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    Rights statement: This is the author’s version of a work that was accepted for publication in Sexual & Reproductive Healthcare. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sexual & Reproductive Healthcare, 18, 2018 DOI: 10.1016/j.srhc.2018.10.002

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Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study

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Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study. / Ndimbii, James; Ayon, Sylvia; Abdulrahman, Taib et al.
In: Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, Vol. 18, 12.2018, p. 48-55.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Ndimbii, J, Ayon, S, Abdulrahman, T, Mahinda, S, Jeneby, F, Armstrong, G & Mburu, G 2018, 'Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study', Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, vol. 18, pp. 48-55. https://doi.org/10.1016/j.srhc.2018.10.002

APA

Ndimbii, J., Ayon, S., Abdulrahman, T., Mahinda, S., Jeneby, F., Armstrong, G., & Mburu, G. (2018). Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study. Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, 18, 48-55. https://doi.org/10.1016/j.srhc.2018.10.002

Vancouver

Ndimbii J, Ayon S, Abdulrahman T, Mahinda S, Jeneby F, Armstrong G et al. Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study. Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives. 2018 Dec;18:48-55. Epub 2018 Oct 6. doi: 10.1016/j.srhc.2018.10.002

Author

Ndimbii, James ; Ayon, Sylvia ; Abdulrahman, Taib et al. / Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya : findings from a qualitative study. In: Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives. 2018 ; Vol. 18. pp. 48-55.

Bibtex

@article{9fd1bcfd972641a8be1cf532302dc30c,
title = "Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya: findings from a qualitative study",
abstract = "IntroductionThe Kenyan government has committed to increasing access to comprehensive reproductive, maternal, neonatal and child health (RMNCH) services. However, inequalities still exist. Women who inject drugs are an important sub-population for public health interventions, yet their RMNCH needs have largely been overlooked. Additionally, there is a lack of research to inform RMNCH interventions for this sub-population.MethodsIn 2015, we undertook interviews and focus group discussions with 45 women who inject drugs and five key stakeholders to understand these women{\textquoteright}s RMNCH experiences and needs.ResultsWomen{\textquoteright} access to essential services across the RMNCH continuum was low. Two thirds of the women were not using contraception. Many discovered they were pregnant late, due to amenorrhea of drug use, and thus were unable to enroll for antenatal care early. Facility-based deliveries were limited with many choosing to deliver at home. Following delivery, women{\textquoteright}s attendance to immunization services was sub-optimal. Stigma from healthcare workers was a major factor impeding women{\textquoteright}s use of existing RMNCH services. The prospect of experiencing withdrawals at health facilities where waiting times were long, deterred utilization of these services. Additionally, women faced competing priorities, having to choose between purchasing heroin or spending their money on health-related costs.ConclusionsSeveral barriers disrupted women{\textquoteright}s access to services across the RMNCH continuum. Consequently, there is a need to develop equitable, comprehensive, and family-centered RMNCH interventions tailored to women who inject drugs, through a combination of supply- and demand-side interventions. For optimal impact, RMNCH services should be integrated into harm reduction programs.",
keywords = "Reproductive, Maternal, Child Health, Harm reduction, Integration, Africa",
author = "James Ndimbii and Sylvia Ayon and Taib Abdulrahman and Samantha Mahinda and Fatma Jeneby and Gregory Armstrong and Gitau Mburu",
note = "This is the author{\textquoteright}s version of a work that was accepted for publication in Sexual & Reproductive Healthcare. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sexual & Reproductive Healthcare, 18, 2018 DOI: 10.1016/j.srhc.2018.10.002",
year = "2018",
month = dec,
doi = "10.1016/j.srhc.2018.10.002",
language = "English",
volume = "18",
pages = "48--55",
journal = "Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives",
issn = "1877-5756",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Access and utilisation of reproductive, maternal, neonatal and child health services among women who inject drugs in coastal Kenya

T2 - findings from a qualitative study

AU - Ndimbii, James

AU - Ayon, Sylvia

AU - Abdulrahman, Taib

AU - Mahinda, Samantha

AU - Jeneby, Fatma

AU - Armstrong, Gregory

AU - Mburu, Gitau

N1 - This is the author’s version of a work that was accepted for publication in Sexual & Reproductive Healthcare. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sexual & Reproductive Healthcare, 18, 2018 DOI: 10.1016/j.srhc.2018.10.002

PY - 2018/12

Y1 - 2018/12

N2 - IntroductionThe Kenyan government has committed to increasing access to comprehensive reproductive, maternal, neonatal and child health (RMNCH) services. However, inequalities still exist. Women who inject drugs are an important sub-population for public health interventions, yet their RMNCH needs have largely been overlooked. Additionally, there is a lack of research to inform RMNCH interventions for this sub-population.MethodsIn 2015, we undertook interviews and focus group discussions with 45 women who inject drugs and five key stakeholders to understand these women’s RMNCH experiences and needs.ResultsWomen’ access to essential services across the RMNCH continuum was low. Two thirds of the women were not using contraception. Many discovered they were pregnant late, due to amenorrhea of drug use, and thus were unable to enroll for antenatal care early. Facility-based deliveries were limited with many choosing to deliver at home. Following delivery, women’s attendance to immunization services was sub-optimal. Stigma from healthcare workers was a major factor impeding women’s use of existing RMNCH services. The prospect of experiencing withdrawals at health facilities where waiting times were long, deterred utilization of these services. Additionally, women faced competing priorities, having to choose between purchasing heroin or spending their money on health-related costs.ConclusionsSeveral barriers disrupted women’s access to services across the RMNCH continuum. Consequently, there is a need to develop equitable, comprehensive, and family-centered RMNCH interventions tailored to women who inject drugs, through a combination of supply- and demand-side interventions. For optimal impact, RMNCH services should be integrated into harm reduction programs.

AB - IntroductionThe Kenyan government has committed to increasing access to comprehensive reproductive, maternal, neonatal and child health (RMNCH) services. However, inequalities still exist. Women who inject drugs are an important sub-population for public health interventions, yet their RMNCH needs have largely been overlooked. Additionally, there is a lack of research to inform RMNCH interventions for this sub-population.MethodsIn 2015, we undertook interviews and focus group discussions with 45 women who inject drugs and five key stakeholders to understand these women’s RMNCH experiences and needs.ResultsWomen’ access to essential services across the RMNCH continuum was low. Two thirds of the women were not using contraception. Many discovered they were pregnant late, due to amenorrhea of drug use, and thus were unable to enroll for antenatal care early. Facility-based deliveries were limited with many choosing to deliver at home. Following delivery, women’s attendance to immunization services was sub-optimal. Stigma from healthcare workers was a major factor impeding women’s use of existing RMNCH services. The prospect of experiencing withdrawals at health facilities where waiting times were long, deterred utilization of these services. Additionally, women faced competing priorities, having to choose between purchasing heroin or spending their money on health-related costs.ConclusionsSeveral barriers disrupted women’s access to services across the RMNCH continuum. Consequently, there is a need to develop equitable, comprehensive, and family-centered RMNCH interventions tailored to women who inject drugs, through a combination of supply- and demand-side interventions. For optimal impact, RMNCH services should be integrated into harm reduction programs.

KW - Reproductive, Maternal

KW - Child Health

KW - Harm reduction

KW - Integration, Africa

U2 - 10.1016/j.srhc.2018.10.002

DO - 10.1016/j.srhc.2018.10.002

M3 - Journal article

VL - 18

SP - 48

EP - 55

JO - Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives

JF - Sexual and Reproductive Healthcare : Official Journal of the Swedish Association of Midwives

SN - 1877-5756

ER -