ArticleBMC health services research2018
Barriers to accessing adequate maternal care in Georgia: a qualitative study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers and facilitators to women's access to sexual and reproductive health services in rural Australia: a systematic review.BMC health services research · 2024Pooled it
- Quality and women's satisfaction with maternal referral practices in sub-Saharan African low and lower-middle income countries: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
- Provision and uptake of routine antenatal services: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2019Pooled it
- Quality of antenatal care provision in rural villages of Satna district, Madhya Pradesh, India: a quantitative formative study to help the development of an evidence-based contextualized complex health intervention of the CHAMPION2 cluster randomized trial.BMC pregnancy and childbirth · 2026Trial
- Factors associated with utilisation of antenatal care visit services in Nepal: evidence from Demographic and Health Survey 2016-2022.BMJ open · 2026Article
- Explaining informal patient payments through gaps in governance - a comparative assessment of health system governance in three European countries.BMC health services research · 2026Article
- Healthcare quality in rural Armenia: Focus group perceptions : Healthcare quality in rural Armenia.BMC health services research · 2025Article
- The key role of Community Health Workers in the use of maternal services in rural settings: a Qualitative Study.Revista peruana de medicina experimental y salud publica · 2025Article
- Exploring patient and health care provider perspectives on barriers to diabetic retinopathy screening in public health facilities in North India.Scientific reports · 2025Article
- Unveiling the Challenges and Solutions: A Scoping Review of Maternal Healthcare Access in Rural Georgia.Cureus · 2025Review
- Bivariate multilevel modeling of antenatal care contacts and place of delivery among reproductive-aged women in Ethiopia.PloS one · 2025Article
- Article
- Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review.BMC women's health · 2024Article
- Article
- Perceived quality of maternal care and its barriers based on women's perspective in hospitals of Northwest Ethiopia: a qualitative study.Frontiers in medicine · 2024Article
- Determinants of recommended antenatal care visits among pregnant women in Ethiopia: a generalized linear mixed-effects modeling.BMC pregnancy and childbirth · 2022Article
- Factors that influence uptake of routine postnatal care: Findings on women's perspectives from a qualitative evidence synthesis.PloS one · 2022Article
- [Barriers to access to health services for women and children in Latin AmericaBarreiras de acesso aos serviços de saúde para mulheres e crianças na América Latina].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Assessing healthcare access using the Levesque's conceptual framework- a scoping review.International journal for equity in health · 2021Article
- Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities.Antimicrobial resistance and infection control · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe maternal health outcomes in Georgia are linked to shortcomings in healthcare such as inequities in access to adequate maternal care. Due to the macro-level, quantitative approach applied in most previous studies, little is known about the underlying reasons that influence maternal care and care-seeking behaviour of pregnant women.
methodsThis qualitative study explores the stakeholders' perspectives on access to adequate maternal care in Georgia. Focus-group discussions are conducted with mothers who gave birth within in the past four years and in-depth interviews are conducted with decision-makers and health professionals in the field. Five access-related aspects are studied: availability, appropriateness, affordability, approachability and acceptability of maternal care. The method of direct content analysis is applied.
resultsResults indicate problems with maternal care standards, inequalities across population groups and drawbacks in maternal care financing. This includes gaps in clinical quality and staff skills, as well as poor communication between women and health professionals. Geographical barriers to adequate maternal care exist in rural and mountainous areas due to the weak infrastructure (poor roads and weak transportation), in addition to financial hardships. Despite improvements in the coverage of maternal care, affordability remains an access barrier. Poorer population groups are financially unprotected from the high out-of-pocket payments for maternal care services.
conclusionThese findings imply that micro-level indicators, such as disrespectful behaviour of health professionals and affordability of care, should be taken into account when assessing maternal care provision in Georgia. It should complement the existing macro-level indicators for a comprehensive evaluation of maternal care.
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