Factors influencing decision to seek health care: a qualitative study among labour-migrants' wives in northern Tajikistan.

Abstract:

BACKGROUND:This qualitative study aimed to investigate the health seeking behaviour of rural women in northern Tajikistan, with specific focus on antenatal and obstetric complications as a result of delayed access to health services. Due to the unprecedented level of labour migration among men in the border region of Tajikistan, Isfara, the study specifically focused on migrants' wives residing with their in-laws. METHODS:Using an adapted "Three delays" model which suggests three major causes of delayed access to maternity services - decision to seek care, reaching a healthcare facility and receiving necessary care - we conducted 29 in-depth interviews with labour migrants' wives, 16 semi-structured interviews with healthcare service providers and 2 focus-group discussions with 16 mothers-in-law in Isfara district. RESULTS:Our study demonstrated that the most crucial and conditioned factor of access to maternity services for labour migrants' wives is a decision to seek care. While reaching a healthcare facility (geographical accessibility, time and transportation costs) and receiving necessary care (availability of services, financial affordability and perceived quality of care) were rarely reported as obstacles towards timely access to maternity services, decision to seek care was found to be an intricate interplay of several factors: traditional gender and family roles (particularly in the absence of the husband), the age of the mother-in-law, cultural beliefs and perceptions about pregnancy and maternity, and widely spread myths about certain health conditions and services. CONCLUSIONS:Our study concludes that the traditional pattern of seeking health care among women in northern Tajikistan may often cause delays in accessing necessary maternity services and result in adverse health outcomes for women. We suggest that effective strategies to reduce maternal morbidity and mortality in rural Tajikistan should, along with strengthening healthcare structures, embark on community education and awareness raising with special focus on mothers-in-law and other traditional decision-makers in households.

authors

Nabieva J,Souares A

doi

10.1186/s12884-018-2166-6

subject

Has Abstract

pub_date

2019-01-07 00:00:00

pages

7

issue

1

issn

1471-2393

pii

10.1186/s12884-018-2166-6

journal_volume

19

pub_type

杂志文章
  • Risk factors and comorbidities associated with magnesium deficiency in pregnant women and women with hormone-related conditions: analysis of a large real-world dataset.

    abstract:BACKGROUND:An accumulating body of literature indicates that magnesium deficiency is associated with a number of hormone-related conditions (HRC) in women, and epidemiological studies are needed to assess its prevalence and risk factors. Here, we present a secondary analysis of data pooled from four large observational...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-021-03558-2

    authors: Orlova S,Dikke G,Pickering G,Yaltseva N,Konchits S,Starostin K,Bevz A

    更新日期:2021-01-22 00:00:00

  • Strategies for recruiting Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus.

    abstract:BACKGROUND:The purpose of this article was to describe effective strategies for recruitment of Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus (GDM). Although Hispanic women have two to four times the risk of developing GDM compared with non-Hispanic white wom...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-9-57

    authors: Chasan-Taber L,Fortner RT,Hastings V,Markenson G

    更新日期:2009-12-11 00:00:00

  • Factors associated with non-use of antenatal iron and folic acid supplements among Pakistani women: a cross sectional household survey.

    abstract:BACKGROUND:World Health Organization recommends a standard daily oral dose of iron and folic acid (IFA) supplements throughout pregnancy to begin as early as possible. The aim of the present study was to determine the prevalence of use of antenatal IFA supplements, and the socio-demographic factors associated with the ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-305

    authors: Nisar YB,Dibley MJ,Mir AM

    更新日期:2014-09-04 00:00:00

  • Assessing the quality of record keeping for cesarean deliveries: results from a multicenter retrospective record review in five low-income countries.

    abstract:BACKGROUND:Reliable, timely information is the foundation of decision making for functioning health systems; the quality of decision making rests on quality data. Routine monitoring, reporting, and review of cesarean section (CS) indications, decision-to-delivery intervals, and partograph use are important elements of ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-139

    authors: Landry E,Pett C,Fiorentino R,Ruminjo J,Mattison C

    更新日期:2014-04-12 00:00:00

  • Low dose aspirin in the prevention of recurrent spontaneous preterm labour - the APRIL study: a multicenter randomized placebo controlled trial.

    abstract:BACKGROUND:Preterm birth (birth before 37 weeks of gestation) is a major problem in obstetrics and affects an estimated 15 million pregnancies worldwide annually. A history of previous preterm birth is the strongest risk factor for preterm birth, and recurrent spontaneous preterm birth affects more than 2.5 million pre...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-017-1338-0

    authors: Visser L,de Boer MA,de Groot CJM,Nijman TAJ,Hemels MAC,Bloemenkamp KWM,Bosmans JE,Kok M,van Laar JO,Sueters M,Scheepers H,van Drongelen J,Franssen MTM,Sikkema JM,Duvekot HJJ,Bekker MN,van der Post JAM,Naaktgeboren C,M

