In rural Tanzania, women’s groups are leading the search for sustainable, culturally relevant strategies to improve access to and use of better antenatal care services. And their voices are being heard.
Traditional gender roles also limit women’s ability to decide if and when to seek health care. Fear of being stigmatized because of short spacing between births also keeps women at home: “You will always feel very shy to go for ANC service while you know — and nurses know for sure — you have left a 6-month-old child at home,” said one woman.
This unfavourable environment, combined with long wait times at the health facility, deters women from seeking early ANC. Poor reception by health workers also discourages men from accompanying their partners, although government policy requires that pregnant women bring their spouses to their first ANC appointment.