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Maternal health care-seeking behaviour of married adolescent girls: a prospective qualitative study in Banke District, Nepal. / Shahabuddin, A. S. M.; Delvaux, Therese; Nöstlinger, Christiana; Sarker, Malabika; Bardaji, Azucena; Sharkey, Alyssa; Adhikari, Ramesh; Koirala, Sushil; Rahman, Md Asadur; Mridha, Tahrima; Broerse, Jacqueline E. W.; De Brouwere, Vincent.

In: PLoS ONE, Vol. 14, Nr. 6, 0217968, 2019.

Onderzoeksoutput: Bijdrage aan tijdschriftA1: Web of Science-artikelOnderzoekpeer review

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Shahabuddin, ASM, Delvaux, T, Nöstlinger, C, Sarker, M, Bardaji, A, Sharkey, A, Adhikari, R, Koirala, S, Rahman, MA, Mridha, T, Broerse, JEW & De Brouwere, V 2019, 'Maternal health care-seeking behaviour of married adolescent girls: a prospective qualitative study in Banke District, Nepal' PLoS ONE, vol. 14, nr. 6, 0217968. https://doi.org/10.1371/journal.pone.0217968

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Author

Shahabuddin, A. S. M. ; Delvaux, Therese ; Nöstlinger, Christiana ; Sarker, Malabika ; Bardaji, Azucena ; Sharkey, Alyssa ; Adhikari, Ramesh ; Koirala, Sushil ; Rahman, Md Asadur ; Mridha, Tahrima ; Broerse, Jacqueline E. W. ; De Brouwere, Vincent. / Maternal health care-seeking behaviour of married adolescent girls: a prospective qualitative study in Banke District, Nepal. In: PLoS ONE. 2019 ; Vol. 14, Nr. 6.

BibTeX

@article{683f2d6e53194a57bc43e049509859a1,
title = "Maternal health care-seeking behaviour of married adolescent girls: a prospective qualitative study in Banke District, Nepal",
abstract = "BackgroundNepal has one of the highest rates of maternal mortality in the South Asia region, partly due to the underutilization of maternal health services and the high number of adolescent pregnancies. This study explores married Nepali adolescent girls' healthcare-seeking behaviour throughout their pregnancies, during their delivery and postpartum.MethodsWe conducted a prospective qualitative study in Banke district, Nepal. In-depth interviews were conducted with 27 married adolescent girls before and after delivery. In addition, a focus group discussion was conducted with community health works and key-informant interviews were conducted with family members of adolescent girls, representatives from the government and health care providers. We applied the Social-Ecological Model (SEM) as a framework to guide thematic content analysis and presentation of our qualitative data.ResultsSeveral factors in the SEM influenced maternal health care-seeking behaviour of adolescents. At the individual level, girls' perceptions, their lack of knowledge about maternal and reproductive health, certain traditional practices, their sole dependency on their husbands and mothers-in-laws and their low decision-making autonomy towards their own health care negatively influenced their utilization of skilled maternal health services. Mothers-in-law and other family members played a critical role in either encouraging or discouraging the use of skilled maternal health services. At the health systems level, lack of adolescent-friendly maternal health services, difficulties in accessing quality maternal health services, and the fixed operating hours of public health facilities restricted their ability to obtain services. The existence of the Safe Motherhood Programme, knowledge sharing platforms such as {"}women's groups{"} and the active role of Female Community Health Volunteers (FCHVs) positively influenced utilization of skilled maternal health services among these girls.ConclusionInfluences on married adolescent girls' use of skilled maternal health services in Banke District, Nepal were multi-factoral. Ensuring easy access and availability of adolescent-friendly maternal health services are important to encourage adolescent girls to use skilled maternal health services. Moreover, interventions are needed to improve adolescent girls' knowledge of maternal health, keep them in school, involve family members (mainly mothers-in-law) in health interventions, as well as overcome negative traditional beliefs within the community that discourage care-seeking for skilled maternal health services.",
keywords = "SERVICES, BANGLADESH, PREGNANCY, FACILITIES, MORTALITY, AUTONOMY, ACCESS, CLUB",
author = "Shahabuddin, {A. S. M.} and Therese Delvaux and Christiana N{\"o}stlinger and Malabika Sarker and Azucena Bardaji and Alyssa Sharkey and Ramesh Adhikari and Sushil Koirala and Rahman, {Md Asadur} and Tahrima Mridha and Broerse, {Jacqueline E. W.} and {De Brouwere}, Vincent",
note = "CPDF",
year = "2019",
doi = "10.1371/journal.pone.0217968",
language = "English",
volume = "14",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "6",

}

RIS

TY - JOUR

T1 - Maternal health care-seeking behaviour of married adolescent girls: a prospective qualitative study in Banke District, Nepal

AU - Shahabuddin, A. S. M.

