ArticleBMC pregnancy and childbirth2015
Barriers and facilitators related to use of prenatal care by inner-city women: perceptions of health care providers.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
62 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.
- First Nations, Inuit and Métis Peoples Living in Urban Areas of Canada and Their Access to Healthcare: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Seasonal variation in geographical access to maternal health services in regions of southern Mozambique.International journal of health geographics · 2017Trial
- Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women.Journal of behavioral medicine · 2015Trial
- Socio-Demographic and Prenatal Care Factors Associated with TORCH Screening During Pregnancy in Romania: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Patients as Partners in Perinatal Health Research: A Scoping Review.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Machine learning-based fetal health prediction and development of smart web application.Frontiers in artificial intelligence · 2026Article
- Transportation Barriers to Prenatal Care Among Black/African Americans: A Scoping Review.Public health challenges · 2025Review
- Preconception Care: Assessing Knowledge, Attitudes, and Practices among Physicians at a Tertiary Hospital in Ethiopia.AJP reports · 2025Article
- The Impact of Prenatal Care on the Prevention of Neonatal Outcomes: A Systematic Review and Meta-Analysis of Global Health Interventions.Healthcare (Basel, Switzerland) · 2025Review
- How has the integration of midwives into primary healthcare settings impacted access to care? A qualitative descriptive study from Ontario, Canada.BMC health services research · 2025Article
- Community-Level Internet Connectivity and Utilization of Maternal Telehealth.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025Article
- The Family and Pregnancy Pop-Up Village: Developing a one-stop shop of services to reduce pregnancy care-related inequities in San Francisco.Birth (Berkeley, Calif.) · 2025Article
- Bridging inequity gaps in healthcare through tailored support: implementation perspectives of the Social Health Bridge-Building Programme.BMC health services research · 2025Article
- Mixed study on barriers of access to prevention, diagnosis and treatment of gestational malaria in pregnant women at risk from an endemic region of Colombia.Malaria journal · 2024Article
- Experiences of Midwestern obstetric clinicians during the Coronavirus disease 2019 pandemic.AJOG global reports · 2024Article
- Evaluating Prenatal Care Compliance and Barriers to Prenatal Care Among Pregnant Individuals in Forsyth County, North Carolina.North Carolina medical journal · 2024Article
- Patient-perceived barriers to early initiation of prenatal care at a large, urban federally qualified health center: a mixed-methods study.BMC pregnancy and childbirth · 2024Article
- Childcare needs as a barrier to healthcare among women in a safety-net health system.BMC public health · 2024Article
- Exploring Perceptions about Enablers of Women's Attendance and Adherence to the Recommended Antenatal Care Visits in Rwanda: A Qualitative Study.Rwanda journal of medicine and health sciences · 2024Article
- Childcare as a social determinant of access to healthcare: a scoping review.Frontiers in public health · 2024Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundSocioeconomic disparities in the use of prenatal care (PNC) exist even where care is universally available and publicly funded. Few studies have sought the perspectives of health care providers to understand and address this problem. The purpose of this study was to elicit the experiential knowledge of PNC providers in inner-city Winnipeg, Canada regarding their perceptions of the barriers and facilitators to PNC for the clients they serve and their suggestions on how PNC services might be improved to reduce disparities in utilization.
methodsA descriptive exploratory qualitative design was used. Semi-structured interviews were conducted with 24 health care providers serving women in inner-city neighborhoods with high rates of inadequate PNC. Content analysis was used to code the interviews based on broad categories (barriers, facilitators, suggestions). Emerging themes and subthemes were then developed and revised through the use of comparative analysis.
resultsMany of the barriers identified related to personal challenges faced by inner-city women (e.g., child care, transportation, addictions, lack of support). Other barriers related to aspects of service provision: caregiver qualities (lack of time, negative behaviors), health system barriers (shortage of providers), and program/service characteristics (distance, long waits, short visits). Suggestions to improve care mirrored the facilitators identified and included ideas to make PNC more accessible and convenient, and more responsive to the complex needs of this population.
conclusionsThe broad scope of our findings reflects a socio-ecological approach to understanding the many determinants that influence whether or not inner-city women use PNC services. A shift to community-based PNC supported by a multidisciplinary team and expanded midwifery services has potential to address many of the barriers identified in our study.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.