@article {Stekelenburg:March 2004:1360-2276:390,
	author = "Stekelenburg J.",
	author = "Kyanamina S.",
	author = "Mukelabai M.",
	author = "Wolffers I.",
	author = "Roosmalen J.",
	title = "Waiting too long: low use of maternal health services in Kalabo, Zambia",
	journal = "Tropical Medicine & International Health",
	volume = "9",
	year = "March 2004",
	abstract = "Summary Objective <P></P>To determine the level of use of maternal health services and to identify and assess factors that influence women&#039;s choices where to deliver in Kalabo District, Zambia. Methods <P></P>A cross-sectional descriptive study conducted between 1998 and 2000, with 332 women interviewed using semi-structured questionnaires. Focus group discussions were held and hospital data and registers were checked. Results <P></P>Although 96&#037; of respondents would prefer to deliver in a clinic, only 54&#037; actually did, because of long distances, lack of transport, user fees, lack of adequate health education given during antenatal clinic attendances, poorly staffed and ill-equipped institutions with poorly skilled personnel. Conclusion <P></P>Unmarried women, women with higher education and women with formal employment, who are able to pay the user fees and live near a clinic are more likely to deliver in a clinic. This does not guarantee survival, however; maternal mortality is high in the district; health facilities are poorly staffed, poorly skilled and ill-equipped.",
	pages = "390-398(9)",
	url = "http://www.ingentaconnect.com/content/bsc/tmih/2004/00000009/00000003/art00012"
	doi = "doi:10.1111/j.1365-3156.2004.01202.x"
}