Table 5 Barriers and facilitators for HEWs in provision of antenatal and delivery care ( n =50)
Barriers and facilitators reported by HEWs | % |
|---|---|
Barriers mentioned by HEWs | Â |
Lack of behavioral change (lack of awareness and wrong cultural beliefs) | 72 |
Low utilization of health posts by community | 62 |
No further education for HEWs | 56 |
High work load of HEWs | 48 |
Low competency of HEWs | 44 |
Giving too much focus on environmental sanitation and less attention to maternal health care | 38 |
Transportation problem | 36 |
Health posts are less equipped (no water, electricity, waiting rooms, and so on) | 34 |
Long walking distance and topographical problems | 32 |
Low salary for HEWs | 26 |
Less confidence of community on HEWs | 16 |
No residence rooms at the health posts for HEWs | 14 |
Less support for HEWs from kebele leaders | 10 |
Meetings | 10 |
Facilitators mentioned by HEWs | Â |
Presence of volunteer community health workers | 62 |
Increasing proportion of women visiting HEWs or health facilities for antenatal care | 60 |
Maternity leave from safety net program | 46 |
Support from kebele administration | 24 |
Support from supervisors | 24 |
Presence of family health card for providing health education for women | 20 |
Support from other sectors (women’s association/non-governmental organizations/agriculture sector) | 20 |
Availability of supplies at health posts | 10 |
Community mobilization and conversation | 8 |
Presence of ambulance | 8 |