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Title:The reason that I did not go - determinants of the use of antenatal care services in South Africa, two decades after the end of apartheid
Editor:Fried, Jana
Periodical:Canadian Journal of African Studies (ISSN 0008-3968)
Geographic term:South Africa
Subjects:maternal and child health care
access to health care
External link:https://www.tandfonline.com/doi/abs/10.1080/00083968.2013.770340
Abstract:According to South Africa's new constitution, access to health care is a fundamental right. Equitable provision of maternal health care is important in redressing past legacies and achieving the Millennium Development Goals. The authors analyse the utilization of antenatal care services under South Africa's public health system to inform policy concerned with equity of access. They conceptualize access to care as covering three distinct but interacting dimensions: availability, affordability and acceptability. They explain variations in the number of antenatal care visits among women giving birth in four selected communities, two urban and two rural. Results indicate that more-marginalized women were significantly less likely to have the minimum recommended number of antenatal care visits whereas being older, in a stable or married relationship and more highly educated and having no previous deliveries were positive influences. Further analysis revealed variations between facilities in the determinants of sufficient antenatal care visits. These results are discussed using insights based on qualitative patient interviews. The findings show inequalities in utilization which may indicate remaining inequities in access. Bibliogr., sum. in English and French. [Journal abstract]