Steps | Barriers | Facilitators |
---|---|---|
Step 1 Attending the health centre | • Not being informed (timely) about test by HCP • Weak or lack of social network | • Being informed (timely) about test by HCP • Strong social network • Strong motivation • Awareness of risk • Social norms about pregnancy and motherhood • Belief in importance of compliance with instructions from health care providers |
• Unsupportive family • Work • Feeling unwell • Being away from home | • Family in support of test • Conducive clinic timings | |
• Lack of family member to accompany or help with household work | • Family member to accompany or help with household work | |
Step 2 Initiating, completing and getting the report of the screening and diagnostic test in a timely manner | • Not being aware of test time schedule • Lack of or delayed transportation and heavy traffic • No help with household work • Inflexible interpretation of timing of test in terms of gestational age | • Awareness of test time schedule • Available and timely transportation and conducive traffic • Help with household work |
• Glucose solution eliciting vomiting • Procedure stating that test has to be cancelled and done another day when women vomit | • Adding lemon drops to glucose solution | |
• Long waiting time • Uncomfortable physical ambience of health centre and attitude of staff • Health care provider not informing the women about how and when the results will be available • Health care provider not informing the women about the results within a reasonable time period • Barriers mentioned under step 1 when women have to return to the health centre again | • Comfortable physical ambience of health centre and attitude of staff • Health services being free of charge • HCP informing the women about how and when the results will be available • HCP providing the results to the women over the phone or in-person in the village |