Skip to content

Research at St Andrews

Women's perceived barriers to giving birth in health facilities in rural Kenya: A qualitative evidence synthesis

Research output: Contribution to journalReview articlepeer-review

Standard

Women's perceived barriers to giving birth in health facilities in rural Kenya : A qualitative evidence synthesis. / Nyakang'o, Sarange B.; Booth, Andrew.

In: Midwifery, Vol. 67, 01.12.2018, p. 1-11.

Research output: Contribution to journalReview articlepeer-review

Harvard

Nyakang'o, SB & Booth, A 2018, 'Women's perceived barriers to giving birth in health facilities in rural Kenya: A qualitative evidence synthesis', Midwifery, vol. 67, pp. 1-11. https://doi.org/10.1016/j.midw.2018.08.009

APA

Nyakang'o, S. B., & Booth, A. (2018). Women's perceived barriers to giving birth in health facilities in rural Kenya: A qualitative evidence synthesis. Midwifery, 67, 1-11. https://doi.org/10.1016/j.midw.2018.08.009

Vancouver

Nyakang'o SB, Booth A. Women's perceived barriers to giving birth in health facilities in rural Kenya: A qualitative evidence synthesis. Midwifery. 2018 Dec 1;67:1-11. https://doi.org/10.1016/j.midw.2018.08.009

Author

Nyakang'o, Sarange B. ; Booth, Andrew. / Women's perceived barriers to giving birth in health facilities in rural Kenya : A qualitative evidence synthesis. In: Midwifery. 2018 ; Vol. 67. pp. 1-11.

Bibtex - Download

@article{74d3d1568b664a35bbf8772e4be79998,
title = "Women's perceived barriers to giving birth in health facilities in rural Kenya: A qualitative evidence synthesis",
abstract = "Background: In Kenya, uptake of skilled care during birth remains lower in rural areas when compared to urban areas, despite efforts by the government to encourage facility-based births by abolishing maternity fees in public health facilities. Objective: To synthesise published and unpublished qualitative research that explores women's perceived barriers to facility-based birth in rural Kenya. Design: Qualitative evidence synthesis Data sources: Multiple electronic databases (MEDLINE, EMBASE, PsycINFO, POPLINE, CINAHL, Web of Science and ProQuest), grey literature searches, citation chaining and checking of reference lists. Review methods: Studies were screened by title, abstract and full text, after which a standardised qualitative checklist was used to assess study quality. Synthesis of extracted data followed the {\textquoteleft}best-fit{\textquoteright} framework method, enhanced with a pathway-based model for the improvement of maternal and newborn care. Results: Sixteen eligible studies were identified. Key themes were: (i) knowledge, attitudes and practices, including past experiences of health facilities and community beliefs about facility services; (ii) insufficient demand for professional care caused by the perceived advantages of seeking alternative care during birth and the disadvantages of facility-based births; (iii) limited access to services, especially in rural areas, because of poor infrastructure; (iv) misconceptions regarding labour characteristics and, (v) poor awareness of labour outcomes. Conclusions: Important factors can be characterised as {\textquoteleft}push{\textquoteright} factors (those pushing women away from facilities) and {\textquoteleft}pull{\textquoteright} factors (those related to the relative advantage of facility-based births). However, key to an individual woman's decision are factors relating to knowledge, attitudes and practices and awareness of labour outcomes. While a critical tension exists between government policy and consumer choice, the prevalence of inadequate awareness and the dominance of past experiences and community beliefs offer significant obstacles to a woman in making an informed choice about her preferred place of giving birth.",
keywords = "Barriers, Birth, obstetric, Kenya, Parturition, Review",
author = "Nyakang'o, {Sarange B.} and Andrew Booth",
note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Ltd Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",
year = "2018",
month = dec,
day = "1",
doi = "10.1016/j.midw.2018.08.009",
language = "English",
volume = "67",
pages = "1--11",
journal = "Midwifery",
issn = "0266-6138",
publisher = "Churchill Livingstone",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Women's perceived barriers to giving birth in health facilities in rural Kenya

T2 - A qualitative evidence synthesis

AU - Nyakang'o, Sarange B.

AU - Booth, Andrew

N1 - Publisher Copyright: © 2018 Elsevier Ltd Copyright: Copyright 2018 Elsevier B.V., All rights reserved.

