Table 3 Summary of findings
Determinants of utilization of MNCH services using the Three Delays Mode | |
|---|---|
Barriers to access to MNCH services | |
Delay in seeking care | •Socio-economic factors •Fear of contracting COVID-19 at health facilities |
Delay in reaching health care facility | •Lack of transportation •Movement restriction during the lockdown and harassment by security agents |
Delay in receiving care at the hospital | •Long waiting times and a daily capped number •Patient’s non-compliance with the” no- facemask, no entry” rules •Inadequate PPEs •Stigmatization of service users by health workers •Shortage of manpower, lack of incentives and prioritization of essential services |
Facilitators of access to MNCH services | |
Enablers of decision to seek care | Community sensitization on healthcare access during the pandemic |
Enablers of access to receiving care at the hospital | •COVID-19 non-pharmacological measures instituted at the health facilities •Adaptive strategies to reduce waiting time at health facilities •Adaptation of service delivery structure and COVID-19 safety protocols •Training and supportive supervision for health workers •Increment in hazard allowance to Health workers |