Factors Caused for Intra Natal Care and Postnatal Care at Home: Qualitative Study on the Location of Birth
Keywords:
child birth, health facilities, health service seeking behavior, maternal health, qualitative methodsAbstract
The safe motherhood program aims to strengthen maternal health efforts at regional and national levels in the context of equality, poverty reduction, and human rights. However, maternal mortality remains a major challenge for health systems worldwide. Maternal morbidity and mortality rates in the Province of East Nusa Tenggara (NTT) are still a problem because of complications during pregnancy or childbirth and there are stillbirths monitored and assisted by non-professionals at home. To increase and encourage the use of maternal health services, it is very important to understand the factors that influence maternal care-seeking behavior in NTT. This study was designed to explore societal values and practices surrounding labor and the postpartum period, the influence of these values and practices on health-seeking behavior, and the barriers and enabling factors to seek and utilizing maternal health services. We performed a rapid ethnographic assessment of maternal care-seeking behavior. It discusses local beliefs and practices related to childbirth and postpartum to determine the socio-cultural factors that contribute to the low absorption of maternal health services in NTT Province. This study seeks to identify and assess the factors that influence home delivery in Malacca District, NTT Province. This research is a qualitative research with an ethnographic approach. Data collection was carried out in April-August 2022 in Malacca Regency. Data were collected through in-depth interviews and FGDs with 30 informants, namely new mothers giving birth 0-3 months Thematic analysis of interview data and FGDs. Of the 30 cases submitted, 16 cases decided to give birth at a health care facility, 12 cases gave birth at home, 2 cases gave birth on the way to a health facility. Five dominant themes affecting the location of delivery were identified: the perception of normal delivery; motivation to encourage the provision of health facilities; home delivery and postpartum practices; decision-making process; and the level of knowledge about the danger signs of labor and postpartum.
References
Allendorf, K. (2010). The quality of family relationships and use of maternal healthcare services in India. Stud Fam Plann, 41, no. 4, pp. 263–76
Bedford, J., Gandhi, M., Admassu, M., & Girma, A. (2012). “A Normal Delivery Takes Place at Home”: A Qualitative Study of the Location of Childbirth in Rural Ethiopia. Maternal and Child Health Journal, vol. 17, no. 2, pp. 230-239.
de Jonge. A., Mesman, J. A. J. M., Manniën, J., Zwart, J. J., van Dillen, J., & van Roosmalen, J. (2013). Severe adverse maternal outcomes among low risk women with planned home versus hospital births in the Netherlands: nationwide cohort study. BMJ., 346:f3263.
Dinas Kesehatan Provinsi NTT (2021). Profil Kesehatan Provinsi NTT Tahun 2020. Dinas Kesehatan Provinsi NTT. Kupang
Dinas Kesehatan Kabupaten Malaka (2021). Profil Kesehatan Kabupaten Malaka Tahun 2017. Dinas Kesehatan Kabupaten Malaka. Betun
Feeley, C., & Thomson, G. (2016). Why do some women choose to freebirth in the UK? An interpretative phenomenological study. BMC Pregnancy Childbirth, vol. 16, no. 1, pp. 1–12.
Gill, C. J., Phiri-Mazala, G., Guerina, N. G., Kasimba, J., Mulenga, C., MacLeod, W. B., et al. (2011). Effect of training traditional birth attendants on neonatal mortality (Lufwanyama Neonatal Survival Project): randomised controlled study. Br Med J., vol 342: d346, dalam Sialubanje, C., Massar, K., Hamer, D. H., & Ruiter, R. A. (2015). Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC Pregnancy and Childbirth, vol. 15, no. 1.
Grigg, C., Tracy, S. K., Daellenbach, R., Kensington, M.,& Schmied, V. (2014). An exploration of influences on women’s birthplace decision-making in New Zealand: a mixed methods prospective cohort within the Evaluating Maternity Units study. BMC Pregnancy Childbirth, vol. 14:210.
Hollander, M., de Miranda, E., van Dillen, J., de Graaf, I., Vandenbussche, F., & Holten, L. (2017). Women's motivations for choosing a highrisk birth setting against medical advice in the Netherlands: a qualitative analysis. BMC Pregnancy Childbirth, vol. 17, no. 1, pp. 1–13.
