Table 4 Themes and sub-themes emanating from FGDs and in depth interviews about barriers to delivery in health facilities
Main themes | Sub themes |
|---|---|
1. TBAs as culturally acceptable and competent health workers | Sensitive to customary practices |
| Â | Ability of TBA to handle normal deliveries |
| Â | Income and incentives of TBAs |
| Â | Support from family members during delivery |
2. Perceived quality of care and previous negative experiences | Incompetent health workers |
| Â | Out of hours availability |
| Â | Health workers do not allow cultural practices |
| Â | No attention for privacy and psychosocial support |
| Â | Shortage of female health workers |
3. Low awareness and less empowered women | Believe skilled attendance is unnecessary |
| Â | Decision making by spouses, relatives, and neighbors |
4. Economic constraints during referrals | Referral often inevitable which entails additional expenses |
| Â | Few adequately staffed and equipped facilities nearby |
| Â | Limited finance to cater for accommodation/medications |