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Utilization of maternal health care services in the department of Matagalpa, Nicaragua

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Date
2008
Author
Lubbock, Lindsey Ann
Stephenson, Rob B
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Abstract
OBJECTIVES: To better understand the individual and community factors and perceptions that influence women's health care-seeking behaviors during pregnancy in order to increase women's utilization of maternal health services. METHODS: This study investigates the logistical and sociocultural barriers influencing women's utilization of maternal health services through 37 semi-structured in-depth interviews with women from the department of Matagalpa, Nicaragua. RESULTS: Results reveal that delays in seeking health care during pregnancy are influenced not only by poor access to care and economic barriers but also by individual and community knowledge and acceptance of maternal health services. Partner support, previous maternal health care experiences, and the degree of communication with other women and health workers affect women's decisions to seek care. CONLUSIONS: Evidence suggests that in order to improve maternal health outcomes in this region, interventions must be targeted at a hierarchy of levels: individual, household, and community.(AU)
 
OBJETIVOS: Mejorar el conocimiento sobre las percepciones y los factores personales y comunitarios que influyen en la búsqueda de atención médica durante el embarazo, con vistas a aumentar la utilización de los servicios de salud materna. MÉTODOS: Mediante 37 entrevistas semiestructuradas en profundidad aplicadas a mujeres del departamento de Matagalpa, Nicaragua, se investigaron las barreras logísticas y socioculturales que influyen en la utilización de los servicios de salud materna. RESULTADOS: Los resultados muestran que sobre la demora en la búsqueda de atención sanitaria durante el embarazo influyeron no solo el escaso acceso y las barreas económicas, sino también el conocimiento individual y comunitario sobre los servicios de salud materna y su grado de aceptación. El apoyo de la pareja, el haber recibido atención médica durante embarazos previos y el grado de comunicación con otras mujeres y trabajadores sanitarios influyeron en la decisión de las embarazadas de buscar atención. CONCLUSIONES: Los datos indican que para mejorar la salud materna en esta región, las intervenciones se deben dirigir a diversos niveles: el individuo, el hogar y la comunidad.(AU)
 
Series
Rev Panam Salud Publica;24(2),ago.2008
Subject
Maternal Mortality; Maternal Health Services; Nicaragua; Mortalidad Materna; Servicios de salud materna; Nicaragua; Serviços de Saúde Materna; Cuidado Pré-Natal; Nicarágua; Adulto Jovem
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000800001
https://iris.paho.org/handle/10665.2/9949
Citation
Lubbock, Lindsey Ann,Stephenson, Rob B (2008) Utilization of maternal health care services in the department of Matagalpa, Nicaragua. Rev Panam Salud Publica;24(2) 75-84,ago.2008. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000800001
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  • Pan American Journal of Public Health

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