Barriers to Access and Utilization of Maternal Health Care Services in District Quetta, Baluchistan

Authors

  • Farah Naseer PhD Scholar, Department of Sociology, University of Karachi
  • Prof. Dr Rana Saba Sultan Supervisor, Department of Sociology, University of Karachi

DOI:

https://doi.org/10.1234/pjlaw.v2i02.96

Keywords:

Barrier, Accessibility, Awareness, Utilization, Maternal Health Care Services

Abstract

High maternal mortality rates are a pressing issue in developing and underdeveloped regions, the main reason is illiteracy or lack of health knowledge which form barrier to women access and utilization of maternal health care services. Baluchistan is on the verge of not meeting the sustainable development goals of improving maternal health due to a high maternal mortality rate which is estimated to be 298 women per 100,000 live births and lack of utilization of maternal health care services is a major contributing factor. The present study aims to explore the women’s knowledge about maternal health care and socio-cultural practices to being knowledge able among adolescent mothers in peri-urban areas of district Quetta Baluchistan (Pakistan). Employing a mixed-methods explanatory sequential approach, the study surveyed 400 married women aged 15-49, conducted key informant interviews with healthcare professionals, and held focus group discussions with health practitioners. Quantitative data was analyzed through SPSS and qualitative data analyzed through and thematic analysis. Both quantitative and qualitative results revealed a significant association between dependent and independent variables. The study revealed that 16.5% of women knew about the ANC service, whilst 83.5% of women had no idea what it was. Furthermore, just 8.3% of pregnant women had three or more prenatal visits, compared to 91.8% who had fewer than three. Furthermore, only 39.5% of women used medical experts during childbirth, compared to 60.5% who employed traditional birth attendants (Dai/TBA). Only 9.0% women had access to postnatal care. Additionally, women were less likely to be aware of maternal health care services (p=0.001). There is a need to start awareness campaigns as well as free education to all is necessary to improve maternal health.

References

Abas, A. A., & Fakhredeen, E. (2017). Knowledge about danger signs and symptoms of pregnant women attending antenatal care centers in Baghdad City. J Nurs Health Sci, 6(4), 37-40

Agus, Y., & Horiuchi, S. (2012). Factors influencing the use of antenatal care in rural West Sumatra, Indonesia. BMC pregnancy and childbirth, 12(1), 1-8.

Ali, T. S., Azam Ali, P., Waheed, H., & Memon, A. A. (2006). Understanding of puberty and related health problems among female adolescents in Karachi, Pakistan. Journal of Pakistan Medical Association, 56(2), 68.

An, S. J., George, A. S., LeFevre, A., Mpembeni, R., Mosha, I., Mohan, D., ... & Kilewo, C. (2015). Program synergies and social relations: implications of integrating HIV testing and counselling into maternal health care on care seeking. BMC Public Health, 15, 1-12

Asseffa, N. A., Bukola, F., & Ayodele, J. (2018). Determinants of utilization of antenatal care services in developing countries: Recent evidence from Nigeria. African Journal of Economic Review, 6(2), 29-48.

Bashir, s. Dr. Huma Zafar. (2017). Women empowerment through community Development 239programs in Balochistan. Balochistan Review, (XXXVII)2, 239-252.

Bashir, S., Sadiq, W., Zafar, H., Murtaza, A., & Naseer, P. (2022). The role and analysis of quality education on the perspective of socio-economic development of Balochistan Province of Pakistan. Journal of Positive School Psychology, 6(10)

Bashir, S., Shah, N. A., Karim, H., Farooq, K., & Ahmed, Z. N. (2021). The perceptions of students regarding the ways of community involvement in public secondary school at district kech Balochistan. Humanities & Social Sciences Reviews, 9(3), 1690-1698.

Bhutto, J., and Ramzan. M. (2021). “ENGLISH: Verses of Quran, Gender Issues, Feminine Injustice, and Media Transmission - CDA of Pakistani Press Reports. Rahatulquloob 5 (2), 111-26. https://doi.org/10.51411/rahat.5.2.2021/316

Bloom, S. S., Wypij, D., & Das Gupta, M. (2001). Dimensions of women's autonomy and the influence on maternal health care utilization in a north Indian city. Demography, 38(1), 67-78.

Bashir, S., Sadiq, W., Zafar, H., Murtaza, A., & Naseer, P. (2022). The Role And Analysis Of Quality Education On The Perspective Of Socio-Economic Development Of Balochistan Province Of Pakistan. Journal of Positive School Psychology, 6(10).

