Barriers to appropriate care for mothers and infants during the perinatal period in rural Afghanistan: a qualitative assessment

Newbrander, William; Natiq, Kayhan; Shahim, Shafiqullah; Hamid, Najibullah; Skena, Naomi Brill

doi:10.1080/17441692.2013.827735

Cited by 61Global Maternal and Child HealthMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

Barriers to appropriate care for mothers and infants during the perinatal period in rural Afghanistan: a qualitative assessment

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Newbrander, William, Natiq, Kayhan, Shahim, Shafiqullah, Hamid, Najibullah, Skena, Naomi Brill·2014·Global Public Health

DOI 10.1080/17441692.2013.827735PMC PMC4136665

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Abstract

This study, conducted in five rural districts in Afghanistan, used qualitative methods to explore traditional practices of women, families and communities related to maternal and newborn care, and sociocultural and health system issues that create access barriers. The traditional practices discussed include delayed bathing of mothers and delayed breastfeeding of infants, seclusion of women after childbirth, restricted maternal diet, and use of traditional home remedies and self-medication instead of care in health facilities to treat maternal and newborn conditions. This study also looked at community support structures, transportation and care-seeking behaviour for maternal and newborn problems which create access barriers. Sociocultural barriers to better maternal-newborn health include shame about utilisation of maternal and neonatal services, women's inability to seek care without being accompanied by a male relative, and care-seeking from mullahs for serious health concerns. This study also found a high level of post-partum depression. Targeted and more effective behaviour-change communication programmes are needed. This study presents a set of behaviour-change messages to reduce maternal and newborn mortality associated with births occurring at home in rural communities. This study recommends using religious leaders, trained health workers, family health action groups and radio to disseminate these messages.

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In Uganda and Afghanistan, delaying bathing was not a common practice.
“This practice varied across settings, for example, in Somalia, it was observed in 99.2% (95% CI 97.1 to 99.9) of newborns born in the PHCCs,36 while in Uganda and Afghanistan it was not a common practice.48 56”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [56]
Delaying bathing practice varied across settings.
“This practice varied across settings, for example, in Somalia, it was observed in 99.2% (95% CI 97.1 to 99.9) of newborns born in the PHCCs,36 while in Uganda and Afghanistan it was not a common practice.48 56”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [56]
In Afghanistan, women did not initiate breast feeding immediately because they understood that they needed to first wash their breast.
“In Afghanistan, women did not initiate breast feeding immediately because they understood that they needed to first wash their breast.56”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [56]

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Additional file 2 of Barriers to seeking post-abortion care in Paktika Province, Afghanistan: a qualitative study of clients and community members
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Additional file 1 of Barriers to seeking post-abortion care in Paktika Province, Afghanistan: a qualitative study of clients and community members
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Care-seeking practices in South Asia: using formative research to design program interventions to save newborn lives
Syed, U. N., Khadka, N., Khan, A., & Wall, S. N. (2008) · Journal of Perinatology · doi:10.1038/jp.2008.165 · Cited by 112 · see citing works

Authors: Newbrander, W., Natiq, K., Shahim, S., Hamid, N., & Skena, N. B.
Affiliations: Management Sciences for Health (US)
Corresponding author: Newbrander, William
Venue: Global Public Health
Publisher: Informa UK Limited
Published: 2013-09-05
Volume: 9
Issue: sup1
Pages: S93-S109
ISSN: 1744-1692 (ISSN-L)
1744-1706
DOI: 10.1080/17441692.2013.827735
PMC: PMC4136665
OpenAlex: W2092661533
Cited by: 61
References: 7
Citations by year: 2026: 4 · 2025: 9 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 10 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 2
FWCI: 2.79
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Global Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: United States Agency for International Development
Health Promotion Agency
Ministry of Public Health
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: maternal and newborn care, perinatal care, rural Afghanistan, traditional practices, delayed bathing, delayed breastfeeding, maternal diet, self-medication, care-seeking behavior, access barriers, socio-cultural barriers, postpartum depression, behavior change communication, home birth, maternal and newborn mortality, religious leaders
MeSH terms: Afghanistan, Child Health Services, Culture, Diet, Female, Health Services Accessibility, Humans, Infant, Infant, Newborn, Male, Medicine, Traditional, Patient Acceptance of Health Care, Quality of Health Care, Religion and Medicine, Focus Groups, Perinatal Care, Rural Health Services, Qualitative Research

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Barriers to appropriate care for mothers and infants during the perinatal period in rural Afghanistan: a qualitative assessment

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