTH">The Journal of Midwifery & Womens Health</title></titleGroup></publicationMeta><publicationMeta level="part" position="07104"><doi origin="wiley">10.1111/jmwh.2007.52.issue-4</doi><numberingGroup><numbering type="journalVolume" number="52">52</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2007-07-08">July‐August 2007</coverDate></publicationMeta><publicationMeta level="unit" type="miscellaneous" position="4" status="forIssue"><doi origin="wiley">10.1016/j.jmwh.2007.03.016</doi><idGroup><id type="unit" value="JMWH4554"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Features</title></titleGroup><copyright>2007 American College of Nurse Midwives</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.7 mode:FullText" date="2011-03-14"></event><event type="publishedOnlineFinalForm" date="2010-12-24"></event><event type="firstOnline" date="2010-12-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="342">342</numbering><numbering type="pageLast" number="350">350</numbering></numberingGroup><correspondenceTo> Address correspondence to Debra J. Jackson, RNC, MPH, DSc, Associate Professor, School of Public Health, University of the Western Cape, PB X17, Bellville, South Africa, 7535. E‐mail: <email>bessrfam@iafrica.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JMWH.JMWH4554.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="31"></count><count type="linksCrossRef" number="69"></count></countGroup><titleGroup><title type="main">Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" noteRef="#fn1"><personName><givenNames>Pulani</givenNames><familyName>Tlebere</familyName><degrees>MBChB, MMed</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" noteRef="#fn2" corresponding="yes"><personName><givenNames>Debra</givenNames><familyName>Jackson</familyName><degrees>RNC, MPH, DSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" noteRef="#fn3"><personName><givenNames>Marian</givenNames><familyName>Loveday</familyName><degrees>BSc, MPhil</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" noteRef="#fn4"><personName><givenNames>Lyness</givenNames><familyName>Matizirofa</familyName><degrees>BSc, MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" noteRef="#fn5"><personName><givenNames>Nomafrench</givenNames><familyName>Mbombo</familyName><degrees>MCur, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" noteRef="#fn6"><personName><givenNames>Tanya</givenNames><familyName>Doherty</familyName><degrees>BCur, MPH, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr7" noteRef="#fn7"><personName><givenNames>Alyssa</givenNames><familyName>Wigton</familyName><degrees>MHS, MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr8" noteRef="#fn8"><personName><givenNames>Latasha</givenNames><familyName>Treger</familyName><degrees>MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr9" noteRef="#fn9"><personName><givenNames>Mickey</givenNames><familyName>Chopra</familyName><degrees>MSc, BMed</degrees></personName></creator></creators><keywordGroup xml:lang="en"><keyword xml:id="k1">HIV/AIDS</keyword><keyword xml:id="k2">infant mortality</keyword><keyword xml:id="k3">maternity care</keyword><keyword xml:id="k4">maternal mortality</keyword><keyword xml:id="k5">neonatal follow‐up</keyword><keyword xml:id="k6">postpartum care</keyword><keyword xml:id="k7">situation analysis</keyword><keyword xml:id="k8">utilization of health services</keyword><keyword xml:id="k9">verbal autopsy</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Pulani Tlebere, MBChB, MMed, is an obstetrician/gynecologist and is Senior Program Officer for the United Nations Population Fund (UNFPA) Regional Directors Team, South Africa. She was Senior Specialist in the Women's Health and Genetics Directorate of the Maternal Child and Women's Health and Nutrition Cluster at the National Department of Health, South Africa, during completion of this study.</p></note><note xml:id="fn2"><p>Debra Jackson, RNC, MPH, DSc, is a NCC‐certified neonatal intensive care nurse and Associate Professor in the School of Public Health, University of the Western Cape, South Africa.</p></note><note xml:id="fn3"><p>Marian Loveday, BSc, MPhil, is a Researcher at the Health Systems Trust, South Africa.</p></note><note xml:id="fn4"><p>Lyness Matizirofa, BSc, MSc, is a doctoral student in the Statistics Department, University of the Western Cape, South Africa.</p></note><note xml:id="fn5"><p>Nomafrench Mbombo, MCur, PhD, is a nurse midwife and Associate Professor in the School of Nursing, University of the Western Cape, South Africa.</p></note><note xml:id="fn6"><p>Tanya Doherty, BCur, MPH, PhD, is nurse and a Senior Researcher at the Health Systems Trust and Medical Research Council, South Africa.</p></note><note xml:id="fn7"><p>Alyssa Wigton, MHS, MSc, is doctoral student at the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.</p></note><note xml:id="fn8"><p>Latasha Treger, MPH, is a Project Officer at the U.S. Centers for Disease Control and Prevention, South Africa.