Maternal health care decision-making process at the family level in Geita Region, Tanzania: A qualitative study

2020 ◽  
Author(s):  
Thecla W. Kohi ◽  
Jasintha S. Boniphace ◽  
Justine Dol
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Qualitative Study ◽  
Maternal Health Care ◽  
Health Care Facilities ◽  
Decision Making Process ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Family Level

Abstract Background : Most maternal deaths are preventable if a woman is able to identity danger signs and seek obstetric health care without delay. However, lack of knowledge on obstetric danger signs and a prolonged decision-making process at family level may contribute to the high maternal mortality. Currently, there is little known on how the process of decision-making at family level in seeking obstetric care is being made in Tanzania. Therefore, this study aimed to describe the process on decision-making at family level in seeking maternal health care during pregnancy, delivery and postpartum period in the Geita Region, Tanzania. Methods : A qualitative study using in-depth semi-structured interview was conducted at Chato District Hospital in the Geita Region with seven fathers and seven mothers who were attending the Reproductive Child Health Clinic.Participants were recruited using purposeful sampling and interviews were analyzed using content analysis. Results: Three themes emerged from this study, including recognition of danger signs, decision-making process, and perceived influencers for seeking maternal health care. Almost all participants were aware of obstetric danger signs, yet some gaps remained among husbands. The process of decision-making starts with the woman herself who then communicates to others for discussion but the final decision-making in seeking care is dominated by husbands, parents, or neighbors, rather than mothers alone. Observing danger signs and perceived quality of care available from the health facilities were the most predominate influencers for seeking maternal health care. Conclusion: While the process of decision-making in every family starts with the woman herself, others are consulted for discussion prior to reaching a decision about seeking maternal health care, resulting in delays in accessing care. It is positive that most of the decision makers had good understanding of obstetric danger signs and that observation of those danger signs encourage access of maternal health care. However, continued education on obstetric danger signs in the community is needed as well as quality care needs to be available and known to be provided at health care facilities to encourage early seeking of maternal health care. Keywords : maternal health; decision-making; Tanzania

scholarly journals A cross-sectional study of the role of men and the knowledge of danger signs during pregnancy in southern Mozambique

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Galle ◽  
Malica De Melo ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Antenatal Care ◽  
Financial Support ◽  
Maternal Health Care ◽  
Cross Sectional ◽  
Men And Women ◽  
Danger Signs ◽  
Knowledge Of Danger Signs

Abstract Background The role of the male partner and wider family in maternal health, especially in case of emergencies, has been receiving increasing attention over the last decade. Qualitative research has highlighted that women depend on others to access high quality maternity care. Currently little is known about these factors in relation to maternal health in Mozambique. Methods A cross sectional household survey was conducted with men and women in southern Mozambique about decision making, financial support and knowledge of danger signs. A multivariable logistic model was used to identify factors associated with knowledge of danger signs and Cohen’s kappa for agreement among couples. Results A total of 775 men and women from Marracuene and Manhica districts were interviewed. Maternal health care decisions were frequently made jointly by the couple (32–49%) and financial support was mainly provided by the man (46–80%). Parental and parent-in-law involvement in decision making and financial support was minimal (0–3%). The average number of danger signs respondents knew was 2.05 and no significant difference (p = 0.294) was found between men and women. Communication with the partner was a significant predictor for higher knowledge of danger signs for both men (p = 0.01) and women (p = 0.03). There was very low agreement within couples regarding decision making (p = 0.04), financial support (p = 0.01) and presence at antenatal care consultations (p = 0.001). Results suggest women and men have a high willingness for more male participation in antenatal care, although their understanding of what constitutes this participation is not clear. Conclusion The study findings highlight the important role men play in decision making and financial support for maternal health care issues. Strengthening male involvement in antenatal care services, by investing in counselling and receiving couples, could help accelerate gains in maternal health in Mozambique. Maternal health care studies should collect more data from men directly as men and women often report different views and behavior regarding maternal health care issues and male involvement.

scholarly journals Gender Study on Knowledge and Decision Making on Maternal Health Care in Nepal

2018 ◽  
Vol 11 ◽  
pp. 1-6
Author(s):  
B Shrestha
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Maternal Health Care ◽  
Fundamental Rights ◽  
Health Seeking ◽  
Cross Sectional ◽  
Danger Signs ◽  
Study Team ◽  
And Gender

