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  • Title: Midwives' perceptions about adolescents' utilisation of public prenatal services in Bulawayo, Zimbabwe.
    Author: Chaibva CN, Ehlers VJ, Roos JH.
    Journal: Midwifery; 2010 Dec; 26(6):e16-20. PubMed ID: 19246134.
    Abstract:
    OBJECTIVES: to identify midwives' perceptions about adolescents' failure to utilise prenatal services or to initiate such utilisation late during their pregnancies. DESIGN: a quantitative descriptive and exploratory design, using questionnaires to collect data, to describe midwives' perceptions about factors influencing pregnant adolescents' non-utilisation or late utilisation of prenatal services. SETTING: 20 public health centres (comprising two hospitals and 18 primary health-care clinics) rendering prenatal services, distributed throughout the city of Bulawayo, Zimbabwe. PARTICIPANTS: 52 midwives, rendering prenatal services in Bulawayo, completed questionnaires. MEASUREMENTS AND FINDINGS: demographic, socio-economic, knowledge-related and service-related factors (unfriendly midwives and substandard prenatal services) influenced pregnant adolescents' late or non-utilisation of prenatal services. KEY CONCLUSIONS: transport costs and charges for prenatal services were major factors influencing adolescents' late or non-utilisation of prenatal services. Adolescents needed more knowledge about the advantages of prenatal services. Effective prenatal services should be provided by friendly and welcoming midwives. IMPLICATIONS FOR PRACTICE: pregnant adolescents need more knowledge about the advantages of prenatal services, and these should be more accessible. Charges for public prenatal services must be reduced or abandoned; subsidised or free public transport for pregnant adolescents could enhance their utilisation of prenatal services.
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