Factors Affecting Attendance at and Timing of Formal Antenatal Care: Results from a Qualitative Study in Madang, Papua New Guinea
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{"title"=>"Factors affecting attendance at and timing of formal antenatal care: Results from a qualitative study in Madang, Papua New Guinea", "type"=>"journal", "authors"=>[{"first_name"=>"Erin V.W.", "last_name"=>"Andrew", "scopus_author_id"=>"42161097000"}, {"first_name"=>"Christopher", "last_name"=>"Pell", "scopus_author_id"=>"28267895400"}, {"first_name"=>"Angeline", "last_name"=>"Angwin", "scopus_author_id"=>"55357039200"}, {"first_name"=>"Alma", "last_name"=>"Auwun", "scopus_author_id"=>"16401029300"}, {"first_name"=>"Job", "last_name"=>"Daniels", "scopus_author_id"=>"56178686400"}, {"first_name"=>"Ivo", "last_name"=>"Mueller", "scopus_author_id"=>"7006910183"}, {"first_name"=>"Suparat", "last_name"=>"Phuanukoonnon", "scopus_author_id"=>"56037467300"}, {"first_name"=>"Robert", "last_name"=>"Pool", "scopus_author_id"=>"57201190838"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84901292093", "sgr"=>"84901292093", "issn"=>"19326203", "isbn"=>"10.1371/journal.pone.0093025", "pmid"=>"24842484", "doi"=>"10.1371/journal.pone.0093025", "pui"=>"373160915"}, "id"=>"b7e9924a-0fe8-31c9-b9d1-a7c1525fcece", "abstract"=>"BACKGROUND: Appropriate antenatal care (ANC) is key for the health of mother and child. However, in Papua New Guinea (PNG), only a third of women receive any ANC during pregnancy. Drawing on qualitative research, this paper explores the influences on ANC attendance and timing of first visit in the Madang region of Papua New Guinea.\\n\\nMETHODS: Data were collected in three sites utilizing several qualitative methods: free-listing and sorting of terms and definitions, focus group discussions, in-depth interviews, observation in health care facilities and case studies of pregnant women. Respondents included pregnant women, their relatives, biomedical and traditional health providers, opinion leaders and community members.\\n\\nRESULTS: Although generally reported to be important, respondents' understanding of the procedures involved in ANC was limited. Factors influencing attendance fell into three main categories: accessibility, attitudes to ANC, and interpersonal issues. Although women saw accessibility (distance and cost) as a barrier, those who lived close to health facilities and could easily afford ANC also demonstrated poor attendance. Attitudes were shaped by previous experiences of ANC, such as waiting times, quality of care, and perceptions of preventative care and medical interventions during pregnancy. Interpersonal factors included relationships with healthcare providers, pregnancy disclosure, and family conflict. A desire to avoid repeat clinic visits, ideas about the strength of the fetus and parity were particularly relevant to the timing of first ANC visit.\\n\\nCONCLUSIONS: This long-term in-depth study (the first of its kind in Madang, PNG) shows how socio-cultural and economic factors influence ANC attendance. These factors must be addressed to encourage timely ANC visits: interventions could focus on ANC delivery in health facilities, for example, by addressing healthcare staff's attitudes towards pregnant women.", "link"=>"http://www.mendeley.com/research/factors-affecting-attendance-timing-formal-antenatal-care-results-qualitative-study-madang-papua-new", "reader_count"=>72, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>11, "Other"=>4, "Student > Master"=>19, "Student > Bachelor"=>9, "Lecturer"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>11, "Other"=>4, "Student > Master"=>19, "Student > Bachelor"=>9, "Lecturer"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Engineering"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>16, "Medicine and Dentistry"=>33, "Agricultural and Biological Sciences"=>1, "Business, Management and Accounting"=>4, "Veterinary Science and Veterinary Medicine"=>1, "Psychology"=>2, "Social Sciences"=>7, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>33}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>16}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>4}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "group_count"=>2}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1502802"], "description"=>"<p>Interpersonal Factors Quotations.</p>", "links"=>[], "tags"=>["health care", "Communication in health care", "Health care policy", "Health education and awareness", "Quality of care", "Socioeconomic aspects of health", "Public and occupational health", "Behavioral and social aspects of health", "Global health", "preventive medicine", "women's health", "Maternal health", "pregnancy", "Obstetrics and gynecology", "anthropology"], "article_id"=>1030691, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Erin V. W. Andrew", "Christopher Pell", "Angeline Angwin", "Alma Auwun", "Job Daniels", "Ivo Mueller", "Suparat Phuanukoonnon", "Robert Pool"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093025.t008", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Interpersonal_Factors_Quotations_/1030691", "title"=>"Interpersonal Factors Quotations.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-19 02:44:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1502810"], "description"=>"<p>Attitudes toward and Knowledge of ANC quotes.