Background: The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being, without distinction of race, religion, and political belief, economic or social condition.(1). There still exist differences in the factors determining health and the burden of ill-health for women and men. The study is based on addressing the maternal health problems with gender perspectives, and the factors associated with health seeking practices. The main objectives of the study are to find out maternal health problem and gender analysis on decision making (household matters and health care) and the knowledge on danger signs in mother and newborn. Methods:The study is descriptive and cross sectional in design. Household surveys were conducted by the study team in 24 sample VDCs of Baglung, Dolakha and Ramechhap. Results: A total of 959 women were interviewed and 112 (11.40 percent) of them reported having faced emergency obstetric problems and about 5.6 percent of the respondents were found to be suffering from Uterus prolapse problems. The men were found getting more (81.2 percent) opportunities for education than women (58 percent). Women were found to be limited more to household activities that have low economic/monetary value (Women vs. Men: 41.83 percent Vs 4.49 percent) in comparison to men. The women’s status was found to be lower than that of men in all the indicators. The types of occupation were also clearly distinct between men and women in the study districts. Women had better knowledge (50 percent Vs 25 percent) on danger sign in mother and newborn but did not get opportunity of making decision to access health care in time. They were found having to follow their husband’s or in-laws’s decision. Conclusion: Appropriate initiative should be taken for women empowerment in order to develop women autonomy for maternal health care. DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7421 Health Prospect 2012;11:1-6

scholarly journals Social Determinant of Home Delivery among Ever-Married Women in Khyber Pakhtunkhwa Pakistan

2020 ◽  
Vol 20 (1) ◽  
pp. 55-72
Author(s):  
Dr. Hussain Ali
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Rural Women ◽  
Home Delivery ◽  
Married Women ◽  
Maternal Health Care ◽  
Decision Makers ◽  
Domestic Sphere ◽  
Khyber Pakhtunkhwa

The poor maternal health is one of the public health issues facing by rural women in Pakistan. There are various socio-demographic and cultural factors which confine women to domestic sphere. The main objective of this research is to study various social factors as determinants of home delivery among ever-married women in Khyber Pakhtunkhwa province of Pakistan. In the present study researchers used the quantitative research design in which the data are collected through household survey in the pakhtun society. The data are collected from 503 ever married women in District Malakand, from May 1, to November 30, 2016. The results show that nearly two third 62.3 percent men’s are key decision maker about antenatal care utilization, more than third forth 76 percent of the husbands are key decision makers about the home delivery due to their women subordinate position within household. The researchers concluded that men’s are key decision makers and their decision affect women maternal health care. In order to achieve Sustainable Development Goal No. 3, the study recommends mainstreaming women in the decision making process in domestic sphere as well as their involvement is decision making about accessing and utilizing of maternal health care services. Keywords: Home delivery, men’s decision, subordinate position, women

scholarly journals Maternal health care-seeking behaviour of married adolescent girls: A prospective qualitative study in Banke District, Nepal

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0217968
Author(s):  
ASM Shahabuddin ◽  
Therèse Delvaux ◽  
Christiana Nöstlinger ◽  
Malabika Sarker ◽  
Azucena Bardají ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Maternal Health Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Care Seeking Behaviour ◽  
Care Seeking Behaviour

scholarly journals Traditional practices influencing the use of maternal health care services in Indonesia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257032
Author(s):  
Ni Ketut Aryastami ◽  
Rofingatul Mubasyiroh
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Maternal Health Services ◽  
Community Empowerment ◽  
Maternal Health Care ◽  
Health Care Facilities ◽  
Traditional Practices ◽  
Birth Attendance

Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.

Gender Analysis of Decision Making on Maternal Health Care among Rural Farmers in Southwestern Nigeria: Implications for Food Security

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Oluwatoyin J. Oluwasusi ◽  
Abolade O. Adeyemo ◽  
Funmilayo O. Bamigboye ◽  
Babatunde J. Olusipe
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Food Security ◽  
Rural Communities ◽  
Maternal Health ◽  
Maternal Health Care ◽  
Safe Motherhood ◽  
Rural Farmers ◽  
Significant Difference ◽  
Males And Females

Safe childbirth is crucial to farmers’ productivity and food security as farm labour plays a pivotal role for farming in most rural communities. Analysing gender roles on maternal health care (MHC) decision is of major concern in ensuring safe motherhood and poverty reduction in rural homes. Therefore, this study analysed gender concerns of MHC among rural farmers. Multistage sampling procedure was used to select 124 respondents for the study; data were collected using structured interview schedule, Focus Group Discussion, descriptive and inferential statistics. Respondents (χ = 29 years) were in their youthful and procreating stage with average family size of 4 members. Husbands (64.5%) mainly decided the MHC utilised for childbirth. More females (54.8%) belonged to cooperative society. About (56.5%) of males and females (53.2%), respectively were crop producers having average monthly earning of #19,000. Most predicating factors to MHC decision were family tradition ( χ= 2.21) and social capital (χ = 2.18). Males (61.3%) had high level of MHC decision unlike the females (54.8%) with low contribution to MHC decision. Monthly income (r=0.521), responsibility for decision making (r=0.668) were significantly related to respondents decision on MHC. There was a significant difference in the level of decision making between males and females (t=5.28, df =31). Hence, it is recommended that non-governmental organisation should collaborate with the government to aggressively sensitise rural communities on safe motherhood and men should sufficiently empower women to contribute and participate actively in decisions on maternal health care in rural families for sustainable food production and supply.

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