ArticleWomen's health (London, England)
Navigating antenatal care: The lived experiences of adolescent girls and young women and caregiver perspectives in Zambia.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study.International journal of community based nursing and midwifery · 2026Article
- Exploring the lived experiences of adolescent mothers in Burera and Nyarugenge districts, Rwanda: a phenomenological study.BMC pregnancy and childbirth · 2026Article
- A descriptive qualitative study of pregnancy experiences, care and decision-making amongst South African adolescent girls and young women.Frontiers in reproductive health · 2026Article
- Article
- 'Support me like a child, respect me like an adult': a qualitative study on pregnancy experiences of adolescents in Zambia.npj women's health · 2025Article
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10 authors.
Funding
Abstract
introductionAdolescent pregnancy remains a global concern, especially in low- and middle-income countries. Sub-Saharan African nations, including Zambia, bear a disproportionate burden of adolescent pregnancies, contributing to high rates of maternal and child mortality. Despite efforts to improve antenatal care (ANC) services, utilization rates remain suboptimal, especially among adolescent girls and young women (AGYW).
objectiveTo explore the barriers and facilitators to ANC services among AGYW and how these factors might differ by age and HIV status.
designThis qualitative study employs a combination of in-depth interviews (IDIs) and focus group discussions (FGDs) to gather comprehensive insights into the experiences of AGYW regarding ANC services. The study design follows a socio-ecological framework (SEF) to identify multiple levels of influence on ANC utilization.
methodsWe conducted 40 IDIs with AGYW aged 15-24; and 2 FGDs with caregivers of AGYW (
resultsResults showed that early pregnancy knowledge did not always translate to AGYW seeking ANC services right away or within the first trimester. More than half of the AGYW did not initiate ANC until well into the second trimester. Factors including lack of motivation, denial of pregnancy, desires to terminate pregnancies, social norms, policies, clinic environment, and financial constraints contributed to delays in ANC initiation. Social support from family, partners, peers, and the community were crucial motivators for early ANC. Lastly, challenges to ANC continuation included lack of transportation, long clinic waiting times, perceived provider indifference, and stigma at both community and clinic levels.
conclusionIn conclusion, gaining insights from qualitative data is essential for comprehensively understanding the barriers and challenges to accessing ANC among this specific age group. By identifying and addressing these barriers while enhancing facilitators, effective programs can be developed and implemented to improve the health and well-being of young mothers and their children.
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