Abstract
Birth preparedness and complication readiness (BP/CR) comprise a strategy to make women plan for birth, recognize common complications and encourage them to seek professional care in order to reduce poor pregnancy outcome by reducing the delays in seeking, reaching or receiving care. However, there are lacunae somewhere as the BP/CR messages do not translate to complete comprehension and full utilization of facility delivery. This qualitative study using focus group discussions (FGDs) explores the perceptions of the community on BP/CR.
Methods: Six FGDs were conducted during May-June 2016. The FGDs had 10–12 participants in each group. Each group comprised older men and women and young men and women in a community in rural Maharashtra. A pretested questionnaire was used to conduct the FGDs. The topics for discussion centred around community experiences with antenatal and postnatal care services, cultural and social issues surrounding birth preparedness, recognition of maternal danger signs, and the use of traditional practices during pregnancy and childbirth.
Qualitative content analysis was used to analyse the data.
Results: The study revealed that hospital delivery was perceived to be safer than home delivery. Reasons cited for not attending the minimum requirement of four antenatal care services or two postnatal care services within the first month after delivery included distance to the health facility, poor road conditions and lack of money for transport. Findings included lack of community awareness about the danger signs during pregnancy and childbirth, that traditional birth attendants were important but that deliveries needed skilled care.
Conclusion: This study shows that the perceptions of the community regarding BP/CR are in favour of skilled care. The community is aware of the importance of attending ANC, saving money for buying supplies and organizing transport, but there was little awareness about recognising complications and importance of obstetric emergency care. It is important to provide information on BP/CR and schemes like JSK, JSSK through community health workers particularly during antenatal visits.
Keywords: Focus group discussions, perceptions, birth preparedness and complication readiness, rural Maharashtra.
References
- Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462– 74 (http://www.thelancet.com/pb/assets/raw/Lancet/pdfs/ S0140673615008387.pdf, accessed 24 December 2018).
- Thaddeus S, Maine D. Too far to walk: maternal mortality in context. SocSci Med 1994; 38(8):1091-1110.
- Maternal and neonatal health. Monitoring birth preparedness and complication readiness, tools and indicators for maternal and newborn health. Johns Hopkins, Bloomberg school of Public Health, Center for communication programs, Family Care International; 2004. Available at: http://pdf.dec.org/pdf_docs/ PNADA619.pdf.3) Thaddeus S, Maine D. Too far to walk: maternal mortality in context. SocSci Med 1994; 38(8):1091-1110.
- Maternal and neonatal health (MNH) progam. Birth preparedness and complication readiness:A matrix of shared responsibility. s.l. : MNH, 2001.http://pdf.usaid.gov/pdf_docs/PBAAC802.pdf
- Moran AC,et al, Birth-preparedness for maternal health: findings from Koupéla District, Burkina Faso. J health PopulNutr 2006 Dec;24(4):489-97.
- Pembe A, Urassa D, Carlstedt A, Lindmark G, Nystrom L, Darj E. Rural Tanzanian women's awareness of danger signs of obstetric complications. BMC Pregnancy Childbirth. 2009;9:12. [PMC free article][PubMed]
- Mutiso S, Qureshi Z, Kinuthia J. Birth preparedness among antenatal clients. East Afr Med J. 2008;85:275–83.[PubMed]
- Kabakyenga J, Ostergren P-O, Turyakira E, Pettersson K. Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reprod Health. 2011;8:33. [PMC free article][PubMed]
- Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie District, Tigray Region, Ethiopia 2013: community based cross-sectional study. PLoS One. 2014;9:e83459.
- Hiluf M, Fantahun M. Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiop J Health Dev. 2007;22:14–20.
- Markos D, Bogale D. Birth preparedness and complication readiness among women of child bearing age group in Gobaworeda, Oromia region, Ethiopia. BMC Pregnancy Childbirth. 2014;14:282. [PMC free article][PubMed]
- Furaha August, Andrea B. Pembe, Edmund Kayombo, Columba Mbekenga, Pia Axemo and Elisabeth Darj. Birth preparedness and complication readiness – a qualitative study among community members in rural Tanzania Glob Health Action 2015, 8: 26922 - http://dx.doi.org/10.3402/gha.v8.26922
- Musa A, Amano A (2016) Determinants of Birth Preparedness and Complication Readiness Among Pregnant Woman Attending Antenatal Care at Dilchora Referral Hospital, Dire Dawa City, East Ethiopia. GynecolObstet (Sunnyvale) 6:356. doi:10.4172/2161-0932.1000356
- Mukhopadhyay DK, Mukhopadhyay S, Bhattacharjee S, Nayak S, Biswas AK, Biswas AB. Status of birth preparedness and complication readiness in Uttar Dinajpur District, West Bengal. Indian J Public Health 2013;57:147-54
- Markos Desalegn, Bogale Daniel. Birth preparedness and complication readiness among women of child bearing age group in Gobaworeda, Oromia region, Ethiopia.BMC Pregnancy and Childbirth201414:282 DOI: 1186/1471-2393-14-282
- Kuganab-Lem Robert B, Razak Dogudugu2, Ladi Kanton. Birth Preparedness and Complication Readiness: A Study of Postpartum Women in a Rural District of Ghana.s.l. Reproductive Health: 2011 Nov 16;8:33. doi: 10.1186/1742-4755-8-33.
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today. 2004;24:105–12.[PubMed]
- Coverage Evaluation Survey: National Fact Sheet . s.l. : UNICEF, 2009
Corresponding Author
Dr Ashima Bhaumik
Assistant Professor, Department of Community Medicine, KJ Somaiya Medical College and Research Centre, Mumbai, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.35
