Perceived barriers to utilization of maternal health services in rural Cambodia

Objective:The aim of this study was to identify the underlying causes of Cambodian women's non-use of maternal health services provided by skilled birth attendants. Method: A qualitative study of 66 reproductive-age women was conducted in Kampong Cham Province. Cambodia. Data were collected through 30 semi-structured interviews and 6 focus groups. Results: We identified 5 barriers to the utilization of maternal health services: (i) financial barriers; (ii) physical barriers; (iii) cognitive barriers; (iv) organizational barriers; and (v) psychological and socio-cultural barriers. Conclusions: The Cambodian Ministry of Health and its development partners should take these barriers into account when promoting the use of maternal health services. These barriers should be addressed proactively. A successful approach to increasing use of maternal health services should involve changes to both service programs and public education. (C) 2009 Elsevier Ireland Ltd. All rights reserved.