Challenges of Providing Antenatal Care Service at Selected Referral Hospitals in Addis Ababa Ethiopia, Health Provider’s and Women’s Perspective’s: A Qualitative Study
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Date
2025-06-01
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Addis Ababa University
Abstract
Background: ANC is a crucial aspect of ensuring the well-being of pregnant women and their
babies, delivered by skilled healthcare professionals. However, like several other sub-Saharan
African countries, Ethiopia faces a high maternal mortality ratio (MMR). To reduce these deaths,
it is imperative to enhance the utilization of ANC.
Objectives: The objective of this research is to investigate the challenges faced by healthcare
providers in delivering ANC services and the challenges experienced by women in selected
referral hospitals in Addis Ababa, Ethiopia in 2022.
Methods: To achieve the research objectives, a descriptive explorative study design was
employed. The study participants were selected using purposive sampling, with a total of 18
individuals included in the sample, determined based on data saturation. Face-to-face interviews
were conducted utilizing a semi-structured questionnaire. Thematic analysis was performed,
aided by the use of ATLAS.ti 9 qualitative software for data analysis and management.
Results: Various factors impact the provision of antenatal care services. These include
challenges related to the health care providers include limited infrastructure (lack of work space,
unavailability of medical equipment), excessive workloads and shortage of health care provider,
and loss of job satisfaction ( lack of training, inadequate salaries ), and challenges experienced
by women (equipment supply, medication availability, long waiting times, communication
difficulties).
Conclusion and recommendation: several factors influence the provision of antenatal care
services, such as challenges related to healthcare providers, and challenges experienced by
women. Hospital management should prioritize strong relationships, effective communication,
and adequate resources for healthcare needs. Healthcare providers should focus on positive
relationships and open communication with pregnant women. Further studies are needed to
investigate this topic.
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Keywords
Healthcare provider, antenatal care, women, challenge