How decision for seeking maternal care is made - a qualitative study in two rural medical districts of Burkina Faso
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BACKGROUND: Delay in decision-making to use skilled care during pregnancy and childbirth is an important factor for maternal death in many developing countries. This paper examines how decisions for maternal care are made in two rural communities in Burkina Faso. METHODS: Focus group discussions (FGDs) and individual interviews (IDIs)) were used to collect information with 30 women in Ouargaye and Diapaga medical districts. All interviews were tape recorded and analyzed using QSR Nvivo 2.0. RESULTS: Decision-making for use of obstetric care in the family follows the logic of the family's management. Husbands, brothers-in-law and parents-in-law make the decision about whether to use a health facility for antenatal care or for delivery. In general, decision-makers are those who can pay, including the woman herself. Payment of care is the responsibility of men, according to women interviewed, because of their social role and status. CONCLUSIONS: To increase use of health facilities in Ouargaye and Diapaga, the empowerment of women could be helpful as well as exemption of fees or cost sharing for care.
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Delay in decision-making to use skilled care during pregnancy in rural Burkina Faso was caused by many factors including poverty and lack of empowerment of women.
“A study has, for instance, shown how delay in decision-making to use skilled care during pregnancy in rural Burkina Faso was caused by many factors that include poverty and the lack of empowerment of women, given the secondary role they often play in the decision-making process [77].”
From Situating mobile health: a qualitative study of mHealth expectations in the rural health district of Nouna, Burkina Faso (2017) · cites this paper as [77]
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References 14 · Cited by 66
- Authors
- Somé, D. T., Sombié, I., & Meda, N.
- Affiliations
- West African Health Organisation (BF)
- Corresponding author
- Somé, Donmozoun Télesphore
- ORCID
- Sombié, Issiaka
- Venue
- Reproductive Health
- Published
- 2013-02-07
- Volume
- 10
- Issue
- 1
- Pages
- 8-8
- ISSN
- 1742-4755 (ISSN-L)
- PMC
- PMC3575275
- OpenAlex
- W2002164017
- Cited by
- 66
- References
- 14
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 8 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 1
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Reproductive Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- skilled birth attendance, prenatal care, family decision-making, gender roles in health care, women's empowerment, out-of-pocket health care costs, maternal mortality
- MeSH terms
- Burkina Faso, Decision Making, Family, Fees and Charges, Female, Humans, Male, Maternal Health Services, Pregnancy, Prenatal Care, Spouses, Rural Health Services, Delivery, Obstetric
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