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Table 4 Pregnant women’s barriers and facilitators for the use of ANC

From: Challenges and opportunities for implementing evidence-based antenatal care in Mozambique: a qualitative study

Factor & components

Barrier

Facilitator

Internal factors

Knowledge and Beliefs: Perceptions on the ANC importance

Not aware of each component value neither its significance, they are lay across beliefs.

It is recognized. Some women seem to be giving up the idea of receiving care at the community level

  

They seek to "open the record" in order to make easier admission for delivery at health center

Attitudes & Behaviors: Approach to the health system for ANC and delivery

Arrival to ANC care during 2nd and 3rd trimester, due to impossibility to prove the pregnancy

Willingness to deliver at institutional level.

 

Perception that they will not receive any care until pregnancy is evident.

 

External factors

Accessibility: Transportation

Distance and lack of transportation prevents accessing to health centers and laboratory

 

Accessibility: Economic

Pregnancy test are not affordable, resulting into late consultation

 
 

Lack of integral free treatment to partners for syphilis treatment, prevent women to succeed in treatment