Can incentives reduce the barriers to use of antenatal care and delivery services in Kenya? Results of a qualitative inquiry

Details

• Alternative Title:
  J Health Care Poor Underserved
• Personal Author:
  Fleming, Eleanor ; Gaines, Joanna ; O’Connor, Katherine ; Ogutu, Judith ; Atieno, Nancy ; Atieno, Salimah ; Kamb, Mary L. ; Quick, Robert
• Description:
  A qualitative inquiry was used to assess if incentives consisting of a hygiene kit, protein-fortified flour, and delivery kit reduced barriers to antenatal care and delivery services in Nyanza Province, Kenya. We conducted 40 interviews (baseline: five nurses, six mothers, one focus group of five mothers; follow-up: nine nurses, 19 mothers) to assess perceptions of these services. Mothers and nurses identified poor quality of care, fear of HIV diagnosis and stigma, inadequate transport, and cost of care as barriers. Nurses believed incentives encouraged women to use services; mothers described wanting good birth outcomes as their motivation. While barriers to care did not change during the study, incentives may have increased service use. These findings suggest that structural improvements-upgraded infrastructure, adequate staffing, improved treatment of women by nurses, low or no-cost services, and provision of transport-could increase satisfaction with and use of services, improving maternal and infant health.
• Subjects:
  Delivery, Obstetric Female Health Expenditures Health Knowledge, Attitudes, Practice Health Services Accessibility HIV Infections Humans Kenya Maternal Health Services Mothers Motivation Nurses Patient Acceptance Of Health Care Patient Satisfaction Pregnancy Prenatal Care Qualitative Research Quality Of Health Care Syphilis Transportation Triazoles

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• Keywords:
  Maternal Health Services Prenatal Care Social Determinants Of Health Women’s Health
• Source:
  J Health Care Poor Underserved. 28(1):153-174
• Pubmed ID:
  28238994
• Pubmed Central ID:
  PMC5427715
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  Kenya
• Volume:
  28
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f5567eb7e0b4663f7ec6009c25e90208e93956f447785cacbb93d4fbb334f3de
• Download URL:
  https://stacks.cdc.gov/view/cdc/45684/cdc_45684_DS1.pdf
• File Type:
  [PDF - 126.84 KB ]