ArticleBMC pregnancy and childbirth2014
A qualitative study on barriers to utilisation of institutional delivery services in Moroto and Napak districts, Uganda: implications for programming.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Assessment of Place of Delivery and Associated Factors among Pastoralists in Ethiopia: A Systematic Review and Meta-Analysis Evaluation.Journal of pregnancy · 2023Pooled it
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review.PloS one · 2019Pooled it
- Factors influencing utilisation of maternal health services by adolescent mothers in Low-and middle-income countries: a systematic review.BMC pregnancy and childbirth · 2017Pooled it
- Determinants of health-seeking behavior of people on institutional delivery: evidence from qualitative research.BMC pregnancy and childbirth · 2026Article
- Regional trends, spatial patterns and factors associated with health facility delivery among women of reproductive age in Sierra Leone.Reproductive health · 2025Article
- Dynamic birth position, awareness and practice by midwives in Ethiopia: a parallel mixed-methods study.BMC pregnancy and childbirth · 2025Article
- Recommendations for Integrating Traditional Birth Attendants to Improve Maternal Health Outcomes in Low- and Middle-Income Countries.International journal of MCH and AIDS · 2024Article
- Article
- The impact of perception on institutional delivery service utilization in Northwest Ethiopia: the health belief model.BMC pregnancy and childbirth · 2022Article
- Delay in Reaching Institutional Delivery Service Utilization among Mothers Attending Jimma Medical Center, Ethiopia.Ethiopian journal of health sciences · 2022Article
- Exploring underutilization of skilled maternal healthcare in rural Edo, Nigeria: A qualitative study.PloS one · 2022Article
- Challenges in postnatal care provision in Ethiopia.Frontiers in public health · 2022Article
- Why Home Delivery After Full Antenatal Care Follow-Up in Southern Ethiopia? An Exploratory-Descriptive Qualitative Study.International journal of women's health · 2022Article
- Lived Experiences and Perceptions of Childbirth among Pastoralist Women in North-Eastern Ethiopia: A Multimethod Qualitative Analysis to the WHO Health Systems Responsiveness Framework.International journal of environmental research and public health · 2021Article
- Traditional practices influencing the use of maternal health care services in Indonesia.PloS one · 2021Article
- Why do women not use skilled birth attendance service? An explorative qualitative study in north West Ethiopia.BMC pregnancy and childbirth · 2020Article
- A Multi-Methods Qualitative Study of the Delivery Care Experiences of Congolese Refugees in Uganda.Maternal and child health journal · 2020Article
- Maternal health-related barriers and the potentials of mobile health technologies: Qualitative findings from a pilot randomized controlled trial in rural Southwestern Uganda.Journal of family medicine and primary care · 2020Article
- Disrespect and Abuse Experienced by Women during Childbirth in Midwife-Led Obstetric Units in Tshwane District, South Africa: A Qualitative Study.International journal of environmental research and public health · 2020Article
- Community-level factors associated with the use of facility-based delivery assistance in Uganda: a multilevel analysis.BMC pregnancy and childbirth · 2020Article
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Authors and funding
11 authors.
Funding
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Abstract
backgroundSkilled attendance at delivery is critical in prevention of maternal deaths. However, many women in low- and middle-income countries still deliver without skilled assistance. This study was carried out to identify perceived barriers to utilisation of institutional delivery in two districts in Karamoja, Uganda.
methodsData were collected through participatory rural appraisal (PRA) with 887 participants (459 women and 428 men) in 20 villages in Moroto and Napak districts. Data were analysed using deductive content analysis. Notes taken during PRA session were edited, triangulated and coded according to recurring issues. Additionally, participants used matrix ranking to express their perceived relative significance of the barriers identified.
resultsThe main barriers to utilisation of maternal health services were perceived to be: insecurity, poverty, socio-cultural factors, long distances to health facilities, lack of food at home and at health facilities, lack of supplies, drugs and basic infrastructure at health facilities, poor quality of care at health facilities, lack of participation in planning for health services and the ready availability of traditional birth attendants (TBAs). Factors related to economic and physical inaccessibility and lack of infrastructure, drugs and supplies at health facilities were highly ranked barriers to utilisation of institutional delivery.
conclusionA comprehensive approach to increasing the utilisation of maternal health care services in Karamoja is needed. This should tackle both demand and supply side barriers using a multi-sectorial approach since the main barriers are outside the scope of the health sector. TBAs are still active in Karamoja and their role and influence on maternal health in this region cannot be ignored. A model for collaboration between skilled health workers and TBAs in order to increase institutional deliveries is needed.
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