scholarly journals Socio-cultural Beliefs and Practices Influencing Institutional Delivery Service Utilization in Three Communities of Ethiopia: A Qualitative Study

1970 ◽  
Vol 29 (3) ◽  
Author(s):  
Sabit Ababor ◽  
Zewdie Birhanu ◽  
Atkure Defar ◽  
Kasahun Amenu ◽  
Amanuel Dibaba ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Facility ◽  
Institutional Delivery ◽  
Health Workers ◽  
Cultural Beliefs ◽  
Cultural Factors ◽  
Beliefs And Practices ◽  
Delivery Service ◽  
Facility Birth ◽  
Health Facility Birth

BACKGROUND: The influence of socio-cultural factors on institutional birth is not sufficiently documented in Ethiopia. Thus, this study explores socio-cultural beliefs and practices during childbirth and its influences on the utilization of institutional delivery services.METHODS: A qualitative study was conducted in three regions of Ethiopia through eight focus group discussions (with women) and thirty in-depth interviews with key informants which included health workers, community volunteers, and leaders. The data were analyzed thematically.RESULTS: The study identified six overarching socio-cultural factors influencing institutional birth in the study communities. The high preference for traditional birth attendants (TBAs) and home as it is intergenerational culture and suitable for privacy are among the factors. Correspondingly, culturally unacceptable birth practices at health facilities (such as birth position, physical assessment, delivery coach) and inconvenience of health facility setting to practice traditional birth rituals such as newborn welcoming ceremony made women avoid health facility birth. On the other hand, misperceptions and worries on medical interventions such as episiotomy, combined with mistreatment from health workers, and lack of parent engagement in delivery process discouraged women from seeking institutional birth. The provision of delivery service by male health workers was cited as a social taboo and against communities' belief system which prohibited women from giving birth at a health facility.CONCLUSIONS: Multiple socio-cultural factors and perceptions were generally affected utilization of institutional birth in study communities. Hence, culturally competent interventions through education, re-orientation, and adaptation of beneficial norms combined with women friendly care are essential to promote health facility birth. 

scholarly journals Socio-cultural Factors Associated with Complementary Feeding in Two Rural Districts in Ghana: A qualitative study involving Health Workers

2020 ◽  
pp. 10-24
Author(s):  
Christiana Naa Atsreh Nsiah-Asamoah
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Complementary Feeding ◽  
Health Workers ◽  
Cultural Beliefs ◽  
Feeding Practices ◽  
Cultural Factors ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Rural Districts

Aim: This study sought to explore the cultural factors that are associated with complementary feeding from the reports of Community Health Workers (CHWs) and Volunteers (CHVs) in two rural districts in Ghana. Study Design: This was a cross-sectional qualitative study that assessed cultural beliefs, norms, superstitions and practices that influence complementary feeding practices of young children under two years in two rural farming districts in Ghana Study Area: The study was conducted at Kwahu Afram Plains North and South Districts in the Eastern Region of Ghana. Methodology: The study employed qualitative methods which entailed conducting 9 focus group discussions among CHWs and CHVs working at two rural districts in Ghana. The focus group discussions were conducted with the aid of a validated, interview guide, after obtaining informed consent (written) from the health workers. Ethical clearance for the study was obtained from the Institutional Review Boards of the Dodowa Health Research Centre and the University of Cape Coast. Thematic content analytical procedures were applied to analyze the transcripts, interpret and present findings as a narrative account. Results: The reports of the health workers indicate a common practice of early introduction of solid foods to infants before they attain six(6) months of age. Cultural beliefs, superstitions, beliefs, food taboos and prohibitions influence mothers’ complementary-feeding practices and result in limiting the food scope and dietary diversity of their young children. Conclusions: Interventions designed to promote appropriate complementary feeding practices should incorporate an understanding of social context, family, and cultural factors in developing nutrition promotion messages that are tailored to meet the needs of rural populations. More community interventions that draw on the support of key influential persons in the community and fathers are needed to address cultural barriers to appropriate complementary feeding practices.

