ArticleBMJ open2020
Why some women who attend focused antenatal care fail to deliver in health facilities: a qualitative study of women's perspectives from slums of Addis Ababa, Ethiopia.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Facilitators and barriers of healthcare financing modalities for universal maternal healthcare services in East Africa: a qualitative systematic review.BMC health services research · 2025Pooled it
- Preferences of Women for Maternal Health Services in Sidama Region, Ethiopia: Discrete Choice Experiment.Applied health economics and health policy · 2026Article
- Levels and determinants of person-centred maternity care among women living in urban informal settlements: evidence from client exit surveys in Nairobi, Lusaka and Ouagadougou.BMJ global health · 2025Article
- Challenges of maternity continuum of care within the primary health care in northwest Ethiopia: interpretive description using a socio-ecological model.Frontiers in public health · 2024Article
- Barriers Towards Obstetric Care Service Utilization in Ethiopia: An Explorative Qualitative Study.Ethiopian journal of health sciences · 2023Article
- Institutionalising community engagement for quality of care: moving beyond the rhetoric.BMJ (Clinical research ed.) · 2023Article
- Article
- Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives.BMJ open · 2021Article
- Women's perspectives on the measures that need to be taken to increase the use of health-care facility delivery service among slums women, Addis Ababa, Ethiopia: a qualitative study.Reproductive health · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to explore why some women who attend focused antenatal care (FANC) fail to deliver in health facilities from slums of Addis Ababa, Ethiopia.
settingPublic health facilities (three health centres and one district hospital). STUDY
designA qualitative exploratory and descriptive research design was used. STUDY
participantsStudy participants comprised women of reproductive age (18-49 years) living in slum areas of Addis Ababa, Ethiopia. We used 20 in-depth audio-recorded interviews. Data were analysed concurrently with data collection. Thematic analysis was done for the study. A multilevel life-course framework of facility-based delivery in low-income and middle-income countries developed by Bohren
resultsFrom the analysis of in-depth interview data, four themes emerged, namely, perceived benefits of home delivery, knowledge deficit about health facility-based delivery, poor access to healthcare facilities and inadequate (demand side) resources. These themes were identified as rich and detailed accounts of the perspectives of facility-based and home delivery among attendees of FANC in Addis Ababa, Ethiopia.
conclusionThe findings of this qualitative study revealed that perceived benefits of home delivery, knowledge deficit about health facility-based delivery, poor access to healthcare facilities and inadequate (demand side) resources were related to low uptake of facility-based delivery services. Use of ANC visits to advise women about birth preparedness and complication readiness, the use of facility deliveries to reduce risks of home delivery to the mother and the newborn should be stressed.
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