    更新日期:2017-07-14 00:00:00

  • Are hypertensive disorders in pregnancy associated with congenital malformations in offspring? Evidence from the WHO Multicountry cross sectional survey on maternal and newborn health.

    abstract:BACKGROUND:Annually, around 7.9 million children are born with birth defects and the contribution of congenital malformations to neonatal mortality is generally high. Congenital malformations in children born to mothers with hypertensive disorders during pregnancy has marginally been explored. METHODS:Country incidenc...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0987-8

    authors: Bellizzi S,Ali MM,Abalos E,Betran AP,Kapila J,Pileggi-Castro C,Vogel JP,Merialdi M

    更新日期:2016-07-29 00:00:00

  • Progress in the utilization of antenatal and delivery care services in Bangladesh: where does the equity gap lie?

    abstract:BACKGROUND:Universal access to health care services does not automatically guarantee equity in the health system. In the post Millennium Development Goals (MDGs) era, the progress towards universal access to maternal health care services in a developing country, like Bangladesh requires an evaluation in terms of equity...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0970-4

    authors: Pulok MH,Sabah MN,Uddin J,Enemark U

    更新日期:2016-07-29 00:00:00

  • Multidisciplinary consensus on screening for, diagnosis and management of fetal growth restriction in the Netherlands.

    abstract:BACKGROUND:Screening for, diagnosis and management of intrauterine growth restriction (IUGR) is often performed in multidisciplinary collaboration. However, variation in screening methods, diagnosis and management of IUGR may lead to confusion. In the Netherlands two monodisciplinary guidelines on IUGR do not fully ali...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1513-3

    authors: Verfaille V,de Jonge A,Mokkink L,Westerneng M,van der Horst H,Jellema P,Franx A,IRIS study group.

    更新日期:2017-10-16 00:00:00

  • Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries.

    abstract:BACKGROUND:The perinatal period, i.e. pregnancy, childbirth and early infancy, is a significant transition period where the biological and the social strongly intersect. In low and middle-income countries the disease burden arising from the perinatal period, is still substantial. The perinatal period is also a crucial ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-0991-z

    authors: Raman S,Nicholls R,Ritchie J,Razee H,Shafiee S

    更新日期:2016-07-28 00:00:00

  • Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth.

    abstract:BACKGROUND:Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0990-0

    authors: Edqvist M,Blix E,Hegaard HK,Ólafsdottir OÁ,Hildingsson I,Ingversen K,Mollberg M,Lindgren H

    更新日期:2016-07-29 00:00:00

  • Screening for congenital fetal anomalies in low risk pregnancy: the Kenyatta National Hospital experience.

    abstract:BACKGROUND:Congenital malformations contribute significantly to the disease burden among children globally. A study conducted in Kenya on understanding the burden of surgical congenital anomalies, highlights the need for Kenyan health systems to go beyond the medical dimensions of illness. This could be achieved by lin...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-1824-z

    authors: Onyambu CK,Tharamba NM

    更新日期:2018-05-23 00:00:00

  • Women's psychosocial outcomes following an emergency caesarean section: A systematic literature review.

    abstract:BACKGROUND:Given the sudden and unexpected nature of an emergency caesarean section (EmCS) coupled with an increased risk of psychological distress, it is particularly important to understand the psychosocial outcomes for women. The aim of this systematic literature review was to identify, collate and examine the evide...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2687-7

    authors: Benton M,Salter A,Tape N,Wilkinson C,Turnbull D

    更新日期:2019-12-30 00:00:00

  • Infant nutrition in the first seven days of life in rural northern Ghana.

    abstract:BACKGROUND:Good nutrition is essential for increasing survival rates of infants. This study explored infant feeding practices in a resource-poor setting and assessed implications for future interventions focused on improving newborn health. METHODS:The study took place in the Kassena-Nankana District of the Upper East...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-12-76

    authors: Aborigo RA,Moyer CA,Rominski S,Adongo P,Williams J,Logonia G,Affah G,Hodgson A,Engmann C

    更新日期:2012-08-02 00:00:00

  • Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study.

    abstract:BACKGROUND:Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with GDM. METHODS:This w...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12884-019-2519-9

    authors: Lee KW,Ching SM,Hoo FK,Ramachandran V,Chong SC,Tusimin M,Mohd Nordin N

    更新日期:2019-10-21 00:00:00

  • Antibiotic prophylaxis for caesarean section at a Ugandan hospital: a randomised clinical trial evaluating the effect of administration time on the incidence of postoperative infections.