scholarly journals Why institutional delivery is still the last option to rural women in North West Ethiopia: Qualitative study

2019 ◽  
Author(s):  
Netsanet Fentahun Babbel ◽  
Wubegzier Mekonnen ◽  
Yosef Wasihun ◽  
Mulunesh Alemayehu
Keyword(s):  
Risk Perception ◽  
Qualitative Study ◽  
Health Facility ◽  
Rural Women ◽  
Institutional Delivery ◽  
Cultural Beliefs ◽  
Home Delivery ◽  
Health Facilities ◽  
Care Providers ◽  
Related Factors

Abstract Background: whatever the actions has been implemented, home delivery preference in Ethiopia is still over 72%. To date, no studies explored why institutional delivery is still the last option to rural women in Ethiopia. This study was conducted to explore the reason why institutional delivery is still the last option to rural women in Awi Zone Northwest Ethiopia.Methods: An explanatory qualitative study was conducted from February to March 2014. Participants were selected purposively and written informed consent was sought. Twelve reproductive aged females, ten religious and twelve community leaders and sixteen key informants were participated. Data were collected by using semi-structured questionnaire using focused group discussion and in-depth interview guides. Thick description and peer debriefing were applied to assure data quality. Thematic analysis framework was used to analyse the data. Results: The study revealed that institutional delivery is still the last option to the study area. Individual related factors like information gap, low risk Perception to pregnancy and delivery have been mentioned as drive factors for not using institutional delivery. Community related factors of women’s poor position to decision, beliefs and cultural practices for home delivery preference affects institutional delivery. In addition, health facility related barriers like inaccessibility of health facility, infrastructure, lack of privacy during delivery, misconducts of health care providers and high risk perception to health facility delivery were repeated raised as reasons of last option of institutional delivery. Conclusion: This study elucidated that home delivery preference was existed, given high social and cultural price for home delivery and misconceptions towards institutional delivery. Thus, the Ethiopian government together with its partners should focus on accessing health facilities, infrastructure, equipping health facilities with essential materials and skilled health professionals and increasing knowledge of the community, avert communities’ misconceptions and deep-rooted socio-cultural beliefs towards institutional delivery.

scholarly journals Why institutional delivery is still the last option to rural women in North West Ethiopia:  Qualitative study

2020 ◽  
Author(s):  
Netsanet Fentahun Babbel ◽  
Yosef Wasihun ◽  
Wubegzier Mekonnen ◽  
Mulunesh Alemayehu Mulunesh Alemayehu
Keyword(s):  
Risk Perception ◽  
Qualitative Study ◽  
Health Facility ◽  
Rural Women ◽  
Institutional Delivery ◽  
Cultural Beliefs ◽  
Home Delivery ◽  
Health Facilities ◽  
Care Providers ◽  
Related Factors

Abstract Background: Whatever the actions has been implemented, home delivery preference in Ethiopia is still over 72%. To date, no studies explored why institutional delivery is still the last option to rural women in Ethiopia. This study was conducted to explore the reason why institutional delivery is still the last option to rural women in Awi Zone Northwest Ethiopia. Methods : An explanatory qualitative study was conducted from February to March 2014. Participants were selected purposively and written informed consent was sought. Twelve reproductive aged females, ten religious and twelve community leaders and sixteen key informants were participated. Data were collected by using semi-structured questionnaire using focused group discussion and in-depth interview guides. Thick description and peer debriefing were applied to assure data quality. Thematic analysis framework was used to analyse the data. Results : The study revealed that institutional delivery is still the last option to the study area. Individual related factors like information gap, low risk Perception to pregnancy and delivery have been mentioned as drive factors for not using institutional delivery. Community related factors of women’s poor position to decision, beliefs and cultural practices for home delivery preference affects institutional delivery. In addition, health facility related barriers like inaccessibility of health facility, infrastructure, lack of privacy during delivery, misconducts of health care providers and high risk perception to health facility delivery were repeated raised as reasons of last option of institutional delivery. Conclusion: This study elucidated that home delivery preference was existed, given high social and cultural price for home delivery and misconceptions towards institutional delivery. Thus, the Ethiopian government together with its partners should focus on accessing health facilities, infrastructure, equipping health facilities with essential materials and skilled health professionals and increasing knowledge of the community, avert communities’ misconceptions and deep-rooted socio-cultural beliefs towards institutional delivery.

