ArticleThe Pan African medical journal2021
Access barriers to maternal healthcare services in selected hard-to-reach areas of Zambia: a mixed methods design.
Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Postnatal care services utilisation in sub-Saharan Africa countries: a scoping review.BMC pregnancy and childbirth · 2026Article
- Women's Autonomy and Respectful Maternity Care in Zambia: A Cross-Sectional Study Using Validated Patient-Reported Measures.Maternal and child health journal · 2026Article
- The Indonesia pre-eclampsia study (INAPRES): Pregnancy outcomes in pregnancy with pre-eclampsia in Indonesia.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Nexus between sociocultural practices and maternal mortality in Pakistan: a geospatial analysis using Spatial Durbin model and multiscale geographically weighted regression.BMC public health · 2026Article
- Multi-level analysis of pregnancy termination among sexually active married women in developing countries.Scientific reports · 2025Article
- The impact of artificial intelligence (AI) on maternal mortality: evidence from global, developed and developing countries.Globalization and health · 2025Article
- Age-related disparities in national maternal mortality trends: A population-based study.PloS one · 2025Article
- The Advantageous Impact of Telestroke: Global Insights and Implications for Africa: A Scoping Review of Literature.Stroke research and treatment · 2025Review
- Article
- Contextual factors influencing schistosomiasis treatment and identification of delivery platforms for arpraziquantel in hard-to-reach areas and populations in Homa Bay County, Kenya.PLOS global public health · 2024Article
- Utilisation of maternal healthcare services and influencing factors in public health facilities in Addis Ababa, Ethiopia.Health SA = SA Gesondheid · 2024Article
- Gender inequities in women's access to maternal health care utilisation in Zambia: a qualitative analysis.BMC pregnancy and childbirth · 2023Article
- Article
- Target areas to reduce the burden of maternal death due to obstetric hemorrhage in Ethiopia.PloS one · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionpoor access to maternal health services is a one of the major contributing factors to maternal deaths in low-resource settings, and understanding access barriers to maternal services is an important step for targeting interventions aimed at promoting institutional delivery and improving maternal health. This study explored access barriers to maternal and antenatal services in Kaputa and Ngabwe; two of Zambia´s rural and hard-to-reach districts.
methodsa concurrent mixed methods approach was therefore, undertaken to exploring three access dimensions, namely availability, affordability and acceptability, in the two districts. Structured interviews were conducted among 190 eligible women in both districts, while key informant interviews, in-depth interviews and focus group discussions were conducted for the qualitative component.
resultsthe study found that respondents were happy with facilities´ opening and closing times in both districts. By comparison, however, women in Ngabwe spent significantly more time traveling to facilities than those in Kaputa, with bad roads and transport challenges cited as factors affecting service use. The requirement to have a traditional birth attendant (TBA) accompany a woman when going to deliver from the facility, and paying these TBAs, was a notable access barrier. Generally, services seemed to be more acceptable in Kaputa than in Ngabwe, though both districts complained about long queues, being delivered by male health workers and having delivery rooms next to male wards.
conclusionbased on the indicators of access used in this study, maternal health services seemed to be more accessible in Kaputa compared to Ngabwe.
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