    abstract:BACKGROUND:Prophylactic antibiotics are used to prevent postoperative infections after caesarean section. Studies have suggested that the timing of prophylaxis plays an important role. Over the years, the role of the anaesthesiologist in the administration of prophylactic antibiotics has become prominent. Therefore, th...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12884-015-0514-3

    authors: Dlamini LD,Sekikubo M,Tumukunde J,Kojjo C,Ocen D,Wabule A,Kwizera A

    更新日期:2015-04-12 00:00:00

  • Multicystic encephalomalacia and gastrointestinal injury following single fetal death in first trimester and subsequent fetofetal transfusion syndrome in a monochorionic triplet pregnancy: a case report.

    abstract:BACKGROUND:Monochorionic multifetal pregnancies are at increased risk of adverse perinatal outcome because of placental vascular anastomoses. We present a case of multicystic encephalomalacia and gastrointestinal injury in two surviving fetuses following single fetal death in first trimester and subsequent fetofetal tr...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2459-4

    authors: So PL,Li KW,Yeung TW,Sin WK

    更新日期:2019-08-27 00:00:00

  • Perinatal health outcomes of East African immigrant populations in Victoria, Australia: a population based study.

    abstract:BACKGROUND:Sub-Saharan African women are often treated as a single group in epidemiological studies of immigrant birth outcomes, potentially masking variations across countries. METHODS:Cross-sectional population-based study of 432,567 singleton births in Victoria, Australia comparing mothers born in one of four East ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0886-z

    authors: Belihu FB,Davey MA,Small R

    更新日期:2016-04-26 00:00:00

  • Predictors of uterine rupture in a large sample of women in Senegal and Mali: cross-sectional analysis of QUARITE trial data.

    abstract:BACKGROUND:The purpose of this study was to investigate predictors of uterine rupture in a large sample of sub-Saharan African women. Uterine rupture is rare in high-income countries, but it is more common in low-income settings where health systems are often under-resourced. However, understanding of risk factors cont...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-018-2064-y

    authors: Delafield R,Pirkle CM,Dumont A

    更新日期:2018-11-01 00:00:00

  • An evaluation of the influence of the publication of the UK National Institute for health and Care Excellence's guidance on hypertension in pregnancy: a retrospective analysis of clinical practice.

    abstract:BACKGROUND:The UK National Institute for health and Care Excellence (NICE) publish guidance aimed at standardising practice. Evidence regarding how well recommendations are implemented and what clinicians think about guidance is limited. We aimed to establish the extent to which the NICE Hypertension in pregnancy (HIP)...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-2780-y

    authors: Farrar D,Tuffnell D,Sheldon TA

    更新日期:2020-02-12 00:00:00

  • Trends in newborn umbilical cord care practices in Sokoto and Bauchi States of Nigeria: the where, who, how, what and the ubiquitous role of traditional birth attendants: a lot quality assurance sampling survey.

    abstract:BACKGROUND:Neonatal infections caused by unsafe umbilical cord practices account for the majority of neonatal deaths in Nigeria. We examined the trends in umbilical cord care practices between 2012 and 2015 that coincided with the introduction of chlorhexidine digluconate 7.1% gel in Bauchi and Sokoto States. METHODS:...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1551-x

    authors: Abegunde D,Orobaton N,Beal K,Bassi A,Bamidele M,Akomolafe T,Ohanyido F,Umar-Farouk O,Danladi S

    更新日期:2017-11-09 00:00:00

  • The impact of tubal ectopic pregnancy in Papua New Guinea--a retrospective case review.

    abstract:BACKGROUND:Ectopic pregnancy (EP) is an important cause of morbidity and mortality amongst women of reproductive age. Tubal EP is well described in industrialised countries, but less is known about its impact in low-resource countries, in particular in the South Pacific Region. METHODS:We undertook a retrospective rev...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-86

    authors: Hamura NN,Bolnga JW,Wangnapi R,Horne AW,Rogerson SJ,Unger HW

    更新日期:2013-04-04 00:00:00

  • Decision-to-delivery interval of emergency cesarean section in Uganda: a retrospective cohort study.

    abstract:BACKGROUND:In many low and medium human development index countries, the rate of maternal and neonatal morbidity and mortality is high. One factor which may influence this is the decision-to-delivery interval of emergency cesarean section. We aimed to investigate the maternal risk factors, indications and decision-to-d...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03010-x

    authors: Hughes NJ,Namagembe I,Nakimuli A,Sekikubo M,Moffett A,Patient CJ,Aiken CE

