Women with Disabilities: Barriers and Facilitators to Accessing ...

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WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College DublinAppendix 5 – Tables 6 and 7Table 6: Studies describing barriers to accessing services among women with mental health difficultiesTable 7: Studies describing facilitators to accessing services among women with mental health difficulties179
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College DublinTable 6: Studies describing barriers to accessing services among women with mental health difficultiesAuthor(s)& YearCountry Aim Methodology PopulationGroup/Sample SizeBarriers to accessing servicesJesse et al(2008)Zittel-Palamaraet al(2008)Lau andWong(2008)Teng et al(2007)U.S.A.U.S.A.HongKongCanadaExploreperceivedbarriers toseeking help fordepressionExplorewomen’s desirefor postpartumdepression(PPD) careTo explore howthe Chinesevalue of‘concern forface’ is relatedto postnataldepression andwillingness toseek helpTo identifyhealth careworkers’perceptions ofbarriers to carethat recentimmigrantFocus groupinterviewsQuestionnaireQuestionnairesEPDS andProtective andAcquisitiveFaceOrientationscale (PAFO)Semistructuredinterviews21 pregnant AfricanAmerican andCaucasian lowincome prenatalwomen45 women with PPDrecruited throughnewspaper advertsand referrals fromlocal obstetriciansand psychiatrists1200 women whohad given birth 2-5days previouslycompleted thequestionnaires16 professionals(social worker,nurses, family doctorpsychologists,psychiatrist) whohad an average of15 years providingLack of trustStigma and fear of being judgedDissatisfaction with health care systemNot wanting helpNot being sure who to speak toUnable to locate servicesSymptoms of depression impactingnegatively on motivation and ability to takeactionWomen with depressive symptoms wereless likely to seek help than women whowere not depressed. Women with highconcern for protecting face were 1.36 timeless likely to seek help during earlypostnatal period. Women preferred to seekhelp from informal sources as opposed toprofessionalsLack of fluency in English, lack oftransportation. Finding and affording ababysitter. Lack of knowledge andunderstanding of PPD. Cultural barriers,lack of cultural recognition of postnataldepression as a ‘medical’ problem. Stigmaof mental illness and fear of being labelled180
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University of DublinTrinity College
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