Pregnant women's perception of barriers to accessing prenatal care
Journal Title: Revista Eugenio Espejo - Year 2024, Vol 18, Issue 1
Abstract
The perception of barriers to access to prenatal care (APC) of pregnant women treated at the Dr. Arnaldo Calderón Type C Health Center in Tosagua, Manabí, Ecuador, from March to August 2023, was evalua-ted. An observational, descriptive, cross-sectional research was carried out. The majority of pregnant women were from rural origins (77.78%), had a secondary education level (37.91%), and worked (47.71%). 83.01% of pregnant women began prenatal care in the first trimester; 56.86% had between 4 and 6 prenatal care visits and an intergenic period from 1 to 2 years (47.71%). Accessibility was considered far and difficult (68.83%), and the quality of the facilities was good (43.14%). The opening hours were perceived as convenient, and the waiting time was between 15 and 30 minutes (60.78%). The 71.9% had difficulties accessing the gynecologist. The primary individual/psychosocial barriers were unplanned, unwanted pregnancy, with symptoms of depression, lack of motivation, and difficulty attending appointments to care for the other children. Economic difficulties (90.2%), difficulties transferring to the institution (93.46%), and difficulties due to household chores (87.58%) were the socioeconomic barriers that most affected the APC. Difficult access to consultation appointments (98.69%), prolonged waiting time for care (97.38%), and short duration of the consultation (96.08%) also had an impact on the APC.
Authors and Affiliations
Cano Montesdeoca, María Vicenta; Marrero González, Dadier
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