The focus of this study is to understand why, despite high uptake of antenatal care, women in Uganda continue to deliver without skilled birth attendants. A critical gap in our knowledge is an understanding of the decisions women make during pregnancy and childbirth that determine the services they seek. Using a focused ethnography, we explored cultural knowledge and perceptions related to
pregnancy and childbirth in Kabarole district. Interviews and focus group discussions were conducted with women that had recently given birth, their husbands/partners, biomedical and traditional health workers, and older women.
HIV was identified as an important reason for seeking antenatal care. Other services used during pregnancy, biomedical and traditional, were accessed based
on a complex array of beliefs and advice given to women. Thaddeus and Maines Three Delays Model provided a framework for analysis of barriers to skilled
attendance at birth, which include distance, support from partners, and quality of health services.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:AEU.10048/1640 |
| Date | 06 1900 |
| Creators | Merchant, Neelam |
| Contributors | Mumtaz, Zubia (Public Health Sciences), Kipp, Walter (Public Health Sciences), O'Brien, Beverley (Faculty of Nursing) |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 1105885 bytes, application/pdf |
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