Awareness and utilization of obstetric services among pregnant women: Healthcare providers' perceptions and experiences in Lejweleputswa District, South Africa

This study examines pregnant women’s awareness and utilization of antenatal and obstetric services in the Lejweleputswa District, South Africa. A qualitative case study design was employed, using interviews conducted between October and November 2024 with 32 healthcare providers, including nurses, midwives, and facility managers. The study explored factors shaping service uptake, such as socio-economic barriers, cultural beliefs, late antenatal booking, and health system challenges. Findings show that limited awareness of available services, persistent cultural misconceptions, long travel distances, and shortages of skilled staff reduce early and consistent antenatal care (ANC) attendance. The study recommends strengthening community health education, improving healthcare infrastructure, and enhancing provider–patient communication to address these barriers. Practical implication: The results can support district-level policies aimed at increasing early ANC use and reducing preventable maternal and neonatal complications in rural settings.