Bashir, S. (2019). Women participation in community development programs in urban area in Balochistan. Pakistan Journal of Gender Studies, 18(1), 193-210.

Cetin, I., & Laoreti, A. (2015). The importance of maternal nutrition for health. Journal of Pediatric and Neonatal Individualized Medicine, 4(2), 1-11.

Combs Thorsen, V., Sundby, J., & Malata, A. (2012). Piecing together the maternal death puzzle through narratives: the three delays model revisited. PloS one, 7(12), e52090.

Falkingham, J. (2003). Inequality and changes in women's use of maternal Health‐care services in Tajikistan.

Fotso, J. C., Ezeh, A., & Oronje, R. (2008). Provision and use of maternal health services among urban poor women in Kenya: what do we know and what can we do?. Journal of urban Health, 85, 428-442.

Gupta, R. K., Shora, T. N., Verma, A. K., & Jan, R. (2015). Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India. Trop J Med Res, 18(2), 89-94.

Haque, S. E., Rahman, M., Mostofa, M. G., & Zahan, M. S. (2020). Reproductive health care utilization among young mothers in Bangladesh: Does autonomy matter? Women's Health Reports, 1(1), 39-47.

Hennink, M., Rana, I., & Iqbal, R. (2005). Knowledge of personal and sexual development amongst young people in Pakistan. Culture, health & sexuality, 7(4), 319-332.

Higginbottom, G. M., Vallianatos, H., Forgeron, J., Gibbons, D., Mamede, F., & Barolia, R. (2014). Food choices and practices during pregnancy of immigrant women with high-risk pregnancies in Canada: a pilot study. BMC pregnancy and childbirth, 14, 1-13.

Jhpiego /Maternal and neonatal health (MNH) (2008). Program. Birth preparedness and complication readiness: a Matrix of shared responsibilities. Baltimore, MD: Jhpiego.

Karlsen, S., Say, L., Souza, J. P., Hogue, C. J., Calles, D. L., Gülmezoglu, A. M., & Raine, R. (2011). The relationship between maternal education and mortality among women giving birth in health care institutions: analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health. BMC public health, 11, 1-10.

Kakar, I. U., & Bashir, S. (2023). The Role Of Universities In Achieving Sustainable Development Goal 4 In Balochistan.Journal of Positive School Psychology, 7(2),275-289

Khan, M.A., Ramzan, M.M., Dar, S R.(2017) Deconstruction of Ideological Discursivity in Pakistani Print Media Advertisements from CDA Perspective Erevna: The Journal of Linguistics and Literature,1(1),56-79.

Lambo, J. A., & Nagulesapillai, T. (2012). Neonatal tetanus elimination in Pakistan: progress and challenges. International Journal of Infectious Diseases, 16(12), e833-e842.

Magadi, M. A., & Curtis, S. L. (2003). Trends and determinants of contraceptive method choice in Kenya. Studies in family planning, 34(3), 149-159.

Maternal, J. H. (2004). Neonatal health: Monitoring birth preparedness and complication readiness, tools and indicators for maternal and newborn health. Johns Hopkins, Bloomberg school of Public Health. Center for communication programs, Family Care International.

Meija, L., & Rezeberga, D. (2017). Guidelines: Proper maternal nutrition during pregnancy planning and pregnancy: a healthy start in life Recommendations for health care specialists-WHO-OMS. WHOOMS WHO, 1-31.

Mumtaz, Z., Salway, S., Waseem, M., & Umer, N. (2003). Gender-based barriers to primary health care provision in Pakistan: the experience of female providers. Health policy and planning, 18(3), 261-269.

Mwangakala, H. A. (2016). Pregnant women's access to maternal health information and its impact on healthcare utilization behaviour in rural Tanzania (Doctoral dissertation, Loughborough University).

Nath, A., & Garg, S. (2008). Adolescent friendly health services in India: A need of the hour. Indian Journal of Medical Sciences, 62(11),444-453.

National Institute of Population Studies. (2019). Pakistan Demographic and Health Survey 2017-18: Islamabad, Pakistan, and Rockville; NIPS; ICF: Islamabad, Pakistan.

Nawaz, S., Aqeel, M., Ramzan,M., Rehman,M., Tanoli,Z.A.,(2021). Language Representation and Ideological Stance of Brahui in Comparison with Urdu and English Newspapers Headlines, Harf-O-Sukhan, 5(4) ,267-293.

