Why some women fail to give birth at health facilities: a qualitative study of women’s perceptions of perinatal care from rural Southern Malawi

Autor: Ellen Chirwa, Address Malata, Lily C. Kumbani, Jon Øyvind Odland, Gunnar Bjune
Jazyk: angličtina
Předmět:
Rural Population
Health Knowledge
Attitudes
Practice
Malawi
Community
Health facility
Pregnancy
Health care
Infant Mortality
Obstetrics and Gynaecology
Childbirth
Home Childbirth
Skilled birth attendant
education.field_of_study
VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin
sosialmedisin: 801
Health surveillance assistants in maternal and newborn care
Obstetrics and Gynecology
Prenatal Care
Perinatal Care
Female
Confidentiality
Adult
medicine.medical_specialty
Attitude of Health Personnel
Population
Prenatal care
Midwifery
lcsh:Gynecology and obstetrics
Nursing
medicine
Humans
Maternal Health Services
Women
education
lcsh:RG1-991
Quality of Health Care
Lay birth attendant
business.industry
Public health
Research
Infant
Newborn
Quality of care
Patient Acceptance of Health Care
Delivery
Obstetric
Infant mortality
Perinatal period
Reproductive Medicine
Family medicine
Structured interview
Perception
Health Facilities
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine
Social medicine: 801
business
Zdroj: Reproductive Health, Vol 10, Iss 1, p 9 (2013)
Reproductive Health
ISSN: 1742-4755
DOI: 10.1186/1742-4755-10-9
Popis: Background Despite Malawi government’s policy to support women to deliver in health facilities with the assistance of skilled attendants, some women do not access this care. Objective The study explores the reasons why women delivered at home without skilled attendance despite receiving antenatal care at a health centre and their perceptions of perinatal care. Methods A descriptive study design with qualitative data collection and analysis methods. Data were collected through face-to-face in-depth interviews using a semi- structured interview guide that collected information on women’s perception on perinatal care. A total of 12 in- depth interviews were conducted with women that had delivered at home in the period December 2010 to March 2011. The women were asked how they perceived the care they received from health workers before, during, and after delivery. Data were manually analyzed using thematic analysis. Results Onset of labor at night, rainy season, rapid labor, socio-cultural factors and health workers’ attitudes were related to the women delivering at home. The participants were assisted in the delivery by traditional birth attendants, relatives or neighbors. Two women delivered alone. Most women went to the health facility the same day after delivery. Conclusions This study reveals beliefs about labor and delivery that need to be addressed through provision of appropriate perinatal information to raise community awareness. Even though, it is not easy to change cultural beliefs to convince women to use health facilities for deliveries. There is a need for further exploration of barriers that prevent women from accessing health care for better understanding and subsequently identification of optimal solutions with involvement of the communities themselves.
Databáze: OpenAIRE
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