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: In Kenya, uptake of skilled care during birth remains lower in rural areas when compared to urban areas, despite efforts by the government to encourage facility-based births by abolishing maternity fees in public health facilities. Objective: To synthesise published and unpublished qualitative research that explores women's perceived barriers to facility-based birth in rural Kenya. Design: Qualitative evidence synthesis Data sources: Multiple electronic databases (MEDLINE, EMBASE, PsycINFO, POPLINE, CINAHL, Web of Science and ProQuest), grey literature searches, citation chaining and checking of reference lists. Review methods: Studies were screened by title, abstract and full text, after which a standardised qualitative checklist was used to assess study quality. Synthesis of extracted data followed the ‘best-fit’ framework method, enhanced with a pathway-based model for the improvement of maternal and newborn care. Results: Sixteen eligible studies were identified. Key themes were: (i) knowledge, attitudes and practices, including past experiences of health facilities and community beliefs about facility services; (ii) insufficient demand for professional care caused by the perceived advantages of seeking alternative care during birth and the disadvantages of facility-based births; (iii) limited access to services, especially in rural areas, because of poor infrastructure; (iv) misconceptions regarding labour characteristics and, (v) poor awareness of labour outcomes. Conclusions: Important factors can be characterised as ‘push’ factors (those pushing women away from facilities) and ‘pull’ factors (those related to the relative advantage of facility-based births). However, key to an individual woman's decision are factors relating to knowledge, attitudes and practices and awareness of labour outcomes. While a critical tension exists between government policy and consumer choice, the prevalence of inadequate awareness and the dominance of past experiences and community beliefs offer significant obstacles to a woman in making an informed choice about her preferred place of giving birth.

AB - Background: In Kenya, uptake of skilled care during birth remains lower in rural areas when compared to urban areas, despite efforts by the government to encourage facility-based births by abolishing maternity fees in public health facilities. Objective: To synthesise published and unpublished qualitative research that explores women's perceived barriers to facility-based birth in rural Kenya. Design: Qualitative evidence synthesis Data sources: Multiple electronic databases (MEDLINE, EMBASE, PsycINFO, POPLINE, CINAHL, Web of Science and ProQuest), grey literature searches, citation chaining and checking of reference lists. Review methods: Studies were screened by title, abstract and full text, after which a standardised qualitative checklist was used to assess study quality. Synthesis of extracted data followed the ‘best-fit’ framework method, enhanced with a pathway-based model for the improvement of maternal and newborn care. Results: Sixteen eligible studies were identified. Key themes were: (i) knowledge, attitudes and practices, including past experiences of health facilities and community beliefs about facility services; (ii) insufficient demand for professional care caused by the perceived advantages of seeking alternative care during birth and the disadvantages of facility-based births; (iii) limited access to services, especially in rural areas, because of poor infrastructure; (iv) misconceptions regarding labour characteristics and, (v) poor awareness of labour outcomes. Conclusions: Important factors can be characterised as ‘push’ factors (those pushing women away from facilities) and ‘pull’ factors (those related to the relative advantage of facility-based births). However, key to an individual woman's decision are factors relating to knowledge, attitudes and practices and awareness of labour outcomes. While a critical tension exists between government policy and consumer choice, the prevalence of inadequate awareness and the dominance of past experiences and community beliefs offer significant obstacles to a woman in making an informed choice about her preferred place of giving birth.

KW - Barriers

KW - Birth, obstetric

KW - Kenya

KW - Parturition

KW - Review

UR - http://www.scopus.com/inward/record.url?scp=85053027757&partnerID=8YFLogxK

U2 - 10.1016/j.midw.2018.08.009

DO - 10.1016/j.midw.2018.08.009

M3 - Review article

C2 - 30212654

AN - SCOPUS:85053027757

VL - 67

SP - 1

EP - 11

JO - Midwifery

JF - Midwifery

SN - 0266-6138

ER -

Related by author

  1. Qualitative evidence syntheses: Assessing the relative contributions of multi-context and single-context reviews

    Booth, A., Mshelia, S., Analo, C. V. & Nyakang'o, S. B., 1 Dec 2019, In: Journal of Advanced Nursing. 75, 12, p. 3812-3822 11 p.

    Research output: Contribution to journalArticlepeer-review

  2. Effectiveness of interventions aimed at improving physical and psychological outcomes of fall-related injuries in people with dementia: A narrative systematic review

    Robalino, S., Nyakang'o, S. B., Beyer, F. R., Fox, C. & Allan, L. M., 20 Feb 2018, In: Systematic Reviews. 7, 1, 31.

    Research output: Contribution to journalArticlepeer-review

  3. Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 7: understanding the potential impacts of dissemination bias

    Booth, A., Lewin, S., Glenton, C., Munthe-Kaas, H., Toews, I., Noyes, J., Rashidian, A., Berg, R. C., Nyakang'o, B., Meerpohl, J. J. & GRADE-CERQual Coordinating Team, 25 Jan 2018, In: Implementation Science. 13, Supp 1, 12.

    Research output: Contribution to journalArticlepeer-review

ID: 272683891

Top