Factors associated with Institutional delivery in Boricha district of Sidama zone, southern Ethiopia

2014 ◽  
Vol 3 (4) ◽  
pp. 224 ◽  
Author(s):  
Tafese Tadele Gudura ◽  
Alemu Tamiso Debiso ◽  
Tariku Tadele Gudura
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Delivery Service ◽  
Stroke Width ◽  
Multistage Sampling ◽  
Almost All

<p style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Every year, 40 million women give birth at home without the help of a<br />skilled birth attendant. In 2011, 287,000 women died during pregnancy or childbirth. Almost all these deaths occur in developing countries where mothers and children lack access to basic health care. Reports showed the low utilization of health facility for delivery service in Ethiopia. This study aimed to determine the utilization and factors influencing institutional delivery. Community based cross sectional study was conducted from January to February 2013/14 in Boricha District of Southern Ethiopia among mothers who gave birth in the last 1 year. Multistage sampling techniques were used to collect data from 546 mothers. Taking in to account place of birth for the last child, only 4.9% women gave birth in a health facility. Women’s education level (AOR=4.4 (95% CI=1.36-14.33)), timing of firstANC visit (AOR= .03 (95% CI=0.004 - 0.205)), women’s advice to deliver in a health facility during ANC (AOR = 31.15 (95% CI=2.02-479.52)), women’s knowledge of birth related complications (AOR= 12.4 (95% CI=2.67-57.16)) and decision making power (AOR=0.2 (95% CI=0.060.82)) showed significant association with institutionional delivery. Institutional delivery in the study area was found to be very low. Raising awareness on institutional delivery to maximize delivery service utilization and strengthening provision of education and counseling to deliver in health facility during antenatal care visits at individual and community level should be given due emphasis.</p>

scholarly journals Cultural Beliefs and Practices of Ethnic Filipinos: An Ethnographic Study

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Evelyn J. Grey
Keyword(s):  
Rural Communities ◽  
Qualitative Study ◽  
Cultural Practices ◽  
Cultural Beliefs ◽  
Ethnographic Study ◽  
Life Stages ◽  
Way Of Life ◽  
Traditional Beliefs ◽  
Beliefs And Practices

<div><p><em>The study was to determine the cultural beliefs and practices of the ethnic Filipinos. This is a qualitative study and the focus is the Aetas living in Central Philippines. The informants were the 9 prominent Aetas, 6 of them were Aeta women who have experienced pregnancy or pregnant during the time this study was conducted. The findings revealed that during pregnancy their most  beliefs and practices are observed by the Aetas.  Some of the traditional beliefs and practices of Aetas  have been influenced by many factors. They have also retained some of their traditional beliefs and practices on pregnancy, childbirth, marriage, death and burial despite the effects of the factors mentioned. All throughout the life stages of the Aetas in the rural communities, their old beliefs and practices had been influenced by modernization.  It simply shows that the Aetas , are also susceptible to accept changes that may affect their way of life. Their traditional cultural practices that deeply rooted in their beliefs were difficult to neglect since it has already been part of their tradition for years.</em></p></div>

scholarly journals Newborn care practices in a tribal community in tamilnadu: a qualitative study

2017 ◽  
Vol 4 (3) ◽  
pp. 869 ◽  
Author(s):  
Latha S. ◽  
Kamala S. ◽  
Srikanth S.
Keyword(s):  
Qualitative Study ◽  
Cultural Practices ◽  
Health Workers ◽  
Scientific Information ◽  
Newborn Care ◽  
Work Place ◽  
Tribal Community ◽  
Essential Newborn Care ◽  
Beliefs And Practices ◽  
Care Practices

