Our present study will also assess their needs in health care services and the obstacles they meet in enjoying health services as well as suggest feasible solutions to presented problems.
These obstacles are connected to the organization of health services, as well as to social interactions between health professionals and patients.
This is consistent with other reports that identify poor access to vaccination services as an obstacle to uptake [ 9, 10].
Such early client drop-out from the PMTCT cascade has deleterious "downstream" effects, as inefficiencies in antenatal PMTCT service delivery manifest as obstacles to diagnosis, treatment, and care further along the cascade, ultimately resulting in higher MTCT risk [ 11].
Qualitative studies have reported that parents cite problems with services as the main obstacles to having their children vaccinated [ 11, 39, 41, 42].
Participants cited limited service resources, lack of needs-specific professional skills, bureaucratic barriers and stigma as obstacles to better service access.
Several previously hypothesized barriers were not perceived by our participants as obstacles to accessing EMS services, including poor knowledge of ambulance companies and appropriate indications to access ambulances.
Interviewees were not asked directly about resilience; they were asked to reflect on what they perceived as "good" social services and obstacles in providing such services.
Furthermore, the lack of sanitary water and functional rooms for primary health care were cited as obstacles to provide qualified health services.
Long distances to service centers [ 4], poor transport systems [ 22] and lack of money for transport and services fees [ 23, 27] have been reported as obstacles for cervical cancer screening and care elsewhere too.
