Table 2. Summary of Pre-Intervention Qualitative Study Findings in Jigawa State, Nigeria
Barriers hindering pregnant women from accessing health care• Women have to seek approval from an authority figure to access health care.
• Weak women were perceived to deliver at the hospital and strong women at home.
• Community members lacked knowledge about pregnancy danger signs.
Barriers at the community health facility level• Poorly equipped health facilities: “We have to give birth on cement floors because there is only one bed …”
• Limited access to drugs: “We need medicines, we need our hospitals to be repaired …”
• Limited access to health personnel, especially female personnel: “The male CHEWs are afraid of touching us …”; “[Female CHEWs] should be available in the facility at all times, not coming from time to time …”
• No emergency transport to Jahun General Hospital: “The roads are bad and the hospital a long distance away … transportation is too high [costly] and if the only available car has gone to the market, that is all …”
Barriers at the referral facility level• Perceived negative outcomes to delivering at Jahun General Hospital: “If CHEWs referred us to Jahun General Hospital, we will not really be happy to hear that …”
• Feeling insulted and harassed by staff at Jahun General Hospital: “They ignore us and call us villagers …”