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Changing the place of birth from home to health facilities in Kafa Zone, Ethiopia

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  • Ruth Jackson

Abstract

Women in rural and semi-urban Kafa Zone, Ethiopia are being encouraged to give birth in health facilities rather than at home. Using an earlier 2007 study as a comparison point, this study explored the role of Health Extension Workers (HEWs) in referring women to health centres for birth. Semi-structured interviews were conducted with 11 HEWs and 6 health workers in May and June 2014. The results show that women prefer birth attendants they know, including HEWs, and not to go to health centres or the hospital except for emergencies. The ambulance service linking rural communities with health facilities works better in some areas than others. To improve maternal health, HEWs need better support at the community level. Inefficiencies in the referral system should be addressed.

Suggested Citation

  • Ruth Jackson, 2016. "Changing the place of birth from home to health facilities in Kafa Zone, Ethiopia," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 8(3), pages 423-435, July.
    • Handle: RePEc:taf:jdevef:v:8:y:2016:i:3:p:423-435
    DOI: 10.1080/19439342.2016.1206952
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    1. World Health Organization & UNICEF & UNFPA & World Bank Group & United Nations, 2015. "Trends in Maternal Mortality," World Bank Publications - Books, The World Bank Group, number 23550.
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    1. Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2020. "Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.

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