Azilke, Tamire (2016) Exploring Selected Maternity Service Utilization among Homeless Mothers in Addis Ketema Sub-City, Addis Ababa, Ethiopia: Descriptive Phenomenological Qualitative Study. Masters thesis, Addis Ababa University.
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Abstract
Background: - Homeless mothers who become pregnant are least prepared economically and emotionally to care for their infants. They usually lack gainful employment, as a result live in an unstable conditions and lead an economically hardship life. In addition, the problem to pregnant mothers is compounded by either lack of access or inadequate utilization of health care services before and during childbirth due to various factors. This study tried to address and understand the experiences of homeless mothers in relation to institutional delivery service utilization. Objective: - To explore the phenomena and experiences to selected maternity service utilization among homeless mothers who gave childbirth in the last 12 months in Addis Ketema Sub-city, Addis Ababa, Ethiopia. Methodology:-A descriptive qualitative phenomenological study was conducted among homeless mothers who gave childbirth in the last 12 months prior to the study and midwives working in Addis Ketema Sub-City health centers. In-depth interview was conducted with 25 homeless mothers mainly from and around churches and mosques. Time-location and purposive sampling technique were used to get homeless mothers. In-depth interview also was conducted with 5 midwives by using purposive sampling technique from the health centers located in Addis Ketema Sub-City of Addis Ababa City Administration. A semi structured questionnaire was used to collect data and the collected data and the in-depth interviews were tape-recorded, transcribed and then the transcripts were analyzed by using a thematic analysis method. The open code software version 3.4 was used for coding and categorization. Result: - Homeless mothers’ experience showed that barriers to antenatal care and institutional delivery service utilization resulted from themes categorized as socio-economic, socio-cultural and cognitive reasons. The major barriers identified from these categories include lack of knowledge, priority for begging and house hold chores, lack of constant income, community negative beliefs and sense of insecurity. Conclusion and Recommendation: - An understanding of health care experiences from the homeless mothers’ perspectives should guide the actions to address the cognitive, socio-cultural and socio-economic barriers.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Aug 2018 13:53 |
| Last Modified: | 02 Aug 2018 13:53 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8121 |
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