Background: Neonatal mortality is high in tribal areas. Cultural practices influence the newborn health outcomes in tribal communities. Each tribe has its own unique practices on newborn rearing. Little scientific information is available on the beliefs and practices related to essential newborn care among tribes in Tamilnadu. An understanding of the tribe specific newborn care practices by health workers could facilitate them to provide effective newborn care.Methods: A qualitative study was conducted in Sittilingi tribal area in Dharmapuri district of Tamilnadu during the period August and September 2016. The data was collected by In-Depth interviews of 10 mothers with infants, selected by Snow ball sampling method. Local newborn care beliefs and practices were explored and analysis of their beneficial or harmful effects was carried out.Results: The findings show that beneficial practices like utilizing antenatal services, institutional deliveries, delayed bathing and measures to prevent infection were adopted. Harmful practices being followed included late initiation of breastfeeding, denying colostrum, feeding prelacteals, improper thermal care and application of indigenous substances on umbilical cord stump.Conclusions: In spite of utilization of health services, traditional beliefs still play a crucial role in influencing neonatal care practices in the study area. The findings necessitate a need for accessing the prevalence of cultural practices by quantitative studies. Midwives being a vital source of information should be aware of local cultural practices in their work place, to plan for effective behavior change among the mothers to preserve safe practices and avoid harmful practices.  

scholarly journals A Qualitative Study of the Development and Utilization of Health Facility-based Immunization Microplans in Uganda.

2021 ◽  
Author(s):  
David Kaawa-Mafigiri ◽  
Constance Iradukunda ◽  
Catherine Atumanya ◽  
Michael Odie ◽  
Arielle Mancuso ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Facility ◽  
Planning Process ◽  
Health Workers ◽  
Immunization Coverage ◽  
Health Facilities ◽  
Optimal Development ◽  
Limited Knowledge ◽  
Catchment Areas ◽  
Development And Utilization

Abstract Background: In 2006, Uganda adopted the Reaching Every District strategy with the goal of attaining at least 80% coverage for routine immunizations in every district. The development and utilization of health facility/district immunization microplans is the key to the strategy. A number of reports have shown sub-optimal development and use of microplans in Uganda. This study explores factors associated with sub-optimal development and use of microplans in two districts in Uganda to pinpoint challenges encountered during the microplanning process.Methods: A qualitative study was conducted comparing two districts, Kapchorwa with low immunization coverage and Luwero with high immunization coverage. Data were collected through multilevel observation of health facilities, planning sessions and planning meetings; records review of microplans, micromaps, and meeting minutes; 57 interviews with health workers at the Ministry level and lower cadre health facility workers. Data were analyzed using NVivo 8 qualitative text analysis software. Transcripts were coded, memos and display matrices were developed to examine the process of developing and utilization of microplans, including experiences of health workers (implementers). Results: Three key findings emerged from this study. First, there are significant knowledge gaps about the microplanning process among health workers at all levels (community and district health facility and nationally). Limited knowledge about communities and program catchment areas greatly hinders the planning process by limiting the ability to identify hard-to-reach areas as well as prioritize areas according to need. Secondly, the microplanning tool is bulky and complex. Finally, microplanning is being implemented in the context of already over-tasked health personnel who have to conduct several other activities as part of their daily routines.Conclusions: In order to achieve quality improvement of the Reaching Every District campaign, the microplanning process should be revised. Health workers’ misunderstanding and limited knowledge about the microplanning process, especially at peripheral health facilities, coupled with the complex, bulky nature of the microplanning tool reduces the effectiveness of microplanning in improving routine immunization in Uganda. The study reveals the need to reduce the complexity of the tool and identify ways to train and support workers in the use of the revised tool, including support in incorporating the microplanning process into their busy schedules.

scholarly journals Factors associated with Institutional delivery in Boricha district of Sidama zone, southern Ethiopia

