From: Factors influencing place of delivery for pastoralist women in Kenya: a qualitative study
Topics | Themes |
---|---|
Accessing health facilities | Remote locations of group ranches |
 - long distance to health facilities | |
 - poor roads | |
 - limited transport | |
 - cost of transport | |
Perceived quality of SBA care | Poor quality services |
 - negative attitudes of SBAs | |
 - verbal and/or physical abuse | |
 - left alone during delivery | |
 - cold environment | |
Shame | |
 - being naked during facility deliveries | |
 - being attended by male doctors or nurses | |
Education | Intersection of education and gender |
 - women’s lack of health awareness | |
 - men’s ignorance of women’s health | |
 - men’s control of decision-making | |
Preference for home births | TBAs are highly valued community members |
 - high prestige of TBAs in community | |
 - community trust and confidence in TBAs | |
 - ease of availability | |
 - familiarity to community members | |
Observations of traditions | |
 - birth rituals can be observed | |
 - cultural practices and beliefs about births are respected | |
 - association of illness with health facilities | |
Weakness vs bravery | |
 - women who deliver alone are courageous | |
 - women who deliver in health facilities are weak | |
Unassisted births | |
 - ease of delivering alone | |
 - able to conceal non-circumcision from others | |
Working throughout pregnancy | |
 - delivery date unknown | |
 - short or no labour pain | |
 - women’s work responsibilities |