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Table 3 The role of facilities in influencing time to discharge from interviews with women (n = 24), husbands (n = 15), and village leaders (n = 5)

From: “You should go so that others can come”; the role of facilities in determining an early departure after childbirth in Morogoro Region, Tanzania

1. Facility based limitations and routines
  1) Pressure to discharge healthy mothers to accommodate others a) Limited supply of beds   2) Mass discharges regardless of delivery time a) “I left when the doctor was doing his rounds”   3) Discharges correspond with operating hours a) “I left when the dispensary was closing (for the day)”
2. Facility factors’ effect on those who accompany women
  1) Facilities are uncomfortable for companions a) Facilities lack places to cook, sleep or do laundry i) Companions are left sleeping on floors, outside
3. Facility factors’ effect on womena
 1) Physical Discomfort - “Hospitals are uncomfortable”   a) Crowding and noise    i) Lack of beds, women doubling up on beds    ii) Constant noise from babies, fellow patients    iii) No space b) Lack of cleanliness    i) “There is dirtiness everywhere”    ii) “The hospital’s mosquito nets stink”    iii) “Hospitals are full of illness and disease” c) Wanting water or food    i) No water, insufficient water, long queues to fetch water, no access to hot water (for a post-birth hot water massage)    ii) No food nearby, food nearby is too costly, nowhere to prepare food, nobody to prepare food  2) Mental Discomfort- “I could not be at ease”   a) Not enough attendants, adequate number of attendants but attendants are rude   b) Women feel guilty “taking beds” from those “who really need it”   c) Nearby patients are ill, unconscious or dying; their families are grieving
  1. aTo a lesser extent, women described other factors not related to facilities that compel departure: needing to care for children at home or leaving when transport was available