Table 2.
Preference for health center over health post services as reported by participating pregnant women
Preference | Illustrative quotes | Respondent descriptors |
---|---|---|
Sophistication of services | ▪ HCs have a laboratory and medical equipment which is necessary to identify one's health problems. I started ANC visits at the HC because HEWs do not have enough equipment to diagnose and identify my problems. | Multipara, 26 years old, rural |
Community meetings and incentives | ▪ The HC organizes pregnant mother meetings monthly and always gives us 145 birr (approximately 5.00 USD) at the end of the meeting.
▪ There is porridge and there is coffee. Mothers who deliver their baby at the HC will be pleased. |
Multipara, 27 years old, rural
Multipara, 24 years old, small town |
Availability and access | ▪ HEWs may not be available but HC staff are always available. Thus, people prefer to visit the HC. Once, the HEW called us for a meeting, but she was absent. We waited for her the whole day and returned home without meeting her. Their messages often do not reach me. | Primipara, 20 years old, small town |
Knowledge | ▪ HEWs don't have adequate knowledge to tell me about my condition. They tell me what I myself already know, nothing more. They can only take our weight and give us iron tablets.
▪ HEWs cannot identify any problem; hence nobody can get any solution from them. |
Multipara, 28 years old, rural
Multipara, 45 years old, small town |
Note. ANC = antenatal care; HC = health center; HEW = health extension worker.