AU - Delvaux, Therese

AU - Nöstlinger, Christiana

AU - Sarker, Malabika

AU - Bardaji, Azucena

AU - Sharkey, Alyssa

AU - Adhikari, Ramesh

AU - Koirala, Sushil

AU - Rahman, Md Asadur

AU - Mridha, Tahrima

AU - Broerse, Jacqueline E. W.

AU - De Brouwere, Vincent

N1 - CPDF

PY - 2019

Y1 - 2019

N2 - BackgroundNepal has one of the highest rates of maternal mortality in the South Asia region, partly due to the underutilization of maternal health services and the high number of adolescent pregnancies. This study explores married Nepali adolescent girls' healthcare-seeking behaviour throughout their pregnancies, during their delivery and postpartum.MethodsWe conducted a prospective qualitative study in Banke district, Nepal. In-depth interviews were conducted with 27 married adolescent girls before and after delivery. In addition, a focus group discussion was conducted with community health works and key-informant interviews were conducted with family members of adolescent girls, representatives from the government and health care providers. We applied the Social-Ecological Model (SEM) as a framework to guide thematic content analysis and presentation of our qualitative data.ResultsSeveral factors in the SEM influenced maternal health care-seeking behaviour of adolescents. At the individual level, girls' perceptions, their lack of knowledge about maternal and reproductive health, certain traditional practices, their sole dependency on their husbands and mothers-in-laws and their low decision-making autonomy towards their own health care negatively influenced their utilization of skilled maternal health services. Mothers-in-law and other family members played a critical role in either encouraging or discouraging the use of skilled maternal health services. At the health systems level, lack of adolescent-friendly maternal health services, difficulties in accessing quality maternal health services, and the fixed operating hours of public health facilities restricted their ability to obtain services. The existence of the Safe Motherhood Programme, knowledge sharing platforms such as "women's groups" and the active role of Female Community Health Volunteers (FCHVs) positively influenced utilization of skilled maternal health services among these girls.ConclusionInfluences on married adolescent girls' use of skilled maternal health services in Banke District, Nepal were multi-factoral. Ensuring easy access and availability of adolescent-friendly maternal health services are important to encourage adolescent girls to use skilled maternal health services. Moreover, interventions are needed to improve adolescent girls' knowledge of maternal health, keep them in school, involve family members (mainly mothers-in-law) in health interventions, as well as overcome negative traditional beliefs within the community that discourage care-seeking for skilled maternal health services.

AB - BackgroundNepal has one of the highest rates of maternal mortality in the South Asia region, partly due to the underutilization of maternal health services and the high number of adolescent pregnancies. This study explores married Nepali adolescent girls' healthcare-seeking behaviour throughout their pregnancies, during their delivery and postpartum.MethodsWe conducted a prospective qualitative study in Banke district, Nepal. In-depth interviews were conducted with 27 married adolescent girls before and after delivery. In addition, a focus group discussion was conducted with community health works and key-informant interviews were conducted with family members of adolescent girls, representatives from the government and health care providers. We applied the Social-Ecological Model (SEM) as a framework to guide thematic content analysis and presentation of our qualitative data.ResultsSeveral factors in the SEM influenced maternal health care-seeking behaviour of adolescents. At the individual level, girls' perceptions, their lack of knowledge about maternal and reproductive health, certain traditional practices, their sole dependency on their husbands and mothers-in-laws and their low decision-making autonomy towards their own health care negatively influenced their utilization of skilled maternal health services. Mothers-in-law and other family members played a critical role in either encouraging or discouraging the use of skilled maternal health services. At the health systems level, lack of adolescent-friendly maternal health services, difficulties in accessing quality maternal health services, and the fixed operating hours of public health facilities restricted their ability to obtain services. The existence of the Safe Motherhood Programme, knowledge sharing platforms such as "women's groups" and the active role of Female Community Health Volunteers (FCHVs) positively influenced utilization of skilled maternal health services among these girls.ConclusionInfluences on married adolescent girls' use of skilled maternal health services in Banke District, Nepal were multi-factoral. Ensuring easy access and availability of adolescent-friendly maternal health services are important to encourage adolescent girls to use skilled maternal health services. Moreover, interventions are needed to improve adolescent girls' knowledge of maternal health, keep them in school, involve family members (mainly mothers-in-law) in health interventions, as well as overcome negative traditional beliefs within the community that discourage care-seeking for skilled maternal health services.

KW - SERVICES

KW - BANGLADESH

KW - PREGNANCY

KW - FACILITIES

KW - MORTALITY

KW - AUTONOMY

KW - ACCESS

KW - CLUB

U2 - 10.1371/journal.pone.0217968

DO - 10.1371/journal.pone.0217968

M3 - A1: Web of Science-article

VL - 14

JO - PLoS ONE

T2 - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 6

M1 - 0217968

ER -

ID: 3060879