Riers to skilled birth attendanceOur data buy Anlotinib revealed that there are still barriers that cause women to deliver at home. These include distance, lack of transportation due to geographical factors and the absence of many husbands who go to Western Tigray to farm for almost six months every year. The reason for the absence of husbands is because the average size of farms in Adwa Woreda is too small to produce adequate cereals for all household members. The absence of many husbands isPLOS ONE | DOI:10.1371/journal.pone.0150747 March 10,6 /Maternal Health Service Utilization and Acceptance in Adwa Woreda, Ethiopiaperceived to influence women’s access to maternal health services such as ANC and institutional delivery, as women do not want to attend if there is no one to look after other children, the cattle and the house. Although a woman’s mother, grandmother, mother-in-law or older relative will stay with her, the husband is still considered the key person who favours seeking health care. Older women are more in favour of traditional cultural practices and traditions. Due to this situation, the decision-making power of women is reduced in the absence of their husbands, especially the cost incurred for transportation and other fees other than the health care costs. Thus, women could be influenced to stay at home and prefer the traditional model of care instead of the medical mode. HEWs described how many women live far from the road so they may need to be carried by stretcher to the main road. As HEW2 said, “If the woman can walk, we start walking, if not we start carrying her on a stretcher.” And HEW7 explained, “There is a serious problem when men are away. Once there was no one in the sub-kebele so they had to call old priests and students to carry a woman on a stretcher.” As one woman told HEW13: “I walk 5 to 10 kms to collect water each day, sometimes twice a day. My husband is away, to farm in Western Tigray from June to December–our land here is too small. How can I look after the crops and the children? It’s a three-hour walk to the health centre. How can I go for a check-up when there is no one to look after the children?” Traditional factors such as zwar (also known as kitab), means pregnant women are afraid of meeting other pregnant women. Zwar refers to the leaves and roots of a special plant that is crushed, put in a small piece of animal skin that is folded and tied, and then tied under the clothes on the arm or around the j.jebo.2013.04.005 neck with other things on a necklace and hidden under the dress of the pregnant woman. Zwar is considered to prevent problems during pregnancy including miscarriage and to ensure the child grows properly. Zwar is perceived as safe for the woman who wears it, but if other pregnant women are not wearing it, they are afraid of those wearing it as it may create problems for their unborn child and themselves. If pregnant women are not wearing zwar, it is safe for others to be around them. Although most HEWs stated that zwar would not prevent women from coming together to the WDGs or attend ANC clinics with other women, others claimed that some families are more likely to be affected by this than others especially if problems during pregnancy are considered because zwar is a traditional belief and the information could be conveyed from mothers to daughters over time. Until modern health services were introduced in recent years, a Traditional Birth GSK089MedChemExpress EXEL-2880 Attendant (TBA) or family member assisted women to give birth at home.Riers to skilled birth attendanceOur data revealed that there are still barriers that cause women to deliver at home. These include distance, lack of transportation due to geographical factors and the absence of many husbands who go to Western Tigray to farm for almost six months every year. The reason for the absence of husbands is because the average size of farms in Adwa Woreda is too small to produce adequate cereals for all household members. The absence of many husbands isPLOS ONE | DOI:10.1371/journal.pone.0150747 March 10,6 /Maternal Health Service Utilization and Acceptance in Adwa Woreda, Ethiopiaperceived to influence women’s access to maternal health services such as ANC and institutional delivery, as women do not want to attend if there is no one to look after other children, the cattle and the house. Although a woman’s mother, grandmother, mother-in-law or older relative will stay with her, the husband is still considered the key person who favours seeking health care. Older women are more in favour of traditional cultural practices and traditions. Due to this situation, the decision-making power of women is reduced in the absence of their husbands, especially the cost incurred for transportation and other fees other than the health care costs. Thus, women could be influenced to stay at home and prefer the traditional model of care instead of the medical mode. HEWs described how many women live far from the road so they may need to be carried by stretcher to the main road. As HEW2 said, “If the woman can walk, we start walking, if not we start carrying her on a stretcher.” And HEW7 explained, “There is a serious problem when men are away. Once there was no one in the sub-kebele so they had to call old priests and students to carry a woman on a stretcher.” As one woman told HEW13: “I walk 5 to 10 kms to collect water each day, sometimes twice a day. My husband is away, to farm in Western Tigray from June to December–our land here is too small. How can I look after the crops and the children? It’s a three-hour walk to the health centre. How can I go for a check-up when there is no one to look after the children?” Traditional factors such as zwar (also known as kitab), means pregnant women are afraid of meeting other pregnant women. Zwar refers to the leaves and roots of a special plant that is crushed, put in a small piece of animal skin that is folded and tied, and then tied under the clothes on the arm or around the j.jebo.2013.04.005 neck with other things on a necklace and hidden under the dress of the pregnant woman. Zwar is considered to prevent problems during pregnancy including miscarriage and to ensure the child grows properly. Zwar is perceived as safe for the woman who wears it, but if other pregnant women are not wearing it, they are afraid of those wearing it as it may create problems for their unborn child and themselves. If pregnant women are not wearing zwar, it is safe for others to be around them. Although most HEWs stated that zwar would not prevent women from coming together to the WDGs or attend ANC clinics with other women, others claimed that some families are more likely to be affected by this than others especially if problems during pregnancy are considered because zwar is a traditional belief and the information could be conveyed from mothers to daughters over time. Until modern health services were introduced in recent years, a Traditional Birth Attendant (TBA) or family member assisted women to give birth at home.
Sodium channel sodium-channel.com
Just another WordPress site