Health Seeking Behavior Among Pregnant Women in Rural Haiti

White, Kari; Small, Maria; Frederic, Rikerdy; Joseph, Gabriel; Bateau, Reginald; Kershaw, Trace

doi:10.1080/07399330600880384

Cited by 18 publications

(23 citation statements)

References 29 publications

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“…The introduction of the gendered decision-making matrix, organized by inward-and outward-facing behaviours, contributed to a clearer understanding of gendered decision-making pathways. In other African contexts, care-seeking decisions are also likely to be determined by a sequence or chain of decisions in which women often have little or no control, with men typically weighing in on the final decision, particularly if services require a monetary payment [34,35].…”

Section: Discussionmentioning

confidence: 99%

“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

Hildon

Escorcio-Ymayo

Zulliger³

et al. 2020

Malar J

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Background: Conceptualizing gender dynamics and ways of bridging entrenched gender roles will contribute to better health promotion, policy and planning. Such processes are explored in relation to malaria in Mozambique. Methods: A multi-method, qualitative study using focus group discussions (FGDs) and in-depth interviews (IDIs) explored the perspectives of community members, leaders and stakeholders on malaria. The study was conducted in Nampula Province, in an intervention district for the Tchova Tchova Stop Malaria (TTSM) gender-sensitive community dialogues, and in a non-intervention district. Results: Participants (n = 106) took part in six FGDs and five IDIs in each district. Those exposed to TTSM commonly stated that the programme influenced more equalitarian gender roles, attitudes and uptake of protective malariarelated practices. These positive changes occurred within the context of an observed, gendered decision-making matrix, which aligns inward-or outward-facing decisions with malaria prevention or treatment. Decisions more dependent on male or elder sanctioning at community level are outward-facing decisions, while decisions falling within women's domain at household level are inward-facing decisions. Related to prevention, using bed nets was largely an inward-facing prevention decision for women, who were generally tasked with hanging, washing and making nets usable. Net purchase and appropriation for malaria prevention (rather than for instance for fishing) was men's prerogative. Regular net use was associated with sleeping together more regularly, bringing couples closer. Attending antenatal care to access intermittent preventive treatment during pregnancy was often an outward-facing prevention decision, under the purview of older, influential women and ultimately needing sanctioning by men. With respect to seeking care for malaria symptoms, women typically sought help from traditional healers first. This inward-facing treatment decision was within their control, in contrast to the frequently transport-dependent, outward-facing decision to attend a health facility. Sharing decisions was described as a feature of a "harmonious household, " something that was said to be encouraged by the TTSM intervention and that was both lived and aspirational.

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Section: Discussionmentioning

confidence: 99%

“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

Hildon

Escorcio-Ymayo

Zulliger³

et al. 2020

Malar J

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“…Studies in other countries indicated higher percentage of care-seeking for maternal morbidities. For instance, in rural Haiti, 75% of pregnant women reported seeking care in the formal health sector for a pregnancy-related illness [23]. The differences may be due to the overall maternal service utilization pattern which is very low in Ethiopia [5].…”

Section: Discussionmentioning

confidence: 99%

Maternal Complications and Women's Behavior in Seeking Care from Skilled Providers in North Gondar, Ethiopia

2013

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BackgroundMaternal complications are morbidities suffered during pregnancy through the postpartum period of 42 days. In Ethiopia, little is known about women's experience of complications and their care-seeking behavior. This study attempted to assess experiences related to obstetric complication and seeking assistance from a skilled provider among women who gave birth in the last 12 months preceding the study.MethodsThis study was a cross-sectional survey of women who gave birth within one year preceding the study regardless of their delivery place. The study was carried out in six selected districts in North Gondar Zone, Amhara Region. Data was collected house-to-house in 12 selected clusters (kebeles) using a pretested Amharic questionnaire. During the survey, 1,668 women were interviewed. Data entry was done using Epi Info version 3.5.3 and was exported to SPSS for analysis. Logistic regression was applied to control confounders.ResultsOut of the total sample, 476 women (28.5%, 95% CI: 26.4%, 30.7%) reported some kind of complication. The most common complications reported were; excessive bleeding and prolonged labor that occurred mostly at the time of delivery and postpartum period. Out of the total women who faced complications, 248 (52.1%, 95% CI: 47.6%, 56.6%) sought assistance from a skilled provider. Inability to judge the severity of morbidities, distance/transport problems, lack of money/cost considerations and use of traditional options at home were the major reasons for not seeking care from skilled providers. Belonging to a wealthier quintile, getting antenatal care from a skilled provider and agreement of a woman in planning for possible complications were significantly associated with seeking assistance from a skilled provider.ConclusionNearly half of the women who faced complications did not use skilled providers at the time of obstetric complications. Cognitive, geographic, economic and cultural barriers were involved in not using skilled maternal care.

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“…The qualitative data also suggest a pattern of EC use within unions that is repetitive rather than reserved for method failure or an isolated act of unprotected intercourse. In a society that more often demonstrates crisis‐oriented healthcare seeking behavior rather than preventative care, the cultural context may lend itself more to sporadic, responsive use of contraception rather than preventative regular use [3]. Accurate education messaging around safety and efficacy of modern EC, aimed at both women and men, may be highly successful in increasing uptake of EC while simultaneously promoting and increasing uptake of longer‐acting contraceptives [8].…”

Section: Discussionmentioning

confidence: 99%

“…While increased access to EC has not been shown to reduce unintended pregnancy rates at the population level, EC can reduce the risk of unintended pregnancy for individual women who can access and use it [2], especially groups of women whose healthcare use patterns are responsive rather than preventative [3]. EC is rarely offered in Haiti, except to women who have been sexually assaulted.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and use of and opportunities for emergency contraception in Northern Haiti

Lathrop

Telemaque²,

Haddad

et al. 2013

Intl J Gynecology & Obste

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Health Seeking Behavior Among Pregnant Women in Rural Haiti

Cited by 18 publications

References 29 publications

“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

“We have this, with my husband, we live in harmony”: exploring the gendered decision-making matrix for malaria prevention and treatment in Nampula Province, Mozambique

Maternal Complications and Women's Behavior in Seeking Care from Skilled Providers in North Gondar, Ethiopia

Knowledge and use of and opportunities for emergency contraception in Northern Haiti

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