ArticleBMC pregnancy and childbirth2020
Is it home delivery or health facility? Community perceptions on place of childbirth in rural Northwest Tanzania using a qualitative approach.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Facilitators and barriers of healthcare financing modalities for universal maternal healthcare services in East Africa: a qualitative systematic review.BMC health services research · 2025Pooled it
- Predictors of institutional delivery service utilization in Ethiopia: an umbrella review.BMC pregnancy and childbirth · 2025Pooled it
- Barriers and facilitators to maternal healthcare in East Africa: a systematic review and qualitative synthesis of perspectives from women, their families, healthcare providers, and key stakeholders.BMC pregnancy and childbirth · 2025Pooled it
- Random-effects modelling of timely initiation of breastfeeding in Tanzania: What predicts the practice?BMJ open · 2026Article
- Article
- Exploring healthcare providers' perspectives of childbirth education classes for quality of care and positive childbirth experience: an interpretative phenomenological analysis study.BMC pregnancy and childbirth · 2025Article
- Predictors of institutional delivery service utilization among women in Northern region of Ghana.PloS one · 2025Article
- Barriers to equitable healthcare services for under-five children in Ethiopia: a qualitative exploratory study.BMC health services research · 2024Article
- Factors related to intrapartum/delivery care in Southeast Asia: A cross-sectional study in the Philippines and Indonesia.Heliyon · 2024Article
- Does living in major towns favor institutional delivery in Somalia?Frontiers in global women's health · 2024Article
- Under age five children survival times in Nigeria: a Bayesian spatial modeling approach.BMC public health · 2022Article
- "If I Was Educated, I Would Call the Ambulance and Give Birth at the Health Facility"-A Qualitative Exploratory Study of Inequities in the Utilization of Maternal, Newborn, and Child Health Services in Northern Ethiopia.International journal of environmental research and public health · 2022Article
- The fear of social stigma experienced by men: a barrier to male involvement in antenatal care in Misungwi District, rural Tanzania.BMC pregnancy and childbirth · 2022Article
- Factors Associated with the Place of Delivery among Urban Poor Societies in Indonesia.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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6 authors.
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Abstract
backgroundIn low and middle-income countries, pregnancy and delivery complications may deprive women and their newborns of life or the realization of their full potential. Provision of quality obstetric emergency and childbirth care can reduce maternal and newborn deaths. Underutilization of maternal and childbirth services remains a public health concern in Tanzania. The aim of this study was to explore elements of the local social, cultural, economic, and health systems that influenced the use of health facilities for delivery in a rural setting in Northwest Tanzania.
methodsA qualitative approach was used to explore community perceptions of issues related to low utilization of health facilities for childbirth. Between September and December 2017, 11 focus group discussions were conducted with women (n = 33), men (n = 5) and community health workers (CHWs; n = 28); key informant interviews were conducted with traditional birth attendants (TBAs; n = 2). Coding, identification, indexing, charting, and mapping of these interviews was done using NVIVO 12 after manual familiarization of the data. Data saturation was used to determine when no further interviews or discussions were required.
resultsFour themes emerge; self-perceived obstetric risk, socio-cultural issues, economic concerns and health facility related factors. Health facility delivery was perceived to be crucial for complicated labor. However, the idea that childbirth was a "normal" process and lack of social and cultural acceptability of facility services, made home delivery appealing to many women and their families. In addition, out of pocket payments for suboptimal quality of health care was reported to hinder facility delivery.
conclusionHome delivery persists in rural settings due to economic and social issues, and the cultural meanings attached to childbirth. Accessibility to and affordability of respectful and culturally acceptable childbirth services remain challenging in this setting. Addressing barriers on both the demand and supply side could result in improved maternal and child outcomes during labor and delivery.
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