Getting There

Overcoming Barriers to Reproductive and Maternal Health Services Access in Northern Togo—A Qualitative Study

Judie Arnold, Mélanie Samson, Jennifer Schechter, Alicia Singham Goodwin, Sandra Flavia Braganza, Gbeleou Christophe Sesso, Andrew Lopez, Kevin P. Fiori

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

With a national maternal mortality rate of 401 per 100,000 live births, it is clear that becoming a mother in Togo carries significant risk. In order to inform the scale-up of maternal health services, this qualitative baseline evaluation explored barriers to maternal and reproductive health in the Kozah district of northern Togo through semi-structured interviews with 21 community stakeholders and focus group discussions with four groups of six mothers. Inter-related factors including financial means, distance from health posts, gender roles, cultural beliefs, and patient–provider relations all influence women's care-seeking behavior. Lack of financial means renders the cost of crucial maternal health services prohibitive, and husbands’ resistance to family planning and health-care financing compounds the challenges women face meeting essential maternal health needs. Our findings suggest that waiving user fees, providing facility-based delivery free of cost, improving transportation options, and fostering trust in and access to health centers could significantly improve maternal health in the Kozah district.

Original languageEnglish (US)
Pages (from-to)223-244
Number of pages22
JournalWorld Medical and Health Policy
Volume8
Issue number3
DOIs
StatePublished - Sep 1 2016

Fingerprint

Maternal Health Services
Reproductive Health Services
Togo
Mothers
Healthcare Financing
Costs and Cost Analysis
Foster Home Care
Fees and Charges
Family Health
Maternal Mortality
Reproductive Health
Health
Family Planning Services
Live Birth
Focus Groups
Spouses
Interviews
Delivery of Health Care
Mortality
Maternal Health

Keywords

  • maternal health
  • qualitative
  • Togo

ASJC Scopus subject areas

  • Health Policy

Cite this

Getting There : Overcoming Barriers to Reproductive and Maternal Health Services Access in Northern Togo—A Qualitative Study. / Arnold, Judie; Samson, Mélanie; Schechter, Jennifer; Goodwin, Alicia Singham; Braganza, Sandra Flavia; Sesso, Gbeleou Christophe; Lopez, Andrew; Fiori, Kevin P.

In: World Medical and Health Policy, Vol. 8, No. 3, 01.09.2016, p. 223-244.

Research output: Contribution to journalArticle

Arnold, Judie ; Samson, Mélanie ; Schechter, Jennifer ; Goodwin, Alicia Singham ; Braganza, Sandra Flavia ; Sesso, Gbeleou Christophe ; Lopez, Andrew ; Fiori, Kevin P. / Getting There : Overcoming Barriers to Reproductive and Maternal Health Services Access in Northern Togo—A Qualitative Study. In: World Medical and Health Policy. 2016 ; Vol. 8, No. 3. pp. 223-244.
@article{b3f7162f18a14e6fac90d5923688cbaa,
title = "Getting There: Overcoming Barriers to Reproductive and Maternal Health Services Access in Northern Togo—A Qualitative Study",
abstract = "With a national maternal mortality rate of 401 per 100,000 live births, it is clear that becoming a mother in Togo carries significant risk. In order to inform the scale-up of maternal health services, this qualitative baseline evaluation explored barriers to maternal and reproductive health in the Kozah district of northern Togo through semi-structured interviews with 21 community stakeholders and focus group discussions with four groups of six mothers. Inter-related factors including financial means, distance from health posts, gender roles, cultural beliefs, and patient–provider relations all influence women's care-seeking behavior. Lack of financial means renders the cost of crucial maternal health services prohibitive, and husbands’ resistance to family planning and health-care financing compounds the challenges women face meeting essential maternal health needs. Our findings suggest that waiving user fees, providing facility-based delivery free of cost, improving transportation options, and fostering trust in and access to health centers could significantly improve maternal health in the Kozah district.",
keywords = "maternal health, qualitative, Togo",
author = "Judie Arnold and M{\'e}lanie Samson and Jennifer Schechter and Goodwin, {Alicia Singham} and Braganza, {Sandra Flavia} and Sesso, {Gbeleou Christophe} and Andrew Lopez and Fiori, {Kevin P.}",
year = "2016",
month = "9",
day = "1",
doi = "10.1002/wmh3.195",
language = "English (US)",
volume = "8",
pages = "223--244",
journal = "World Medical and Health Policy",
issn = "1948-4682",
publisher = "Berkeley Electronic Press",
number = "3",

}

TY - JOUR

T1 - Getting There

T2 - Overcoming Barriers to Reproductive and Maternal Health Services Access in Northern Togo—A Qualitative Study

AU - Arnold, Judie

AU - Samson, Mélanie

AU - Schechter, Jennifer

AU - Goodwin, Alicia Singham

AU - Braganza, Sandra Flavia

AU - Sesso, Gbeleou Christophe

AU - Lopez, Andrew

AU - Fiori, Kevin P.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - With a national maternal mortality rate of 401 per 100,000 live births, it is clear that becoming a mother in Togo carries significant risk. In order to inform the scale-up of maternal health services, this qualitative baseline evaluation explored barriers to maternal and reproductive health in the Kozah district of northern Togo through semi-structured interviews with 21 community stakeholders and focus group discussions with four groups of six mothers. Inter-related factors including financial means, distance from health posts, gender roles, cultural beliefs, and patient–provider relations all influence women's care-seeking behavior. Lack of financial means renders the cost of crucial maternal health services prohibitive, and husbands’ resistance to family planning and health-care financing compounds the challenges women face meeting essential maternal health needs. Our findings suggest that waiving user fees, providing facility-based delivery free of cost, improving transportation options, and fostering trust in and access to health centers could significantly improve maternal health in the Kozah district.

AB - With a national maternal mortality rate of 401 per 100,000 live births, it is clear that becoming a mother in Togo carries significant risk. In order to inform the scale-up of maternal health services, this qualitative baseline evaluation explored barriers to maternal and reproductive health in the Kozah district of northern Togo through semi-structured interviews with 21 community stakeholders and focus group discussions with four groups of six mothers. Inter-related factors including financial means, distance from health posts, gender roles, cultural beliefs, and patient–provider relations all influence women's care-seeking behavior. Lack of financial means renders the cost of crucial maternal health services prohibitive, and husbands’ resistance to family planning and health-care financing compounds the challenges women face meeting essential maternal health needs. Our findings suggest that waiving user fees, providing facility-based delivery free of cost, improving transportation options, and fostering trust in and access to health centers could significantly improve maternal health in the Kozah district.

KW - maternal health

KW - qualitative

KW - Togo

UR - http://www.scopus.com/inward/record.url?scp=84987804396&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84987804396&partnerID=8YFLogxK

U2 - 10.1002/wmh3.195

DO - 10.1002/wmh3.195

M3 - Article

VL - 8

SP - 223

EP - 244

JO - World Medical and Health Policy

JF - World Medical and Health Policy

SN - 1948-4682

IS - 3

ER -