All VIDM 2023 Conference sessions are recorded. Links to the recordings are available on our @VirtualMidwives YouTube channel and linked below in each session listing.

Use the Search CATEGORIES and KEYWORDS (ie. Spanish, Students, or Keynotes) to find sessions of interest.

VIDM 2023 Conference sessions were presented and recorded using Big Blue Button mobile friendly webconferencing technology, thanks to our colleagues at Frontier Nursing University

12 Fit-for-purpose antenatal care services: Perspectives from women with physical disabilities and midwive
May 5 @ 09:00 – 09:50
12  Fit-for-purpose antenatal care services: Perspectives from women with physical disabilities and midwive @ Room A

Speaker: Ponsiano Kabakyenga Nuwagaba 

Facilitator: Hayat Gommaa

In low- and middle-income countries, several barriers impede utilisation of antenatal care (ANC) services by women with disabilities, yet ANC is a critical entry point for pregnant women to receive quality maternity care services. We investigated the experiences of pregnant women with physical disabilities in utilising ANC services to suggest strategies for improving the services. 

Methods: A qualitative study using a multiple case study design was conducted. Twelve women with physical disabilities and six midwives from three health facilities in Sheema District in rural south-western Uganda, were selected as study participants. Women were sampled using snowball sampling. Midwives and health facilities were sampled using purposive sampling. Data was gathered through face-to-face interviews and a focus group discussion between November 2020 to January 2021. Data was transcribed, translated and thematically analysed. Ethical approval was obtained from University of Cape Town and Uganda National Council for Science and Technology. No competing interests declared. 

Results: Women had mixed experiences of midwives and other health workers, noting that sometimes midwives would be supportive and other times, they would be unapproachable. Participants felt that midwives had limited knowledge on disability and were emotionally unprepared to attend to pregnant women with disabilities. There were suggestions for disability inclusion, including a dedicated ANC clinic and making connections with stakeholders, for fit-for-purpose ANC services. 

Conclusion: Midwives have limited understanding of the implications of physical disability on women’s utilisation of ANC services. Respect for women with disabilities’ dignity and needs should be emphasized in midwifery education and training.