Evidence map›Paper›PMID 34348728›Full record

ArticleReproductive health2021

A mixed reception: perceptions of pregnant adolescents' experiences with health care workers in Cape Town, South Africa.

Ronel Sewpaul, Rik Crutzen, Natisha Dukhi, Derrick Sekgala, Priscilla Reddy

Abstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Exploring the experiences of adolescent primigravidae during their first antenatal care visit in Gauteng Province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model.African journal of primary health care & family medicine · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ronel SewpaulDepartment of Health Promotion, Maastricht University/CAPHRI, Minderbroedersberg 4-6, 6211 LK, Maastricht, The Netherlands. rsewpaul@hsrc.ac.za.ORCID http://orcid.org/0000-0002-2523-1222
Rik CrutzenDepartment of Health Promotion, Maastricht University/CAPHRI, Minderbroedersberg 4-6, 6211 LK, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3731-6610
Natisha DukhiHealth & Wellbeing, Human and Social Capabilities Division, Human Sciences Research Council, 118 Buitengraght Street, Cape Town, 8000, South Africa.ORCID http://orcid.org/0000-0001-9557-7424
Derrick SekgalaHealth & Wellbeing, Human and Social Capabilities Division, Human Sciences Research Council, 118 Buitengraght Street, Cape Town, 8000, South Africa.ORCID http://orcid.org/0000-0002-0311-8480
Priscilla ReddyHealth & Wellbeing, Human and Social Capabilities Division, Human Sciences Research Council, 118 Buitengraght Street, Cape Town, 8000, South Africa.ORCID http://orcid.org/0000-0002-0432-9060

Funding

UK Medical Research Council MR/N021355/1
6 · The paper itself

Abstract

backgroundMaternal mortality among adolescent mothers in South Africa is higher than many middle-income countries. This is largely attributable to conditions that can be prevented or managed by high quality antenatal care. The way in which pregnant adolescents are treated at antenatal clinics influences their timely utilization of antenatal services. This qualitative study reports on the experiences of pregnant adolescents with health care workers when accessing antenatal care.

methodsPregnant girls aged 13-19 (n = 19) who attended public health care facilities that provide Basic Antenatal Care (BANC) services in Cape Town, South Africa were recruited. Four face to face in-depth interviews and four mini focus group discussions were undertaken, facilitated by a topic guide. Thematic analyses were used to analyse the data.

resultsExperiences that reinforce antenatal attendance, such as respectful and supportive treatment, were outweighed by negative experiences, such as victimization; discrimination against being pregnant at a young age; experiencing disregard and exclusion; inadequate provision of information about pregnancy, health and childbirth; clinic attendance discouragement; and mental health turmoil.

conclusionsThere is evidence of a discordant relationship between the health care workers and the pregnant adolescents. Adolescents feel mistreated and discriminated against by the health care workers, which in turn discourages their attendance at antenatal clinics. Maternal health care workers need to receive support and regular training on the provision of youth friendly antenatal care and be regularly evaluated, to promote the provision of fair and high quality antenatal services for adolescent girls.

Indexed as

Health Services AccessibilityPregnant PeopleAdolescentFemaleHealth PersonnelHumansPerceptionPregnancyPrenatal CareSouth AfricaAdolescentsAntenatal attendanceAntenatal careMaternal healthcare workersSexual and reproductive health servicesSouth AfricaTeenage pregnancy

Identifiers

PMID34348728
PMCPMC8336349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.