Barriers to antenatal care in Rwanda. A literature study on barriers for pregnant women in Rwanda to access antenatal care.

Abstract

Introduction: Antenatal care (ANC) can be seen as a key factor in predicting the outcome of childbirth and can help to detect early risk factors and begin treatment for pregnant women who suffers from complications during pregnancy. In many low-income countries, and especially in sub-Saharan Africa, numerous obstacles exist in order to allow women to attend ANC-clinics during pregnancy. Aim: The purpose of this paper was to identify barriers for pregnant women to attend ANC and analyse it in the Rwandan context. Method: A literature-based study design was used and the material consisted of quality-reviewed articles. In order to analyse the selected articles the results were categorized. Results: Five main categories were identified as barrier to ANC: Limited access to healthcare, lack of male involvement, lack in knowledge, cultural barriers and financial barriers. Four strategies for a better ANC coverage in Rwanda were also identified: Better access to ANC clinics, more education about the importance of ANC, increased male involvement during pregnancy and better insurance coverage. Conclusion: In order to create a better ANC coverage among pregnant women in Rwanda these barriers need to be overcome. In order to overcome these barriers, this study suggested four different strategies. By implementing these strategies into national policies and programs more women can have a better chance of attending ANC and giving birth at a health facility in Rwanda.