ArticleBMC pregnancy and childbirth2020
The impact of supply-side and demand-side interventions on use of antenatal and maternal services in western Kenya: a qualitative study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing maternal death in Cambodia, Laos, Myanmar, and Vietnam countries: A systematic review.PloS one · 2024Pooled it
- Association between healthcare providers type and maternal-child healthcare services utilization in Pakistan: evidence from 2018 DHS using generalized structural equation modelling.BMC pregnancy and childbirth · 2025Article
- Inequitable Financial Protection in Health for Indigenous Populations: the Mexican Case.Journal of racial and ethnic health disparities · 2024Article
- Exploring the association between multidimensional poverty and antenatal care utilization in two provinces of Papua New Guinea: a cross-sectional study.International journal for equity in health · 2024Article
- Pregnant women's satisfaction with the quality of antenatal care and the continued willingness to use health facility care in Lusaka district, Zambia.BMC pregnancy and childbirth · 2024Article
- Article
- Policy and practices shaping the delivery of health services to pregnant adolescents in informal urban settlements in Kenya.Health policy and planning · 2023Article
- Exploring a framework for demandable services from antenatal to postnatal care: a deep-dive dialogue with mothers, health workers and psychologists.BMC pregnancy and childbirth · 2023Article
- Effective Coverage of Emergency Obstetric and Newborn Care Services in Africa: A Scoping Review.Open access emergency medicine : OAEM · 2023Article
- Article
- Economic evaluation of a conditional cash transfer to retain women in the continuum of care during pregnancy, birth and the postnatal period in Kenya.PLOS global public health · 2022Article
- Designing a Logic Model for Mobile Maternal Health e-Voucher Programs in Low- and Middle-Income Countries: An Interpretive Review.International journal of environmental research and public health · 2021Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal care (ANC) and delivery by skilled providers have been well recognized as effective strategies to prevent maternal and neonatal mortality. ANC and delivery services at health facilities, however, have been underutilized in Kenya. One potential strategy to increase the demand for ANC services is to provide health interventions as incentives for pregnant women. In 2013, an integrated ANC program was implemented in western Kenya to promote ANC visits by addressing both supply- and demand-side factors. Supply-side interventions included nurse training and supplies for obstetric emergencies and neonatal resuscitation. Demand-side interventions included SMS text messages with appointment reminders and educational contents, group education sessions, and vouchers to purchase health products.
methodsTo explore pregnant mothers' experiences with the intervention, ANC visits, and delivery, we conducted focus group discussions (FGDs) at pre- and post-intervention. A total of 19 FGDs were held with pregnant mothers, nurses, and community health workers (CHWs) during the two assessment periods. We performed thematic analyses to highlight study participants' perceptions and experiences.
resultsFGD data revealed that pregnant women perceived the risks of home-based delivery, recognized the benefits of facility-based delivery, and were motivated by the incentives to seek care despite barriers to care that included poverty, lack of transport, and poor treatment by nurses. Nurses also perceived the value of incentives to attract women to care but described obstacles to providing health care such as overwork, low pay, inadequate supplies and equipment, and insufficient staff. CHWs identified the utility and limitations of text messages for health education.
conclusionsFuture interventions should ensure that adequate workforce, training, and supplies are in place to respond to increased demand for maternal and child health services stimulated by incentive programs.
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