</p>", "links"=>[], "tags"=>["health care", "Communication in health care", "Health care policy", "Health education and awareness", "Quality of care", "Socioeconomic aspects of health", "Public and occupational health", "Behavioral and social aspects of health", "Global health", "preventive medicine", "women's health", "Maternal health", "pregnancy", "Obstetrics and gynecology", "anthropology", "anc"], "article_id"=>1030698, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Erin V. W. Andrew", "Christopher Pell", "Angeline Angwin", "Alma Auwun", "Job Daniels", "Ivo Mueller", "Suparat Phuanukoonnon", "Robert Pool"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093025.t007", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Attitudes_toward_and_Knowledge_of_ANC_quotes_/1030698", "title"=>"Attitudes toward and Knowledge of ANC quotes.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-19 02:44:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1502805"], "description"=>"<p>Age and Parity of Pregnant Women and Women with Babies.</p>", "links"=>[], "tags"=>["health care", "Communication in health care", "Health care policy", "Health education and awareness", "Quality of care", "Socioeconomic aspects of health", "Public and occupational health", "Behavioral and social aspects of health", "Global health", "preventive medicine", "women's health", "Maternal health", "pregnancy", "Obstetrics and gynecology", "anthropology", "parity", "women"], "article_id"=>1030693, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Erin V. W. Andrew", "Christopher Pell", "Angeline Angwin", "Alma Auwun", "Job Daniels", "Ivo Mueller", "Suparat Phuanukoonnon", "Robert Pool"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093025.t003", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_and_Parity_of_Pregnant_Women_and_Women_with_Babies_/1030693", "title"=>"Age and Parity of Pregnant Women and Women with Babies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-19 02:44:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1502804"], "description"=>"<p>[adapted from WHO ANC guidelines <a href=\"http://www.who.int/pmnch/media/publications/aonsectionIII_2.pdf\" target=\"_blank\">http://www.who.int/pmnch/media/publications/aonsectionIII_2.pdf</a>] Acronyms: (EDD = estimated date of delivery; BP = blood pressure; PIH = pregnancy induced hypertension; ARV = antiretroviral drugs for HIV/AIDS; ECV = external cephalic version; IPTp = intermittent preventive treatment for malaria during pregnancy; ITN = insecticide treated bednet).</p><p>*Additional intervention for use in referral centres but not recommended as routine for resource-limited settings.</p><p>** Should not be given in first trimester, but if first visit occurs after 16 weeks, it can be given at first visit.</p><p>+Should also be prescribed as treatment if anaemia is diagnosed.</p>", "links"=>[], "tags"=>["health care", "Communication in health care", "Health care policy", "Health education and awareness", "Quality of care", "Socioeconomic aspects of health", "Public and occupational health", "Behavioral and social aspects of health", "Global health", "preventive medicine", "women's health", "Maternal health", "pregnancy", "Obstetrics and gynecology", "anthropology", "antenatal", "four-visit", "anc", "outlined"], "article_id"=>1030692, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Erin V. W. Andrew", "Christopher Pell", "Angeline Angwin", "Alma Auwun", "Job Daniels", "Ivo Mueller", "Suparat Phuanukoonnon", "Robert Pool"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093025.t001", "stats"=>{"downloads"=>29, "page_views"=>508, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Focused_antenatal_care_ANC_The_four_visit_ANC_model_outlined_in_WHO_clinical_guidelines_/1030692", "title"=>"Focused antenatal care (ANC): The four-visit ANC model outlined in WHO clinical guidelines.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-19 02:44:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1502801"], "description"=>"<p>Timing of first ANC Visit.</p>", "links"=>[], "tags"=>["health care", "Communication in health care", "Health care policy", "Health education and awareness", "Quality of care", "Socioeconomic aspects of health", "Public and occupational health", "Behavioral and social aspects of health", "Global health", "preventive medicine", "women's health", "Maternal health", "pregnancy", "Obstetrics and gynecology", "anthropology", "anc"], "article_id"=>1030689, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Erin V. W. Andrew", "Christopher Pell", "Angeline Angwin", "Alma Auwun", "Job Daniels", "Ivo Mueller", "Suparat Phuanukoonnon", "Robert Pool"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0093025.t009", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Timing_of_first_ANC_Visit_/1030689", "title"=>"Timing of first ANC Visit.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-19 02:44:20"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"51", "full-text"=>"55", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"27", "full-text"=>"38", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"54", "full-text"=>"73", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"70", "full-text"=>"89", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
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  • {"unique-ip"=>"53", "full-text"=>"62", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"39", "full-text"=>"43", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"11"}
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  • {"unique-ip"=>"28", "full-text"=>"32", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
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Relative Metric

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