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Barriers and enable...
Barriers and enablers to reporting pregnancy and adverse pregnancy outcomes in population-based surveys : EN-INDEPTH study
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- Kwesiga, Doris (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet,Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, Kampala, Uganda.;Makerere Univ, Ctr Excellence Maternal Newborn & Child Hlth Res, Kampala, Uganda.
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- Tawiah, Charlotte (författare)
- Kintampo Hlth Res Ctr, Kintampo, Ghana.
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- Imam, Ali (författare)
- Int Ctr Diarrhoeal Dis Res, Hlth Syst & Populat Studies Div, Dhaka, Bangladesh.
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- Tesega, Adane Kebede (författare)
- Dabat Res Ctr Hlth & Demog Surveillance Syst, Dabat, Ethiopia.;Univ Gondar, Dept Hlth Syst & Policy, Inst Publ Hlth, Gondar, Ethiopia.
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- Nareeba, Tryphena (författare)
- Makerere Univ, LgangaMayuge Hlth & Demog Surveillance Syst, Ctr Hlth & Populat Res, Makerere, Uganda.
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- Enuameh, Yeetey A. K. (författare)
- Kintampo Hlth Res Ctr, Kintampo, Ghana.;Kwame Nkrumah Univ Sci & Technol, Dept Epidemiol & Biostat, Kumasi, Ghana.
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- Biks, Gashaw A. (författare)
- Dabat Res Ctr Hlth & Demog Surveillance Syst, Dabat, Ethiopia.;Univ Gondar, Dept Hlth Syst & Policy, Inst Publ Hlth, Gondar, Ethiopia.
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- Manu, Grace (författare)
- Kintampo Hlth Res Ctr, Kintampo, Ghana.
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- Beedle, Alexandra (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Delwar, Nafisa (författare)
- Int Ctr Diarrhoeal Dis Res, Hlth Syst & Populat Studies Div, Dhaka, Bangladesh.
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- Fisker, Ane B. (författare)
- Bandim Hlth Project, Bissau, Guinea Bissau.;Statens Serum Inst, Res Ctr Vitamins & Vaccines, Copenhagen, Denmark.;Uni Southern Denmark, Open Patient Data Explorat Network OPEN, Odense, Denmark.
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- Waiswa, Peter (författare)
- Karolinska Institutet,Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, Kampala, Uganda.;Makerere Univ, Ctr Excellence Maternal Newborn & Child Hlth Res, Kampala, Uganda.;Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
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- Lawn, Joy E. (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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- Blencowe, Hannah (författare)
- London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth MARCH Ctr, London, England.
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(creator_code:org_t)
- 2021-02-08
- 2021
- Engelska.
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Ingår i: Population Health Metrics. - : BioMed Central (BMC). - 1478-7954. ; 19
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://pophealthmet...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Risks of neonatal death, stillbirth and miscarriage are highest in low- and middle-income countries (LMICs), where data has most gaps and estimates rely on household surveys, dependent on women reporting these events. Underreporting of pregnancy and adverse pregnancy outcomes (APOs) is common, but few studies have investigated barriers to reporting these in LMICs. The EN-INDEPTH multi-country study applied qualitative approaches to explore barriers and enablers to reporting pregnancy and APOs in surveys, including individual, community, cultural and interview level factors.Methods: The study was conducted in five Health and Demographic Surveillance System sites in Guinea-Bissau, Ethiopia, Uganda, Bangladesh and Ghana. Using an interpretative paradigm and phenomenology methodology, 28 focus group discussions were conducted with 82 EN-INDEPTH survey interviewers and supervisors and 172 women between February and August 2018. Thematic analysis was guided by an a priori codebook.Results: Survey interview processes influenced reporting of pregnancy and APOs. Women found questions about APOs intrusive and of unclear relevance. Across all sites, sociocultural and spiritual beliefs were major barriers to women reporting pregnancy, due to fear that harm would come to their baby. We identified several factors affecting reporting of APOs including reluctance to speak about sad memories and variation in recognition of the baby's value, especially for APOs at earlier gestation. Overlaps in local understanding and terminology for APOs may also contribute to misreporting, for example between miscarriages and stillbirths. Interviewers' skills and training were the keys to enabling respondents to open up, as was privacy during interviews.Conclusion: Sociocultural beliefs and psycho-social impacts of APOs play a large part in underreporting these events. Interviewers' skills, careful tool development and translation are the keys to obtaining accurate information. Reporting could be improved with clearer explanations of survey purpose and benefits to respondents and enhanced interviewer training on probing, building rapport and empathy.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Pregnancy reporting
- Neonatal
- Stillbirth
- Miscarriage
- Adverse pregnancy outcomes
- Stigma
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- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Kwesiga, Doris
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Tawiah, Charlott ...
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Imam, Ali
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Tesega, Adane Ke ...
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Nareeba, Tryphen ...
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Enuameh, Yeetey ...
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visa fler...
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Biks, Gashaw A.
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Manu, Grace
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Beedle, Alexandr ...
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Delwar, Nafisa
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Fisker, Ane B.
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Waiswa, Peter
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Lawn, Joy E.
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Blencowe, Hannah
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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Population Healt ...
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet