title: [The non-uptake of prenatal care in Burkina Faso].
abstract: BACKGROUND
  Despite the importance of prenatal care to decrease maternal and neonatal mortality, uptake remains suboptimal in Burkina Faso. This article documents the reasons for non-uptake of prenatal care, by focusing on women who either completely renounce or delay their access to prenatal care.
  
  
  METHODS
  Qualitative data collection was performed in the rural town of Kokologho from October 2013 to january 2014. Different collection methods were used: participant observation, twenty-two individual semi-structured interviews with women who accessed prenatal care as a late option and eight informal interviews with key informants identified in the community.
  
  
  RESULTS
  Thematic analysis revealed four barriers against the effective use of prenatal care by women: (1) lack of knowledge about the prenatal care schedule and purpose (2) perception of pregnancy and prenatal care (3) socioeconomic barriers: direct payment for prenatal care and the limited autonomy of women, and (4) perception of the quality of prenatal care.
  
  
  CONCLUSIONS
  Based on these observations, non-uptake of prenatal care is discussed using different types of explanatory typologies adopted for this study: non-knowledge, non-claiming by choice or constraints and non-reception of care. This theoretical approach reveals that failures in healthcare services as well as the dichotomy between social representations and medical standards of pregnancy and prenatal care contribute to exclude some women from the prenatal care system.
authors.forename: Marietou
authors.initials: M
authors.lastname: Niang
authors.forename: Sophie
authors.initials: S
authors.lastname: Dupéré
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Bédard
mesh_terms: D000293:Adolescent; D000328:Adult; D002050:Burkina Faso; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D010342:Patient Acceptance of Health Care; D026684:Personal Autonomy; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012424:Rural Population; D012959:Socioeconomic Factors; D055815:Young Adult