They Told Me to Come Back-: Women’s Antenatal Care Booking Experience in Inner-City JohannesburgReportar como inadecuado

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Maternal and Child Health Journal

, Volume 17, Issue 2, pp 359–367

First Online: 19 April 2012DOI: 10.1007-s10995-012-1019-6

Cite this article as: Solarin, I. & Black, V. Matern Child Health J 2013 17: 359. doi:10.1007-s10995-012-1019-6


To assess women’s experience of public antenatal care ANC services and reasons for late antenatal care attendance in inner-city Johannesburg, South Africa. This cross-sectional study was conducted at three public labour wards in Johannesburg. Interviews were conducted with 208 women who had a live-birth in October 2009. Women were interviewed in the labour wards post-delivery about their ANC experience. Gestational age at first clinic visit was compared to gestational age at booking ANC service provided. ANC attendance was high 97.0 % with 46.0 % seeking care before 20 weeks gestation early. Among the 198 women who sought care, 19.2 % were asked to return more than a month later, resulting in a 3-month delay in being booked into the clinic for these women. Additionally 49.0 % of women reported no antenatal screening being conducted when they first sought care at the clinic. Delay in recognizing pregnancy 21.7 % and lack of time 20.8 % were among the reasons women gave for late attendance. Clinic booking procedures and delays in diagnosing pregnancy are important factors causing women to access antenatal care late. In a country where a third of pregnant women are HIV infected, early ANC is vital in order to optimise ART initiation and thereby reduce maternal mortality and paediatric HIV infection. It is therefore imperative that existing antenatal care policies are implemented and reinforced and that women are empowered to demand better services.

KeywordsAntenatal care South Africa Late ANC access ANC booking experience PMTCT HIV  Download fulltext PDF

Autor: Ijeoma Solarin - Vivian Black


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