Topic area | Themes and subthemes |
---|---|
Barriers | Caregiver qualities |
• Too busy/lack of time | |
• Negative personality characteristics (e.g., rude, judgmental) | |
Health care system barriers | |
• Lack of public awareness of PNC services | |
• Shortage of health care providers who provide PNC | |
Personal barriers | |
• Logistical difficulties related to transportation and child care | |
• Financial problems | |
• PNC not viewed as a priority, no interest, not seen as important | |
• Previous negative experience with/distrust of health care system | |
• Personal pressures (e.g., addictions, intimate partner violence) | |
• Lack of social support | |
Program and service characteristics: Inaccessible and/or inconvenient | |
• Geographic distance | |
• Lengthy office wait | |
• Short visits; rushed appointments | |
• Inflexible or inconvenient hours | |
Facilitators | Caregiver qualities |
• Investing in relationship with client | |
• Making women feel respected and valued | |
• Effective communication skills | |
Caregiver approaches to provision of PNC | |
• Providing individualized, culturally sensitive care | |
• Sharing health information with women, answering questions | |
• Taking time with clients | |
• Helping women understand importance of PNC | |
Multidisciplinary approach to PNC | |
• Referring women to additional services or programs | |
• Using a team approach to meet women’s needs | |
Program and service characteristics | |
• Geographic proximity | |
• Flexible hours/scheduling | |
• Self-referral options for clients | |
• Appointment reminders and follow-up contact | |
• Expanding community-based clinics | |
• Assistance with transportation and child care | |
• Tangible rewards | |
Suggestions | Make PNC more accessible and convenient |
• Establish more community-based PNC clinics | |
• Ensure closer proximity of PNC | |
• Provide flexible hours/scheduling | |
• Create drop-in access to PNC | |
• Assist with transportation and child care | |
Motivate women to attend PNC | |
• Increase public awareness of PNC | |
• Provide client-focused care | |
• Explain rationale for PNC during visits | |
• Offer tangible rewards | |
Make PNC more responsive to complex needs | |
• Maintain or enhance Health Baby and Families First programs | |
• Offer PNC services specific for teens | |
• Provide substance abuse support for pregnant women | |
• Expand and promote midwifery services | |
• Establish “one-stop shops” within a multidisciplinary environment |