Birth choices in Timor-Leste: A framework for understanding the use of maternal health services in low resource settings

Wild, Kayli; Barclay, Lesley; Kelly, Paul; Martins, Nelson

doi:10.1016/j.socscimed.2010.09.012

Cited by 46 publications

(81 citation statements)

References 20 publications

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“…Use of maternal health services in Timor-Leste depends on a range of individual, social, political and health-system factors. 10 Hence, the findings from this study may not be generalizable to other settings. It is important to accurately assess how maternity waiting homes affect access to care; the approach and distance categories used in this study could be replicated in other countries implementing maternity waiting homes.…”

Section: Discussionmentioning

confidence: 71%

“…Women were more likely to seek facility delivery and use the maternity waiting homes if they were having their first baby, had experienced complications in a previous pregnancy, or had a perceived problem in the current pregnancy. 10 The maternity waiting home in Lospalos was a separate structure or "wing" that was connected to the health centre by a walkway; births took place in the health centre's delivery room. The …”

Section: Study Settingmentioning

confidence: 99%

“…This research was conducted as part of a larger study in which 124 interviews were conducted with policy-makers, district health staff and users of maternity waiting homes. 10 For the quantitative component reported here, data were collected directly from birth registration books and entered into a data-collection table. Individual records were de-identified and date of delivery, place of birth, type of attendant and village of residence were recorded.…”

Section: Data Collectionmentioning

confidence: 99%

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The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste

Wild

Barclay

Kelly

et al. 2011

Bull. World Health Organ.

Self Cite

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Section: Discussionmentioning

confidence: 71%

Section: Study Settingmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste

Wild

Barclay

Kelly

et al. 2011

Bull. World Health Organ.

Self Cite

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“…Therefore, to increase utilization of skilled maternal healthcare services, health workers must be sensitized to be sensitive to women's situation and needs, so as to provide client friendly services to all women regardless of their status. Additionally, health workers must strive to provide quality skilled delivery services to women when who choose to deliver at the health facility as self deliveries deter women from using health facility in subsequent pregnancies [13,42,43]. As recommended by 1263 [13], comprehensive health promotion through awareness-raising, appropriate education of healthcare workers and regular support supervision should be scheduled to improve provider communication and address burnout during service delivery to resolve critical issues that are likely to trigger negative responses from health providers [13].…”

Section: Discussion:-mentioning

confidence: 99%

Users Experiences and Perceptions on Maternal Healthcare Services in Siaya County, Western Kenya: A Qualitative Study.

Omondi¹,

Amimo²,

Owino³

et al. 2017

IJAR

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“…Viewing your health worker as knowledgeable can increase one's satisfaction and utilisation of a service [63]. Specifically in Uganda, a user's perception of their health worker and their training has been shown to increase acceptance and use of service [64][65][66].…”

Section: Strengths Of the Programmementioning

confidence: 99%

The last one heard: the importance of an early stage participatory evaluation for programme implementation

Gilmore

Vallières

McAuliffe

et al. 2014

Implementation Science

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Background: The systematic involvement of project beneficiaries in community maternal and child health programmes remains low and limited, especially during the formative stages of the project cycle. Understanding how positive and negative feedbacks obtained from communities can subsequently be used to inform and iterate existing programmes is an important step towards ensuring the success of community health workers for maternal and child health programming and, ultimately, for improving health outcomes. Methods: The study took place over a period of 4 weeks in North Rukiga, Kabale District of southwestern Uganda. Using a cross-sectional qualitative study that employed an epistemological approach of phenomenology, nine focus group discussions and eight in-depth interviews were conducted with a total of 76 female participants across six different sites. Women were identified as either users or non-users of the maternal and child health programme. Purposeful sampling was employed to recruit women from six different locations within the programme catchment area. Translated and transcribed transcripts were subjected to a bottom-up thematic analysis using NVivo 10 Software, whereby themes were arrived at inductively. Results: Predominant themes emerging from the focus groups and key informant interviews identified early trends in programme strengths. Beneficiaries reported confidence in both the programme and the relationships they had forged with community health workers, exhibited pride in the knowledge they had received, and described improved spousal involvement. Beneficiaries also identified a number of programme challenges including barriers to adopting the behaviours promoted by the programme, and highlighted issues with programme dependency and perceived ownership. It also emerged that community health workers were not reaching the entire population of intended programme beneficiaries. Conclusions: This research provides support for the importance of an early-stage participatory evaluation of beneficiaries' perceptions of newly initiated health programmes. Our results support how evaluations conducted in the early phases of programme implementation can provide valuable, timely feedback as well as yield recommendations for programme adjustment or re-alignment, and in turn, better meet end-user expectations. Potential reasons for the observed lack of community participation in early stages of programme implementation are considered.

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Birth choices in Timor-Leste: A framework for understanding the use of maternal health services in low resource settings

Cited by 46 publications

References 20 publications

The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste

The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste

Users Experiences and Perceptions on Maternal Healthcare Services in Siaya County, Western Kenya: A Qualitative Study.

The last one heard: the importance of an early stage participatory evaluation for programme implementation

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