Access and Utilisation of Antenatal Care Services Among Women With Physical Disabilities Attending Mwananyamala Referral Hospital in Kinondoni District

Abstract

This qualitative study investigated the access and utilization of antenatal care services among pregnant women with physical disabilities attending Mwananyamala Referral Hospital in Kinondoni District, Tanzania. The specific objectives of the study were to identify barriers and challenges faced by physically disabled women in accessing antenatal care services, to explore the experiences and perspectives of physically disabled women regarding the quality antenatal care services they receive and to examine the support systems and accommodations required by physically disabled women to access antenatal care services effectively.

The research employed a case study methodology, and 20 individuals were chosen using the purposive sample technique. Data were gathered through interview while data were analysed using content analysis. Findings from the study reveal a spectrum of barriers faced by physically disabled women, including physical limitations, attitudinal barriers from healthcare providers, policy-related challenges, transportation difficulties, and communication obstacles. Moreover, participants' narratives illuminate the significance of tailored support, education, and accessible infrastructure in facilitating positive antenatal care experiences for this population. From this study, we recommend that there is need to enhance accessibility infrastructure within healthcare facilities, improve transportation options for physically disabled women, and implement training programs for healthcare professionals to become more cognizant of and knowledgeable about the unique requirements of this population. Future research could further explore communication challenges, longitudinal health outcomes, and comparative studies across healthcare facilities, aiming to enhance inclusivity and quality of care for this vulnerable population.