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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Antenatal and delivery services in Kinshasa, Democratic Republic of Congo: Care-seeking and experiences reported by women in a household-based survey
Tropical Medicine and International Health, Volume 18, No. 10, Year 2013
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Description
Objectives: Increasing coverage of quality reproductive health services, including prevention of mother-to-child transmission services, requires understanding where and how these services are provided. To inform scale-up, we conducted a population-based survey in Kinshasa, Democratic Republic of Congo. Methods: Stratified two-stage cluster sampling was used to select women ≥18 years old who had been pregnant within the prior three years. Participants were interviewed about their reproductive healthcare utilization and impressions of services received. Results: We interviewed 1221 women, 98% of whom sought antenatal care (ANC). 78% of women began ANC after the first trimester and 22% reported <4 visits. Reasons for choosing an ANC facility included reputation (51%), friendly/accessible staff (39%), availability of comprehensive services (29%), medication access (26%), location (26%), and cost (21%). Most women reported satisfactory treatment by staff, but 47% reported that the ANC provider ignored their complaints, 23% had difficulty understanding responses to their questions, 22% wanted more time with the provider, 21% wanted more privacy, and 12% felt uncomfortable asking questions. Only 56% reported someone talked to them about HIV/AIDS. Strongest predictors of seeking inadequate ANC included low participant and partner education and lack of certain assets. Only 32% of women sought postnatal care. Some results varied by health zone. Conclusions: Scaling-up interventions to improve reproductive health services should include broad-based health systems strengthening and promote equitable access to quality ANC, delivery, and postnatal services. Personal and structural-level barriers to seeking ANC need to be addressed, with consideration given to local contexts. © 2013 John Wiley & Sons Ltd.
Authors & Co-Authors
Feinstein, Lydia
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Dimomfu, Bruno Lapika
Democratic Republic Congo, Kinshasa
Universite de Kinshasa
Mupenda, Bavon W.
Congo, Kinshasa
Kinshasa School of Public Health
Duvall, Sandra
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Chalachala, Jean Lambert
Democratic Republic Congo, Kinshasa
Universite de Kinshasa
Edmonds, Andrew
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Behets, Frieda M.T.F.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Citations: 26
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1111/tmi.12171
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Congo
Participants Gender
Female