Why would I go if the infant was healthy
Factors Influencing Postnatal Care Utilization in Chiapas, Mexico
Bibliographic Data
| ID | 4630715 |
|---|---|
| Authors | Pilar Bancalari (0000-0002-2808-6550, Columbia University), Juan-Carlos Alegre (Management Sciences for Health, Washington DC, USA), Juan Carlos Arrasco Alegre (0009-0002-6222-3843, Management Sciences for Health), Montserrat Mendez Alvarez (0000-0001-9778-4398, Independent Consultant, San Cristobal de las Casas, Mexico), Emma Sacks (0000-0003-0743-7208, Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA, corresponding author) |
| Year | 2022 |
| Volume | 32 |
| Issue | 8-9 |
| Pages | 1285-1296 |
| Publication date | 2022-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/10497323221091880 |
| PMID | 35616473 |
| OpenAlex | W4281568842 |
| Language | EN |
| References cited | 38 |
Despite global efforts, postnatal care utilization remains low. There is almost no research on factors influencing postnatal care utilization in Latin America. Chiapas has one of the highest rates of maternal and neonatal mortality in Mexico. In 2014, we conducted 101 interviews with recently delivered women, male partners, traditional birth attendants (TBAs), and health staff, to assess factors influencing postnatal care utilization. Data underwent content analysis and thematic coding. Travel costs, postnatal seclusion practices, and a low perceived need for postnatal care were found to be disincentives to seek care. Providers ascribed low care adherence to cultural beliefs and low health literacy, while families indicated that their decision to seek facility care was mediated by the TBA's recognition of danger signs and perceived ability to manage complications. TBAs should be leveraged as gatekeepers, health literacy programs should emphasize the importance of primary care, and structural barriers to care should be reduced
Family medicine · Health care · Latin Americans · Literacy · Postnatal Care · Pregnancy · Psychiatry · Qualitative research · Seclusion · Thematic analysis · Breastfeeding Practices and Influences · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Medicine · Nursing · Psychology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |