"Missed Prenatal Ultrasounds" unspoken issue of women having Antenatal care at Primary health care settings: A qualitative exploratory study in District Hazro, Pakistan

Abstract

Abstract Background This qualitative study aimed to explore women's experiences and perceptions regarding barriers to accessing ultrasound scans at primary healthcare level.Method Altogether, four focus group discussions (FGDs) involving 36 pregnant women who had received prenatal care at facilities between February and September 2021 were conducted. Using a purposive sampling technique participants provided informed consent before data collection during guided FGDs.Result Thematic analysis of the data using NVivo 12 revealed recurring themes explaining underutilization of ultrasound scans at this level of healthcare. The study highlighted challenges faced by women at primary health care facilities, emphasizing the potential gaps in caregivers' ability to provide comprehensive counseling about the importance and safety of ultrasound scans in fetal growth monitoring. Addressing staff training and accountability emerged as essential areas requiring attention. Additionally, allocating more resources to alleviate financial burdens associated with accessing ultrasound services was a key recommendation.Conclusion In conclusion, this study revealed diverse barriers hindering women's access to ultrasound services at primary healthcare. It suggests targeted interventions focusing on staff training, improving facility support, and addressing financial constraints to enhance accessibility and utilization of ultrasound scans among pregnant women attending Primary Health Care facilities.