Table 1 Analytic framework
Theme | Description |
|---|---|
Cost | Direct and indirect costs associated with facility birth |
Influence of others on birthing decisions | Involvement of husbands, partners, family members, and friends on delivery location decisions |
Plan for childbirth | Plans or lack of plans that a woman or her family make for her delivery |
HIV | Fear of HIV testing, disclosure, and discrimination |
Transportation/access | Perception of the distance and time to a health facility and implications of available transportation options. |
Policies | Health policies that may influence the decision to deliver in a facility or at home |
Perception of risk | Awareness of risks associated with childbirth, influence of previous birth experiences on future delivery choices, and influence of ANC on delivery choice. |
Perceived quality of care | Perceived quality of care received at facilities during delivery |
Medicalization of childbirth | The perception that birth is a natural event, lack of supportive attendance at facility deliveries, fear of cutting |
Intersection of traditionalism and modernity | Influence of tradition and culture on delivery decisions, delays in transition from unskilled to skilled care, cooperation between traditional and biomedical health systems |
Logistics of home birth | Perception that home deliveries are logistically easier than facility deliveries |