ADDRESSING THE BARRIERS TO PRENATAL CARE

Addressing the Barriers to Prenatal Care at Sarasota County Health Department



Addressing the Barriers to Prenatal Care at Sarasota County Health Department

Introduction

Socio-demographic characteristics of women with inadequate prenatal care are similar to those reported previously. Lack of health insurance is an important risk factor for inadequate prenatal care. According to the analysis for Greece, after adjustment for health insurance, foreign citizenship remains a significant factor in not receiving adequate assistance. This was the case in the Sarasota Ccounty Health Department on barriers to care, where foreign status is not an important factor in obtaining prenatal care, when medical care was concerned (Viisainen, 2008).

Discussion

Early participation in the programs of prenatal care as a whole in order to facilitate a favorable outcome of pregnancy (Gissler, 2008). In the Americas, large health insurance program and initiatives to promote participation in prenatal care have been established over many decades, although the practice of prenatal care and may differ from country to country (Blondel, and Uzan, 2003). In the early 1990's, levels of antenatal care coverage in America were higher than in the United States, and women began to care earlier in pregnancy, in Europe than in the United States (Clair, 2007).

In this study, the lack of health insurance and regular income were associated with inadequate prenatal care, but after adjustment for confounders, perceived financial difficulties was not a significant factor for not receiving prenatal care. Many studies, particularly in the United States, financial constraints were cited as the main structural barriers to care, and sometimes, despite the creation of programs to provide prenatal care to low-income women (Clair, 2007).

Despite the different types of health systems and the presence or absence of financial incentives to obtain prenatal care for women with inadequate prenatal care are rarely spontaneously reported financial barriers, it allows them to obtain prenatal care (Viisainen, 2008). However, as in previous studies, our results suggest that reducing financial barriers is not sufficient to ensure proper prenatal care (Gissler, 2008).

Personal, medical care, or cultural challenges remain significant barriers to care and they need to be addressed. A comprehensive program of prenatal care, including appropriate location and counseling schedules, as well as walk in care (for all women, but even more to foreign nationals) may, for adequate use of prenatal care (Blondel, and Marshall, 2008). Reduce language barriers to meet the needs of different cultural groups and minority groups may also encourage women to get prenatal care.

When asked about reasons for not receiving prenatal care, the second most frequently cited in cases of ignorance of the cause is pregnancy (Clair, 2007). This response is related to unplanned pregnancy, which was more prevalent among women with inadequate care and remained significant after adjustment for confounders. Denial of pregnancy as well as the ambivalence regarding the pregnancy or the fact that the pregnancy was concealed, are personal reasons did not receive prenatal care, which are more difficult to solve (Viisainen, 2008).

Nevertheless, the high level of information and easy access to family planning ...