Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services

The objective of this research is to identify the main social and cultural constraints in accessing reproductive, maternal, newborn and child health Services (RMNCHS) in Guinea-Bissau, to effectively improve their access and use by women and childr...

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Main Author:	World Bank
Format:	Report
Language:	English
Published:	World Bank, Washington, DC 2019
Subjects:	REPRODUCTIVE HEALTH MATERNAL HEALTH CHILD HEALTH HEALTH SERVICES HOME BIRTH ACCESS TO HEALTH SERVICES HEALTH FACILITY FEMALE GENITAL CUTTING FAMILY PLANNING
Online Access:	http://documents.worldbank.org/curated/en/985561561653405142/Guinea-Bissau-Qualitative-Assessment-of-Demand-Side-Constraints-to-Access-Maternal-and-Child-Health-Services http://hdl.handle.net/10986/32028

id	okr-10986-32028
recordtype	oai_dc
spelling	okr-10986-320282021-05-25T09:25:42Z Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services World Bank REPRODUCTIVE HEALTH MATERNAL HEALTH CHILD HEALTH HEALTH SERVICES HOME BIRTH ACCESS TO HEALTH SERVICES HEALTH FACILITY FEMALE GENITAL CUTTING FAMILY PLANNING The objective of this research is to identify the main social and cultural constraints in accessing reproductive, maternal, newborn and child health Services (RMNCHS) in Guinea-Bissau, to effectively improve their access and use by women and children. Additionally, the research also explores aspects related to female genital cutting (FGC or FGM) and girls’ access to information on reproductive health. The demand barriers to improve access and coverage of quality of MCH services were previously listed as: (i) poor technical quality, (ii) poor responsiveness; (iii) high controversial costs; (iv) access/distance to health facilities; (v) use of traditional practices. These intertwine with supply side barriers such as: (i) weakness of training capacity; (ii) shortage of health professionals; (iii) inadequate referral system; and (iv) weak supply chain. Six major themes were researched and outlined in this paper: (i) use of health facilities (ante-natal care and delivery at home/health center (HC), women´s secrets and men’s, elderly women and the kingdom of the health center); (ii) access to health facilities (distance, transportation); (iii) the health center (staff competence, payments/gratuities, possible improvements); (iv) socio-cultural issues (gender, religious); (v) reproductive health and FGM (family planning); (vi) health staff: community health agent (CHA) (being a CHA, access to the health center, relationship with the HC and with the community, socio-cultural issues, reproductive health and FGM); and (vii) health staff: nurses (being a nurse, access to the health center, relationship with the community, socio-cultural issues, reproductive health and FGM). 2019-07-02T21:20:12Z 2019-07-02T21:20:12Z 2019-06-01 Report http://documents.worldbank.org/curated/en/985561561653405142/Guinea-Bissau-Qualitative-Assessment-of-Demand-Side-Constraints-to-Access-Maternal-and-Child-Health-Services http://hdl.handle.net/10986/32028 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Africa Guinea-Bissau
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	REPRODUCTIVE HEALTH MATERNAL HEALTH CHILD HEALTH HEALTH SERVICES HOME BIRTH ACCESS TO HEALTH SERVICES HEALTH FACILITY FEMALE GENITAL CUTTING FAMILY PLANNING
spellingShingle	REPRODUCTIVE HEALTH MATERNAL HEALTH CHILD HEALTH HEALTH SERVICES HOME BIRTH ACCESS TO HEALTH SERVICES HEALTH FACILITY FEMALE GENITAL CUTTING FAMILY PLANNING World Bank Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
geographic_facet	Africa Guinea-Bissau
description	The objective of this research is to identify the main social and cultural constraints in accessing reproductive, maternal, newborn and child health Services (RMNCHS) in Guinea-Bissau, to effectively improve their access and use by women and children. Additionally, the research also explores aspects related to female genital cutting (FGC or FGM) and girls’ access to information on reproductive health. The demand barriers to improve access and coverage of quality of MCH services were previously listed as: (i) poor technical quality, (ii) poor responsiveness; (iii) high controversial costs; (iv) access/distance to health facilities; (v) use of traditional practices. These intertwine with supply side barriers such as: (i) weakness of training capacity; (ii) shortage of health professionals; (iii) inadequate referral system; and (iv) weak supply chain. Six major themes were researched and outlined in this paper: (i) use of health facilities (ante-natal care and delivery at home/health center (HC), women´s secrets and men’s, elderly women and the kingdom of the health center); (ii) access to health facilities (distance, transportation); (iii) the health center (staff competence, payments/gratuities, possible improvements); (iv) socio-cultural issues (gender, religious); (v) reproductive health and FGM (family planning); (vi) health staff: community health agent (CHA) (being a CHA, access to the health center, relationship with the HC and with the community, socio-cultural issues, reproductive health and FGM); and (vii) health staff: nurses (being a nurse, access to the health center, relationship with the community, socio-cultural issues, reproductive health and FGM).
format	Report
author	World Bank
author_facet	World Bank
author_sort	World Bank
title	Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
title_short	Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
title_full	Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
title_fullStr	Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
title_full_unstemmed	Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services
title_sort	guinea bissau : qualitative assessment of demand side constraints to access maternal and child health services
publisher	World Bank, Washington, DC
publishDate	2019
url	http://documents.worldbank.org/curated/en/985561561653405142/Guinea-Bissau-Qualitative-Assessment-of-Demand-Side-Constraints-to-Access-Maternal-and-Child-Health-Services http://hdl.handle.net/10986/32028
_version_	1764475620738203648

Guinea Bissau : Qualitative Assessment of Demand Side Constraints to Access Maternal and Child Health Services

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