Details:

Alternative Title:
J Health Care Poor Underserved
Personal Author:
Fleming, Eleanor ; Gaines, Joanna ; O’Connor, Katherine ; Ogutu, Judith ; Atieno, Nancy ; ... More +
Fleming, Eleanor ; Gaines, Joanna ; O’Connor, Katherine ; Ogutu, Judith ; Atieno, Nancy ; Atieno, Salimah ; Kamb, Mary L. ; Quick, Robert ; Less -
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.
Subject:
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Article
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 HHS/United States ;
Place as Subject:
Kenya ;
Collection(s):
CDC Public Access
Main Document Checksum:
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urn:sha256:f5567eb7e0b4663f7ec6009c25e90208e93956f447785cacbb93d4fbb334f3de
File Type:

Supporting Files

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