Jackson, M., Dahlen, H., & Schmied, V. (2012). Birthing outside the system: perceptions of risk amongst Australian women who have freebirths and highrisk homebirths. Midwifery, vol. 28, no. 5, pp. 561–7.
Kawakatsu, Y., Sugishita, T., Oruenjo, K., Wakhule, S., Kibosia, K., Were, E., et al. (2014) Determinants of health facility utilization for childbirth in rural western Kenya: cross-sectional study. BMC Pregnancy Childbirth, vol. 14:265.
Kementeerian Kesehatan RI (2021). Profil Kesehatan Indonesia 2020. Jakarta: Kementerian Kesehatan RI. Sekretariat Jenderal.
Miller, P. C., Rashida, G., Tasneem, Z., & Haque, M. (2012). The effect of traditional birth attendant training on maternal and neonatal care. Int J Gynecol Obstetr., vol. 117, 2, pp. 148–52.
Moyer, C. A., & Mustafa, A. (2013). Drivers and deterrents of facility delivery in sub-Saharan Africa: a systematic review. Reproductive Health, vol. 10:40.
Oboyle, C. (2016). Deliberately unassisted birth in Ireland: understanding choice in Irish maternity services. Br J Midwifery, vol. 24, no. 3, pp. 181–7.
Rigg, E., Schmied, V., Peters, K., & Dahlen, H. G. (2017). Why do women choose an unregulated birth worker to birth at home in Australia: a qualitative study. (Report). BMC Pregnancy Childbirth, vol. 17, no. 1.
Sialubanje, C., Massar, K., Hamer, D. H., & Ruiter, R. A. (2015a). Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC Pregnancy and Childbirth, vol. 15, no. 1.
Sialubanje, C., Massar, K., van der Pijl, M. S. G., Kirch, E. M., Hamer, D. H., & Ruiter, A. C. R. (2015b). Improving access to skilled facility-based delivery services: Women’s beliefs on facilitators and barriers to the utilisation of maternity waiting homes in rural Zambia. Reproductive Health, vol. 12:61
Sialubanje, C., Massar, K., Hamer, D. H., & Ruiter, R. A. (2014). Understanding the psychosocial and environmental factors and barriers affecting utilization of maternal healthcare services in Kalomo, Zambia: a qualitative study. Health Educ Res., vol. 29, no 3, pp. 521–32.
Singh, K., Bloom, S., Haney, E., Olorunsaiye, C., Brodish, P. (2012). Gender equality and childbirth in a health facility: Nigeria and MDG5. Afr J Reprod Health, vol. 16, no. 3, pp. 123–9.
Speizer, I. S., Story, W. T., Singh, K. (2014). Factors associated with institutional delivery in Ghana: the role of decision-making autonomy and community norms. BMC Pregnancy Childbirth, vol. 14:398.
Srivastava, A., Avan, B. I., Rajbangshi, P., Sanghita, B. (2015). Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth, vol. 15:97
Statistics Netherlands. Health and Welfare. Available on: http://www.cbs.nl/ nl-NL/menu/themas/gezondheid-welzijn/publicaties/artikelen/archief/2009/ 2009-2696-wm.htm, accessed on 1st August, 2020.
Story et al., 2012). Story, W. T., & Burgard, S. A. (2012). Couples’ reports of household decision-making and the utilization of maternal health services in Bangladesh. Soc Sci Med., vol. 75, pp. 2403–11.
Thaddeus, S., & Maine, D. (1994). Too far to walk: maternal mortality in context. Soc Sci Med., vol. 38, no. 8, pp. 1091–110.
Titaley, C. R., Hunter, C. L., Dibley, M. J., Heywood, P. (2010). Why do some women still prefer traditional birth attendants and home delivery? A qualitative study on delivery care services in West Java Province, Indonesia. BMC Pregnancy Childbirth, vol. 10, no. 43.
Wilunda, C., Quaglio, G., Putoto, G., Lochoro, P., Dall’Oglio, G., & Manenti, F., et al. (2014). A qualitative study on barriers to utilisation of institutional delivery services in Moroto and Napak districts, Uganda: implications for programming. BMC Pregnancy Childbirth, vol., no. 14:259.
World Health Organisation. (2014). Traditional birth attendants: a joint WHO/UNPA/ UNICEF statement, available at: http://apps.who.int/iris/handle/10665/38994, accessed on 20th July, 2019.
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