Barreras y facilitadores para el control prenatal en adolescentes: resultados de un estudio cualitativo en Chile
Date
2013
Type:
Artículo
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8
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Volume Title
Publisher
Instituto Nacional de Salud Pública de Mexico
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Abstract
OBJECTIVE:
Analyze barriers and facilitators of access to prenatal care in pregnant urban adolescents between 15-19 years of age in Santiago, Chile.
MATERIALS AND METHODS:
Qualitative study based on grounded theory with 17 adolescent mothers. Eleven semi-structured interviews and one focus group were conducted.
RESULT:
. The denial and concealment of pregnancy is the main barrier to start the prenatal care in the "delayed access group". This group does not identify facilitators. For maintenance in antenatal care, all participants identified a support figure as a facilitator. Family and social vulnerabilities explain why some adolescents start the prenatal care late.
CONCLUSION:
The presence of facilitators is crucial for both, the timely entry and the maintenance in antenatal care because they reduce or nullify the effect of barriers. The health system must become a facilitator to accompany adolescents and promote a bond of trust and respect.
Description
Centro de Epidemiología y Políticas de Salud
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Citation
Salud Pública de México, 2013, 55(6):572-9
Keywords
Adolescent Health Services/supply & distribution, Health Services Accessibility/statistics & numerical data, Prenatal Care/statistics & numerical data, Reproductive Health Services/supply & distribution, Chile, pregnancy