2014 ◽  
Vol 3 (4) ◽  
pp. 224
Author(s):  
Tafese Tadele Gudura ◽  
Alemu Tamiso Debiso ◽  
Tariku Tadele Gudura
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Delivery Service ◽  
Stroke Width ◽  
Multistage Sampling ◽  
Almost All

<p style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Every year, 40 million women give birth at home without the help of a<br />skilled birth attendant. In 2011, 287,000 women died during pregnancy or childbirth. Almost all these deaths occur in developing countries where mothers and children lack access to basic health care. Reports showed the low utilization of health facility for delivery service in Ethiopia. This study aimed to determine the utilization and factors influencing institutional delivery. Community based cross sectional study was conducted from January to February 2013/14 in Boricha District of Southern Ethiopia among mothers who gave birth in the last 1 year. Multistage sampling techniques were used to collect data from 546 mothers. Taking in to account place of birth for the last child, only 4.9% women gave birth in a health facility. Women’s education level (AOR=4.4 (95% CI=1.36-14.33)), timing of firstANC visit (AOR= .03 (95% CI=0.004 - 0.205)), women’s advice to deliver in a health facility during ANC (AOR = 31.15 (95% CI=2.02-479.52)), women’s knowledge of birth related complications (AOR= 12.4 (95% CI=2.67-57.16)) and decision making power (AOR=0.2 (95% CI=0.060.82)) showed significant association with institutionional delivery. Institutional delivery in the study area was found to be very low. Raising awareness on institutional delivery to maximize delivery service utilization and strengthening provision of education and counseling to deliver in health facility during antenatal care visits at individual and community level should be given due emphasis.</p>

scholarly journals A qualitative study of the development and utilization of health facility-based immunization microplans in Uganda

2021 ◽  
Vol 19 (S2) ◽  
Author(s):  
David Kaawa Mafigiri ◽  
Constance Iradukunda ◽  
Catherine Atumanya ◽  
Michael Odie ◽  
Arielle Mancuso ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Facility ◽  
Planning Process ◽  
Health Workers ◽  
Immunization Coverage ◽  
Health Facilities ◽  
District Health ◽  
Limited Knowledge ◽  
Catchment Areas ◽  
Development And Utilization

Abstract Background In 2006, Uganda adopted the Reaching Every District strategy with the goal of attaining at least 80% coverage for routine immunizations in every district. The development and utilization of health facility/district immunization microplans is the key to the strategy. A number of reports have shown suboptimal development and use of microplans in Uganda. This study explores factors associated with suboptimal development and use of microplans in two districts in Uganda to pinpoint challenges encountered during the microplanning process. Methods A qualitative study was conducted comparing two districts: Kapchorwa, with low immunization coverage, and Luwero with high immunization coverage. Data were collected through multilevel observation of health facilities, planning sessions and planning meetings; records review of microplans, micromaps and meeting minutes; 57 interviews with health workers at the ministry level and lower-level health facility workers. Data were analysed using NVivo 8 qualitative text analysis software. Transcripts were coded, and memos and display matrices were developed to examine the process of developing and utilizing microplans, including experiences of health workers (implementers). Results Three key findings emerged from this study. First, there are significant knowledge gaps with regard to the microplanning process among health workers at all levels (community and district health facility and nationally). Limited knowledge about communities and programme catchment areas greatly hinders the planning process by limiting the ability to identify hard-to-reach areas and to prioritize areas according to need. Secondly, the microplanning tool is bulky and complex. Finally, microplanning is being implemented in the context of already overtasked health personnel who have to conduct several other activities as part of their daily routines. Conclusions In order to achieve quality improvement as outlined in the Reaching Every District campaign, the microplanning process should be revised. Health workers’ misunderstanding and limited knowledge about the microplanning process, especially at peripheral health facilities, coupled with the complex, bulky nature of the microplanning tool, reduces the effectiveness of microplanning in improving routine immunization in Uganda. This study reveals the need to reduce the complexity of the tool and to identify ways to train and support workers in the use of the revised tool, including support in incorporating the microplanning process into their busy schedules.

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