Table 4 Concepts and codes used during the analysis
Concepts/Code | Description |
|---|---|
1. Birth Preparation | |
Source of information for delivery | Who or how the women come to know about where to deliver or gain information about the programs |
Birth prep/reasons | No preparation, documents needed, clothes for the child and mother, arranging the money for the delivery |
Geographic birth prep | Where did they go to get ready to deliver - natal/affinal home |
2. Decision-making on place of delivery | |
How decision is made | The process involved for making the decision on where she should delivery |
Who influenced | Who was involved in influencing the mother on where she should deliver (family/health worker/ASHA) |
3. Place of delivery | |
Desired POD | [place of delivery] Where they think women should deliver, and where they wanted to deliver regardless of where they actually delivered |
Justification for pod | [place of delivery] Why they delivered where they did a Do not include if they stop JSY a |
Affirmation of normalcy | Pertaining to the delivery. If everything was “normal” they would just deliver x |
Home vs ID | [Institutional delivery]. Comparisons between home and facility deliveries. |
Advantages of HD | Home deliveries – benefits related to delivering at home, in general for all women, specifically to her |
Disadvantages of HD | Home deliveries – drawbacks related to delivering at home, in general for all women, specifically to her |
Advantages of ID | Institutional deliveries – benefits related to delivering at a facility, in general for all women, specifically to her |
Disadvantages of ID | Institutional deliveries – drawbacks related to delivering at a facility, in general for all women, specifically to her |
4. Labor/delivery Narrative | |
Pre-labor/labor experience | Experience of pre-labor/intrapartum period, recognition of labor pains, the labor “story” |
Hospital staff interaction | Actual interaction with the staff at the hospital, who took care of them, what did they say or how did they make the women feel |
Power relationship between staff and mother | |
Reflections on future delivery plans | Based on the current experience, where would they like to deliver if they became pregnant again |
Affirmation of normalcy (labor) | |
Perceptions of QOC | [quality of care] (in general, what is good care/bad care) |
5. Social and personal context of childbirth | |
Home environment | The dynamic at home that would influence her decision on where to deliver |
Beliefs around childbirth | |
Son preference | |
Family relationships | How they influence her pod |
Social norms of home vs institutional delivery | |
Role of Family members | In pregnancy/birth/PNC (e.g. ANC visits/transport/go for PNC) |
6. Emergency Transport | |
Transport experience | The women’s experience gaining access to the transport, how they travel to the facility, difficulties encountered gaining access |
Role of transport in determining POD | [place of delivery] How did transport (gaining access to influence where they ultimately delivered) |
Type of transport used | Descriptive–specifically the type of transport used to travel to the facility |
Who arranged transport | The person responsible for arranging transportation to the facility |
Reasons for type of transport | Justification for why they used one type of transport over another ie Reliability |
Awareness of JE | Awareness of Janani Express for transport |
Perception of JE | Perception of using the service for transport |
7. Role of community members | |
Dai | (role/trust in) |
Anganwadi helper | |
Sweeper | |
ASHA | Perception of ASHA and what she should do in her role, Pressure from ASHA to have an ID delivery, involvement during ANC, intrapartum and PNC |
8. Ante Natal Care | |
ANC visits | Use/reason/Place for ANC visits. Descriptive–what did she do |
Affirmation of normalcy (ANC) | |
9. Post Natal Care | |
Use of PNC | |
Reasons of PNC | Include reasons not to have PNC |
Affirmation of normalcy | |
10. Expenses | |
Expenses related to hospital delivery | Transport costs, money paid to health workers |
Rationale for giving payments | |
Expenses at home | |
Perception of delivery costs | Home/hospital/with or without scheme |
Method of payment for delivery | If loan, repayment schedule etc; implications, when the loan was taken |
11. Government Programs | |
Awareness/View of JSY program | How they came to know about the program, adequacy of incentive, perception of the program |
Perception how the incentive should be spent | The ideal use, why the money is given to the women |
Actual use of incentive payment | |
Experience of JSY | Process to gain incentive/procedural hurdles etc |
Awareness/perceptions of other government schemes | Corruption of government services/programs |
Influence of JSY on POD | [place of delivery] (decision-making) |
12. Trust | |
Trust/distrust in the Public sector to provide care | |
Trust/distrust in the Private sector to provide care | |
Comparison of sectors | (e.g. perception of differences) |