Pasifika women's choice of birthplace (original) (raw)
Related papers
Māori and Pasifika perceptions of their local maternity care in Logan, Australia
Women and Birth, 2019
Background: Many childbearing women from Maori and Pasifika backgrounds living in the Logan region of Queensland, Australia experience poor health outcomes. Compared to the general population of childbearing women, Maori and Pasifika women are more likely to experience gestational diabetes mellitus and obesity, are less likely to attend recommended antenatal visits and present for initial antenatal visits at later gestations. Aim: To describe women's awareness of maternity service options, explore the barriers to participating in pregnancy care and identify possible enablers to improved uptake of services. Method: Qualitative descriptive. Thirty-three women attended one of six culturally specific focus groups. Latent content analysis was used to analyse the data set. Findings: The key source of information for childbearing women was their families. Poor communication, lack of cultural safety and financial constraints were the major barriers to accessing services. Conversely, enablers were perceived to be continuity of midwifery care that was delivered in the community and was culturally safe. Discussion: Strategies to increase uptake of maternity services and optimise services to better meet the needs of women from Maori and Pasifika backgrounds are needed. These should be partnership-based, engage women and families, incorporate cultural needs and preferences and provide services at accessible community locations. Conclusion: These findings may be relevant to other groups of women, such as women from culturally diverse backgrounds and from communities experiencing poorer health outcomes.
Pasifika student experience in a Bachelor of Midwifery programme
New Zealand College of Midwives Journal
In New Zealand the Pasifika population comprises 6.9%. Rapid growth in the Pasifika population is anticipated and, with only 2.2% of registered midwives identifying as Pasifika, most Pasifika women are currently, and could increasingly be, unable to access a midwife from their culture. To help address this need Otago Polytechnic has identified Pasifika midwifery student success as a priority area.
The Muyu Women and Their Birthing Culture: How to Move Labor to Health Facilities
2020
The research was a part of participatory action research aimed to descriptively explore the issue and to suggest the possible solution to the high risk childbirth tradition. It was conducted in Mindiptana District, Boven Digoel Regency, Papua. The data was collected using in-depth interviews to Muyu women, Muyu elderlies, the pastor who was assigned in Muyu Pastoral, midwives and health workers who work in Mindiptana health community centre (Puskesmas Mindiptana) and Transient Hospital (Rumah Sakit Bergerak). It was continued by a focus group discussions of midwives and health workers in those health facilities. The researcher have work closely with all the stake holders in the district which are the local government and the community to formulate joint solutions which are appropriate to the local culture. The result of the study is the suggested action plan consisted of capacity building on (1) infrastructure by building a safe maternity house and expanding the communication means between remote areas and health facilities, (2) social organisation by involving the community leader and pastoral for promoting safe labor in health facilities, (3) individual and family level by conducting reproductive health education.
Culture, Health & Sexuality, 2014
Despite potentially playing a key role in improving maternal and child health, including the prevention of mother-to-child transmission (PMTCT) of HIV, health facility delivery rates remain low in Kenya. Understanding how place of childbirth is determined is therefore important when developing interventions to improve safe motherhood and childbirth outcomes. As part of a qualitative study, we conducted 25 in-depth interviews with mothers (13) and healthcare staff (12) and held 10 focus group discussions with traditional birth attendants (6) and female relatives (4) in Busia, rural Kenya. Our findings show that mothers prefer facility delivery; however, the choice is not theirs alone but involves both their family and the community. Furthermore, facility delivery poses a risk of being viewed as disloyal to tradition and not 'a real woman', which causes a strained relationship between healthcare staff, family and the community. Our interpretation of the findings is that mothers feel trapped between loyalty to sociocultural norms and awareness of the benefits of facility delivery. Also, we believe healthcare staff's disinclination to recognise certain traditional birth attendant services as a potential asset poses a barrier to increased facility deliveries. Interventions to link traditional birth attendants with formal healthcare combined with sociocultural sensitivity training for healthcare staff may increase facility delivery and PMTCT.
Public Health of Indonesia, 2018
Background: There continues to be a gap between facility-based delivery and homebirth. This condition is influenced by various social and cultural factors, which in rural areas could affect childbirth in health facilities.Objective: This study aimed to explore whether there has been a shift from homebirth to facility-based delivery and what factors are associated with the phenomenon.Method: A qualitative longitudinal research with ethnographic study design was conducted in the working area of Muara Kaman Health Center in Kutai Kertanegara District, East Kalimantan. The data were collected using in-depth interviews of 17 pregnant women as informants who were followed from the first or second trimester of pregnancy until delivery, and interviews with four midwives. Data were analyzed with thematic analysis.Results: Nine of the 17 women gave birth at the health facility, while there were still three who had homebirth assisted by traditional birth attendants. The number of women who per...
Journal of Forensic Medicine, 2021
Background: The high rate of maternal and infant mortality in Indonesia in the past year can be influenced by the habits of the community who prefer Traditional Birth Attendants (TBAs) in the childbirth. In fact, TBAs are not health profession and do not have competency standards to assist with childbirth, thus increasing the risk of maternal and infant mortality. This article aimed to determine the influence of culture on the community’s habit of choosing TBAsor official village midwives (OVMs)in childbirth process in remote areas.Methods: A cross-sectional study was used. The respondents were mothers who gave birth in the last one year in one remote sub-district in Aceh. TBAs and official village midwiveswereobserved and indepth interviews were also conducted.Resultsand Discussions:The results of this study showed community attitudes about cultural influences during pregnancy, such as TBAs-assisted delivery is a cultural belief that must be followed.Hence, factors that influence ...
Culture and Birthing: Experiences from a Rural Community in Western Kenya
Sociology and Anthropology, 2018
Despite numerous campaigns to increase uptake of hospital delivery services in Kenya, skilled birth attendance is still low. The situation is particularly worse for marginalized rural communities, including the Marakwet of western Kenya. Marakwet County ranks far below the national health survey indicators, with only 28% of the women delivering in hospitals compared to the average national index, which is at 62% [1]. Different reasons are cited for the low health facility use by women during delivery. Drawing from a study on determinants of birthing sites conducted among the Marakwet of western Kenya, this paper discusses the socio-cultural factors that influence women's choice of the site of birthing. The study employed both qualitative and quantitative methods of data collection and analysis and it reports the qualitative findings. A total of 186 mothers, selected using multistage cluster sampling, were interviewed. Three focus group discussions with participants ranging from 8-12 were conducted, one with mothers below 20 years of age, another with mothers above 45 years of age and the third one with married men. A total of 29 participants participated in the FGDs. The FGDs participants were separately selected and were outside the 186 sampled informants. The study found that traditional birth attendants, rituals performed in the birthing process, and disposal of the placenta were the critical socio-cultural factors influencing the Marakwet women choice of birthing site. The paper concludes that understanding and addressing these factors is the key to any intervention programs designed to improve the reproductive health of women through the utilization of hospital as a birthing site.