Exploring Selected Maternity Service Utilization Among Homeless Mothers In Addis Ketema Sub-city Addis Ababa Ethiopia Descriptive Phenomenological Qualitative Study

Background: - Homeless mothers who become pregnant are least prepared economically andrnemotionally to care for their infants. They usually lack gainful employment, as a result live in anrnunstable conditions and lead an economically hardship life. In addition, the problem to pregnantrnmothers is compounded by either lack of access or inadequate utilization of health care servicesrnbefore and during childbirth due to various factors. This study tried to address and understand thernexperiences of homeless mothers in relation to institutional delivery service utilization.rnObjective: - To explore the phenomena and experiences to selected maternity service utilizationrnamong homeless mothers who gave childbirth in the last 12 months in Addis Ketema Sub-city,rnAddis Ababa, Ethiopia.rnMethodology:-A descriptive qualitative phenomenological study was conducted amongrnhomeless mothers who gave childbirth in the last 12 months prior to the study and midwivesrnworking in Addis Ketema Sub-City health centers. In-depth interview was conducted with 25rnhomeless mothers mainly from and around churches and mosques. Time-location and purposivernsampling technique were used to get homeless mothers. In-depth interview also was conductedrnwith 5 midwives by using purposive sampling technique from the health centers located in AddisrnKetema Sub-City of Addis Ababa City Administration. A semi structured questionnaire was usedrnto collect data and the collected data and the in-depth interviews were tape-recorded, transcribedrnand then the transcripts were analyzed by using a thematic analysis method. The open codernsoftware version 3.4 was used for coding and categorization.rnResult: - Homeless mothers’ experience showed that barriers to antenatal care and institutionalrndelivery service utilization resulted from themes categorized as socio-economic, socio-culturalrnand cognitive reasons. The major barriers identified from these categories include lack ofrnknowledge, priority for begging and house hold chores, lack of constant income, communityrnnegative beliefs and sense of insecurity.rnConclusion and Recommendation: - An understanding of health care experiences from thernhomeless mothers’ perspectives should guide the actions to address the cognitive, socio-culturalrnand socio-economic barriers

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