    更新日期:2020-05-27 00:00:00

  • Geographical differences in perinatal health and child welfare in the Netherlands: rationale for the healthy pregnancy 4 all-2 program.

    abstract:BACKGROUND:Geographical inequalities in perinatal health and child welfare require attention. To improve the identification, and care, of mothers and young children at risk of adverse health outcomes, the HP4All-2 program was developed. The program consists of three studies, focusing on creating a continuum for risk se...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1425-2

    authors: Waelput AJM,Sijpkens MK,Lagendijk J,van Minde MRC,Raat H,Ernst-Smelt HE,de Kroon MLA,Rosman AN,Been JV,Bertens LCM,Steegers EAP

    更新日期:2017-08-01 00:00:00

  • Low level maternal smoking and infant birthweight reduction: genetic contributions of GSTT1 and GSTM1 polymorphisms.

    abstract:BACKGROUND:Genetic susceptibility to tobacco smoke might modify the effect of smoking on pregnancy outcomes. METHODS:We conducted a case-control study of 543 women who delivered singleton live births in Kaunas (Lithuania), examining the association between low-level tobacco smoke exposure (mean: 4.8 cigarettes/day) du...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-12-161

    authors: Danileviciute A,Grazuleviciene R,Paulauskas A,Nadisauskiene R,Nieuwenhuijsen MJ

    更新日期:2012-12-26 00:00:00

  • Antenatal health promotion via short message service at a Midwife Obstetrics Unit in South Africa: a mixed methods study.

    abstract:BACKGROUND:Adequate antenatal care is important to both the health of a pregnant woman and her unborn baby. Given South Africa's high rate of cellphone penetration, mobile health interventions have been touted as a potentially powerful means to disseminate health information. This study aimed to increase antenatal heal...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-284

    authors: Lau YK,Cassidy T,Hacking D,Brittain K,Haricharan HJ,Heap M

    更新日期:2014-08-21 00:00:00

  • Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy.

    abstract:BACKGROUND:Acute fatty liver of pregnancy (AFLP) is a potentially lethal condition of pregnant women with a high mortality rate. Potential predictors related to postpartum recovery time and prognostic factors of AFLP are still unclear. This study aimed to evaluate potential predictors for prognosis and postpartum recov...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03287-y

    authors: Chen J,Huang ZB,Fan XG,Hu XW,Qi M,Liao CJ,Long LY,Huang Y

    更新日期:2020-10-07 00:00:00

  • The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study.

    abstract:BACKGROUND:Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whethe...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2009-5

    authors: Woldetensay YK,Belachew T,Biesalski HK,Ghosh S,Lacruz ME,Scherbaum V,Kantelhardt EJ

    更新日期:2018-09-15 00:00:00

  • Seeking order amidst chaos: a systematic review of classification systems for causes of stillbirth and neonatal death, 2009-2014.

    abstract:BACKGROUND:Each year, about 5.3 million babies die in the perinatal period. Understanding of causes of death is critical for prevention, yet there is no globally acceptable classification system. Instead, many disparate systems have been developed and used. We aimed to identify all systems used or created between 2009 ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-1071-0

    authors: Leisher SH,Teoh Z,Reinebrant H,Allanson E,Blencowe H,Erwich JJ,Frøen JF,Gardosi J,Gordijn S,Gülmezoglu AM,Heazell AE,Korteweg F,Lawn J,McClure EM,Pattinson R,Smith GC,Tunçalp Ӧ,Wojcieszek AM,Flenady V

    更新日期:2016-10-05 00:00:00

  • Is minimally invasive parathyroid surgery an option for patients with gestational primary hyperparathyroidism?

    abstract:BACKGROUND:Gestational primary hyperparathyroidism is associated with serious maternal and neonatal complications, which require prompt surgical treatment. Minimally invasive parathyroidectomy reduces pain, improves cosmesis and may achieve cure rates comparable to traditional open bilateral neck exploration. We report...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-130

    authors: Bendinelli C,Nebauer S,Quach T,Mcgrath S,Acharya S

    更新日期:2013-06-11 00:00:00

  • 'We saw she was in danger, but couldn't do anything': Missed opportunities and health worker disempowerment during birth care in rural Burkina Faso.

    abstract:BACKGROUND:Facility-based births have been promoted as the main strategy to reduce maternal and neonatal death risks at global scale. To improve birth outcomes, it is critical that health facilities provide quality care. Using a framework to assess quality of care, this paper examines health workers' perceptions about ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1089-3

    authors: Melberg A,Diallo AH,Tylleskär T,Moland KM

    更新日期:2016-09-29 00:00:00