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Overcoming access barriers for facility-based delivery in low-income settings: insights from Bangladesh and Uganda.
J Health Popul Nutr ; 2006 Dec; 24(4): 438-45
Article in English | IMSEAR | ID: sea-832
ABSTRACT
Women in both Bangladesh and Uganda face a number of barriers to delivery in professional health facilities, including costs, transportation problems, and sociocultural norms to deliver at home. Some women in both the countries manage to overcome these barriers. This paper reports on a comparative qualitative study investigating how some women and their families were able to use professional delivery services. The study provides insights into the decision-making processes and overcoming access barriers. Husbands were found to be particularly important in Uganda, while, in Bangladesh, a number of individuals could influence care-seeking, including unqualified local healers or traditional birth attendants. In both the settings, cost and transport barriers were often overcome through social networks. Social prohibitions on birth in the health facility did not feature strongly in women's accounts, with several Ugandan women explaining that friends or peers also used facilities, while, in Bangladesh, perceived complications apparently justified the use of professional medical care. Investigating the ways in which some women can overcome common barriers can help inform policy and planning to increase the use of health facilities for child delivery.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Poverty / Transportation / Bangladesh / Uganda / Female / Humans / Pregnancy / Health Care Costs / Adult / Decision Making Type of study: Qualitative research Country/Region as subject: Africa / Asia Language: English Journal: J Health Popul Nutr Journal subject: Gastroenterology / Nutritional Sciences / Public Health Year: 2006 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Main subject: Poverty / Transportation / Bangladesh / Uganda / Female / Humans / Pregnancy / Health Care Costs / Adult / Decision Making Type of study: Qualitative research Country/Region as subject: Africa / Asia Language: English Journal: J Health Popul Nutr Journal subject: Gastroenterology / Nutritional Sciences / Public Health Year: 2006 Type: Article