A qualitative study exploring the determinants of maternal health service uptake in post-conflict Burundi and Northern Uganda

Type Journal Article - BMC pregnancy and childbirth
Title A qualitative study exploring the determinants of maternal health service uptake in post-conflict Burundi and Northern Uganda
Author(s)
Volume 15
Issue 1
Publication (Day/Month/Year) 2015
URL https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0449-8
Abstract
Background
Armed conflict has been described as an important contributor to the social determinants of health and a driver of health inequity, including maternal health. These conflicts may severely reduce access to maternal health services and, as a consequence, lead to poor maternal health outcomes for a period extending beyond the conflict itself. As such, understanding how maternal health-seeking behaviour and utilisation of maternal health services can be improved in post-conflict societies is of crucial importance. This study aims to explore the determinants (barriers and facilitators) of women’s uptake of maternal, sexual and reproductive health services (MSRHS) in two post-conflict settings in sub-Saharan Africa; Burundi and Northern Uganda, and how uptake is affected by exposure to armed conflict.

Methods
This is a qualitative study that utilised in-depth interviews and focus group discussions (FGDs) for data collection. One hundred and fifteen participants took part in the interviews and FGDs across the two study settings. Participants were women of reproductive age, local health providers and staff of non-governmental organizations. Issues explored included the factors affecting women’s utilisation of a range of MSRHS vis-à-vis conflict exposure. The framework method, making use of both inductive and deductive approaches, was used for analyzing the data.

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