Sociocultural barriers to maternity services delivery: a qualitative meta-synthesis of the literature

摘要: Abstract Objectives Maternal and neonatal healthcare outcomes in Sub-Saharan Africa (SSA) remain poor despite decades of different health service delivery interventions stakeholder investments. Qualitative studies have attributed these results, at least part, to sociocultural beliefs practices. Thus there is a need understand, from an overarching perspective, how affect maternal (MNH) outcomes. Study design A qualitative meta-synthesis primary on cultural practices associated with care was carried out, incorporating research conducted any country within SSA, using data men, women professionals gathered through focus group discussions, structured semistructured interviews. Methods systematic search out seven electronic databases, Scopus, Ovid Medline, PubMed, CINAHL Plus, Humanities Social Sciences (Informit), EMBASE Web Science, Google Scholar, both manual methods, between 1st January 1990 2017. The terms ‘cultural beliefs’; AND health’; OR ‘traditional practices’ ‘maternal health’ were used the search. Results Key components adverse pregnancy, labour postnatal period identified five factors: (a) pregnancy secrecy; (b) complications infidelity; (c) mothers' autonomy reproductive services; (d) marital status, trust traditional medicines birth attendants; (e) intergenerational attached ‘ordeal’ giving birth. Conclusion Cultural related are intergenerational. Therefore, intensive community-specific education strategies facilitate behaviour changes required for improved MNH Adopting practical approaches such as involving husbands/partners communities antenatal services facility community settings can enhance