Category | Barriers | Facilitators | |
---|---|---|---|
Individual factors | Demographics, genetics and pregnancy | Being younger than 20 [20]* | |
Multiparity [20]* | |||
Unplanned pregnancy [20]* | |||
Migration | Lack of knowledge of or information about the Western healthcare system [22, 23, 25–27, 30–32, 35] | Recognition of prenatal care as an important issue in the community [30]• | |
Arriving in the new country late in pregnancy [22]* | |||
Culture | Care provider of the same ethnic origin [27]• | ||
Belief that prenatal care ensures baby’s well-being [23, 34]• | |||
Lack of assertiveness [24]• | Belief in looking after your own health for a healthy baby [34]• | ||
Perceiving pregnancy as a normal state [29]• | |||
Belief that prenatal care is more a burden than a benefit [25]• | |||
Position in host country | Better socio-economic follow-up [31]• | ||
Unemployment [21]* | |||
Social inequality (education, economic resources and residence (rural or urban)) [35]• | |||
No medical leave from work [31]• | |||
Social network | No support from family [35]• | Husband with a good command of the industrialized country’s official language [34]• | |
Acquiring or following advice from family and friends [22, 23] | |||
Isolated community [35]• | |||
Health service factors | Accessibility | Inappropriate timing and incompatible opening hours [23, 35]• | |
Indirect discrimination [32]• | |||
Expertise | Care provider lacking knowledge of cultural practices [25]• | A mature, experienced healthcare provider with a command of the native language [30]• | |
Care provider showing interest and respect [23]• | |||
Care provider alleviating worries and fears [23]• | |||
Personal treatment and communication | |||
Perceiving yourself as having been badly treated by a care provider [33]• | |||
Audio-visual material [27]• | |||
Renaming prenatal classes to prenatal sessions [30]• |