Onah, H. E., Ikeako, L. C., & Iloabachie, G. C. (2006). Factors associated with the use of maternity services in Enugu, southeastern Nigeria. Social science & medicine, 63(7), 1870-1878.

Parvin, R. A., Rana, M. M., & Akter, M. S. (2022). Health seeking behavior on maternal health care among adolescent mother of Northern Bangladesh. Uluslararası Sosyal Bilimler ve Eğitim Dergisi, 4(6), 97-118

Pasha, O., Saleem, S., Ali, S., Goudar, S. S., Garces, A., Esamai, F., ... & Goldenberg, R. L. (2015). Maternal and newborn outcomes in Pakistan compared to other low- and middle-income countries in the Global Network’s Maternal Newborn Health Registry: an active, community-based, pregnancy surveillance mechanism. Reproductive health, 12, 1-10.

Raghupathy, S. (1996). Education and the use of maternal health care in Thailand. Social science & medicine, 43(4), 459-471.

Riaz, A., Zaidi, S., & Khowaja, A. R. (2015). Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan. (5 International journal of health policy and management, 4), 279.

Ramzan, M., Khan, M.A., (2019).CDA of Balochistan Newspapers Headlines- A Study of Nawabs’ Stereotyped Ideological Constructions. Annual Research Journal ‘Hankén’, XI, 27-41.

Ramzan, M. Qureshi, A.B., Samad, A. Sultan, N. (2021) Politics as Rhetoric: A Discourse Analysis of Selected Pakistani Politicians Press Statements. Humanities & Social Sciences Reviews, 9(3) ,1063-1070

Saleem, S., McClure, E. M., Bux, R., Shaheed, A., Goldenberg, R. L., & Pappas, G. (2010). Pregnancy behavior of pakistani women over their reproductive life span. Al Ameen J Med Sci, 3, 228-36.

Siraj, B., & Zafar, H. (2017). Women empowerment through community Development programs in Balochistan. Balochistan Review, 37(2).

Saleem, S., Tikmani, S. S., McClure, E. M., Moore, J. L., Azam, S. I., Dhaded, S. M., ... & Goldenberg, R. L. (2018). Trends and determinants of stillbirth in developing countries: results from the Global Network’s Population-Based Birth Registry. Reproductive health, 15(1), 23-30.

Selim, M., Abdel-Tawab, N. G., El Sayed, K., Elbadawy, A., & El Kalaawy, H. (2013). The Ishraq Program for out-of-school girls: From pilot to scale-up.

Shen, J. J., & Wei, H. (2008). Adverse maternal outcomes for women with different health insurance statuses in Nevada. Nevada Journal of Public Health, 5(1), 5.

Shivappriya, S. N., Shanthi, M., KesavKrishna, G., Sathyanarayanan, R., & Marimuthu, R. (2019, October). Influence Of Illiteracy on Maternal and Child Health Among Women In India. In 2019 IEEE 10th International Conference on Awareness Science and Technology (iCAST), 1-6.

Stephenson, R., & Hennik, M. (2004). Barriers to family planning service use among the urban poor in Pakistan opportunities and choices working, Journal of Advanced Nursing, 61(3), 244- 260

Titaley, C. R., Hunter, C. L., Dibley, M. J., Heywood, P., & Whyte, C. (2010). Why do some women still prefer traditional birth attendants and home delivery?: A qualitative study on delivery care services in West Java Province, Indonesia. BMC Pregnancy and Childbirth, 10(1), 43.

World Health Organization. (2019). World health statistics overview. Monitoring health for the SDGs, sustainable development goals. Geneva, Switzerland

Yirgu, R., Molla, M., Sibley, L., & Gebreselassie, T. (2020). Maternal health care utilization in Southern Ethiopia: implications of cultural factors and women's autonomy. PLOS ONE, 15(6), e0234594.

Zureick-Brown, S., Newby, H., Chou, D., Mizoguchi, N., Say, L., Suzuki, E., & Wilmoth, J. (2013). Understanding global trends in maternal mortality. International perspectives on sexual and reproductive health, 39(1), 55-65.

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Published

30.09.2023

How to Cite

Farah Naseer, & Prof. Dr Rana Saba Sultan. (2023). Barriers to Access and Utilization of Maternal Health Care Services in District Quetta, Baluchistan. PAKISTAN JOURNAL OF LAW, ANALYSIS AND WISDOM, 2(02), 623–648. https://doi.org/10.1234/pjlaw.v2i02.96

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