</p></note><note xml:id="fn9"><p>Mickey Chopra, MSc, BMed, is the Director of the Health Systems Research Unit, South African Medical Research Council and Associate Professor in the School of Public Health, University of the Western Cape, South Africa.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services</title></titleInfo><name type="personal"><namePart type="given">Pulani</namePart><namePart type="family">Tlebere</namePart><namePart type="termsOfAddress">MBChB, MMed</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Debra</namePart><namePart type="family">Jackson</namePart><namePart type="termsOfAddress">RNC, MPH, DSc</namePart><affiliation>E-mail: bessrfam@iafrica.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marian</namePart><namePart type="family">Loveday</namePart><namePart type="termsOfAddress">BSc, MPhil</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lyness</namePart><namePart type="family">Matizirofa</namePart><namePart type="termsOfAddress">BSc, MSc</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nomafrench</namePart><namePart type="family">Mbombo</namePart><namePart type="termsOfAddress">MCur, PhD</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tanya</namePart><namePart type="family">Doherty</namePart><namePart type="termsOfAddress">BCur, MPH, PhD</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alyssa</namePart><namePart type="family">Wigton</namePart><namePart type="termsOfAddress">MHS, MSc</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Latasha</namePart><namePart type="family">Treger</namePart><namePart type="termsOfAddress">MPH</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mickey</namePart><namePart type="family">Chopra</namePart><namePart type="termsOfAddress">MSc, BMed</namePart><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="miscellaneous" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-07-08</dateIssued><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">4</extent><extent unit="formulas">0</extent><extent unit="references">31</extent><extent unit="linksCrossRef">69</extent></physicalDescription><abstract lang="en">This community situational analysis determined factors impacting the utilization of maternal health services in South Africa. Quantitative and qualitative research methods were used, including semistructured household interviews, case studies of women with no antenatal care and/or home birth, and verbal/social autopsies of maternal and infant deaths, conducted in three diverse sites across the country. Data analysis used quantitative statistics for the semistructured interviews and a qualitative thematic content approach for the case studies and verbal/social autopsies. Each component was analyzed separately and then triangulated. The following themes emerged: 1) transport and distance to care were the biggest problems, particularly in rural areas; 2) providers' communication with families was very poor; 3) health‐seeking behavior was better than anticipated; 4) treatment by health providers and quality of care showed mixed results; 5) HIV/AIDS is a major issue; however, basic maternity and neonatal service quality cannot be overlooked; and 6) families and communities are an untapped resource for improving maternal and neonatal health. Implications for maternal and infant health care in developing countries are discussed, with a particular focus on barriers to utilization and involvement of communities and families in maternity care.</abstract><subject lang="en"><genre>keywords</genre><topic>HIV/AIDS</topic><topic>infant mortality</topic><topic>maternity care</topic><topic>maternal mortality</topic><topic>neonatal follow‐up</topic><topic>postpartum care</topic><topic>situation analysis</topic><topic>utilization of health services</topic><topic>verbal autopsy</topic></subject><relatedItem type="host"><titleInfo><title>The Journal of Midwifery & Womens Health</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1526-9523</identifier><identifier type="eISSN">1542-2011</identifier><identifier type="DOI">10.1111/(ISSN)1542-2011</identifier><identifier type="PublisherID">JMWH</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>52</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>342</start><end>350</end><total>9</total></extent></part></relatedItem><identifier type="istex">85C754BCB006E87149D1DF9A73E569831E966852</identifier><identifier type="ark">ark:/67375/WNG-8T311RRJ-Z</identifier><identifier type="DOI">10.1016/j.jmwh.2007.03.016</identifier><identifier type="ArticleID">JMWH4554</identifier><accessCondition type="use and reproduction" contentType="copyright">2007 American College of Nurse Midwives</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/85C754BCB006E87149D1DF9A73E569831E966852/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002B65 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 002B65 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:85C754BCB006E87149D1DF9A73E569831E966852
|texte= Community‐Based Situation Analysis of Maternal and Neonatal Care in South Africa to Explore Factors that Impact Utilization of Maternal Health Services
}}
| This area was generated with Dilib version V0.6.32. |  |