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Table 5 Issues and concerns regarding TSB by stakeholder group and study area

From: Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique

  Study area (administrative post)
Target group Messano Ilha Josina Chongoene Calanga Três de Fevereiro
Pregnant women - Partners slow/or inadequate response to emergency
- Partners inability to recognize warning signs requiring EmOC
- Weather conditions deteriorate quality of roads - Long distances between homes and health facilities
- Lack of access to transport
- Partners decide on different care providers (e.g.: faith healers)
- Partners do not help with child caretaking and domestic chores
- Distance between homes and health facilities
- Lack of transportation
- Scarcity of CHW
- Intimidating attitudes of health facility
- Women’s inability to meet the costs of care in the hospital
- Medication stock-out
- Lack of ambulances
Male partners - Lack of transport to the main road
- Lack of money for transport
- No-one to care for the children and household chores in the absence of the pregnant women
- Partners inability to recognize warning signs
- Transporters do not accept to carry severe cases
- PHC facility unable to deal with complications
- Local health facility not prepared to assist complications
- Lack of ambulance for swift referrals
- Lack of money for transport
- Lack of money for transport
- Partners do not feel empowered to assist pregnant women
- Lack of ambulances
- Lack of money to pay for transport
- Pregnant women’s physical vulnerability prohibitive of walking
- Unclear price list for the few cars that are available
Mothers, mothers in law of WRA - Partners slow/or inadequate response to emergency
- Lack of money to support transportation expenses
- Pregnant women keep going to the cultivating fields, increasing the risk of being alone and helpless when emergency occurs - Limited number of CHWs
- High cost of transport
- Women fear going to the hospital
- Negative attitudes of health professionals - No-one helps pregnant women at home
- Difficulties in requesting a lift to those who have vehicles
Elders - Pregnant women not satisfied with the results of the previous treatment received at the health facility
- Nurse not always present at the health facility
- Medication stock outs
- Habit of seeking traditional treatment first
- Delays in seeking care
- Not mentioned - Inability to meet consultation cost (coupon)
- Pregnant women do not follow hospital recommendations
- Tradition “hides” the real diagnosis
- Lack of transport to reach the main road
- Small health facility not prepared for emergencies
- Not mentioned - The habit of seeking traditional medication first
TBAs/Matrons - Lack of transport within the neighborhood
- Lack of money to pay for public transport on the main road
- Lack of income sources to pay for health care expenses in general
- Men’s lack interest in taking up child caretaking and domestic chores
- Negative attitude of health professionals
- Fear that health professionals will find out about previous traditional treatments taken
- Long distances between homes and health facilities
- Lack of transport in the area
- Medication stock-outs
- Men prioritizing pleasure (ex: purchasing alcohol) over pregnancy wellbeing
- Polygamous partners not interested in the pregnancy follow-up
- Lack of adequate transport for sandy roads
Health workers - Partners’ lack of interest in “females’ issues”
- Communication barriers among couples (due to HIV sero-status)
- Delays in seeking ANC care
- Delays in seeking care in general - Delays in seeking assisted delivery
- Poor quality of roads
- Delays in seeking care in general
- Lack of transport
- Delays in seeking care in general