Results-based financing to increase uptake of skilled delivery services in The Gambia: using the ‘three delays’ model to interpret midline evaluation findings

Table 7 Factors Key Informants Discussed to Explain Delays

	*Baseline Only*	*Baseline and Midline*	*Midline Only*
Delay 1	• Concealment of labor	• Preference for home delivery • Limited knowledge of delivery indications • Delay in informing others after labor onset	• Reluctance to be delivered by a male midwife
Delay 2		• Lengthy care seeking process^a • Commencement of labor at night or after rain • Lack of effective available transportation • Cost of transportation • Long transport times
Delay 3	• Inattentive staff	• Drug stock outs	• Minimal delays • Improved quality of care

^aBefore transportation to the health facility, women traditionally inform several family members, receive an examination from the Community Birth Companion, and either they or their husbands spend time searching for transportation

ISSN: 1471-2393