ShareEmailPrint To learn more, read: Posted on April 20, 2018April 20, 2018By: Sarah Hodin, Project Coordinator II, Women and Health Initiative, Harvard T.H. Chan School of Public HealthClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)The topic of home birth is often a contentious one, sometimes causing heated debates among researchers, clinicians and advocates. While advocacy efforts around home birth—typically in high-income countries—tend to center on women’s rights to choose where they will have their babies, it is important to remember that home birth is not always a choice. Particularly in low-resource settings, women sometimes deliver at home not because they want to, but because they have to.Several studies have examined barriers to facility-based delivery. The groundbreaking “three delays” model proposed by Thaddeus and Maine in 1994 provided a framework for understanding why women may not deliver at a health facility. Geographic and socioeconomic inequities in access to facility-based delivery exist across the globe, reflecting the reality that some women are more likely to have a skilled birth attendant and essential supplies when they give birth than others.A recent paper that was published in the MHTF-PLOS Collection, “Neglected Populations: Decreasing Inequalities & Improving Measurement in Maternal Health,” presented perspectives from women in rural West Bengal, India who delivered either at home or in a health facility. Researchers conducted twelve focus groups with nearly 100 women in an effort to understand the factors influencing delivery location.Among the 55 women who delivered at home, 33 (60%) said that they had preferred to do so in a health facility. One of the barriers discussed was the unwillingness of family members to accompany women to the health facility.“My parents-in-law were reluctant to take me to the hospital. So I was forced to stay at home. I wanted to go to the hospital but it did not happen.”This finding is consistent with previous research that has identified inadequate social support from family and spouses as a challenge in this context. Other research from India has illustrated a connection between women’s lack of decision-making autonomy and a higher likelihood of home birth. Poor knowledge and understanding about reproductive and maternal health among men is another critical barrier to facility-based delivery in India.Eighteen women who gave birth at home reported that they were not able to get to a health facility to deliver because the vehicle did not arrive in time. One of the issues that arose in relation to transport was a woman’s lack of education about estimated delivery dates and average labor durations, which hinders women’s ability to prepare a birth plan.Based on these findings, the authors conclude with recommendations for research and practice:Researchers should collect data on women’s preferences for delivery location when examining determinants of home birth.India’s Accredited Social Health Activists (ASHAs) could play an important role in educating women and families at the community level on birth preparedness to increase facility-based delivery.Quality, equity and dignity should be a central focus in efforts to increase facility-based delivery to ensure that women in India and beyond receive timely, high quality, respectful care when they arrive at a health facility.—Explore other open access papers in the MHTF-PLOS Collection, “Neglected Populations: Decreasing Inequalities & Improving Measurement in Maternal Health.”Learn about distance as a barrier to facility-based delivery.Share this:
Federal authorities say the death of some of the walruses at a haul-out site in northwest Alaska were caused by humans, and the U.S. Fish and Wildlife Service believes it has identified those responsible.Walrus found dead and decapitated near Cape Lisburne. Photo: U.S. Fish and Wildlife Service.However, the U.S. attorney’s office, in a statement Friday afternoon, said charges have not been filed so far and the investigation continues. The statement said no further information on the investigation would be released at this time.Last month, federal authorities said they were investigating a report that about 25 walrus had been killed near Cape Lisburne and that some were missing tusks. Cape Lisburne is home to an Air Force radar station with few personnel.A message was left for an assistant U.S. attorney in Anchorage.
No related posts. Luisa Nelson, from Limón province, was the first female mechanic to work at the Limón port, in 1978. She received a recognition during the groundbreaking ceremony for the new Moín port on Sunday, International Women’s Day. Facebook Comments