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'People have started to deliver in the facility these days': a qualitative exploration of factors affecting facility delivery in Ethiopia

Hill, Z; Amare, Y; Scheelbeek, P; Schellenberg, J; (2019) 'People have started to deliver in the facility these days': a qualitative exploration of factors affecting facility delivery in Ethiopia. BMJ Open , 9 (6) , Article e025516. 10.1136/bmjopen-2018-025516. Green open access

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Abstract

Objectives To understand the recent rise in facility deliveries in Ethiopia. Design A qualitative study. Setting Four rural communities in two regions of Ethiopia. Participants 12 narrative, 12 in-depth interviews and four focus group discussions with recently delivered women; and four focus group discussions with each of grandmothers, fathers and community health workers. Results We found that several interwoven factors led to the increase in facility deliveries, and that respondents reported that the importance of these factors varied over time. The initial catalysts were a saturation of messages around facility delivery, improved accessibility of facilities, the prohibition of traditional birth attendants, and elders having less influence on deciding the place of delivery. Once women started to deliver in facilities, the drivers of the behaviour changed as women had positive experiences. As more women began delivering in facilities, families shared positive experiences of the facilities, leading to others deciding to deliver in a facility. Conclusion Our findings highlight the need to employ strategies that act at multiple levels, and that both push and pull families to health facilities.

Type: Article
Title: 'People have started to deliver in the facility these days': a qualitative exploration of factors affecting facility delivery in Ethiopia
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2018-025516
Publisher version: https://doi.org/10.1136/bmjopen-2018-025516
Language: English
Additional information: This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10076167
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