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The Application of Anthropology in Global Health. Dept of Primary Care and Public Health, Imperial College, 3 rd Nov 2011 Dr Juliet Bedford. Barriers. Logistical Economic Social Local aetiologies Cultural Regional / structural Practical Skill, competency HCP’s background.
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The Application of Anthropology in Global Health Deptof Primary Care and Public Health, Imperial College, 3rd Nov 2011 Dr Juliet Bedford
Barriers • Logistical • Economic • Social • Local aetiologies • Cultural • Regional / structural • Practical • Skill, competency • HCP’s background
Accountability Transparency Contextual Appropriate Relevant Acceptable Macro-level constraints Donor-driven MDGs Political economies
Objectives • Provide a better understanding of maternal health seeking behaviour in relation to the socio-cultural environment in South Wollo • Identify and assess factors contributing to the low uptake of maternal health services • Make strategic recommendations concerning MNCH interventions in Ethiopia
Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? • Perceptions of a normal delivery
Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? • Perceptions of a normal delivery • Motivations encouraging health facility attendance
Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? • Perceptions of a normal delivery • Motivations encouraging health facility attendance • Deterrents preventing health facility deliveries
Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? • Perceptions of a normal delivery • Motivations encouraging health facility attendance • Deterrents preventing health facility deliveries • Decision-making processes
Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? • Perceptions of a normal delivery • Motivations encouraging health facility attendance • Deterrents preventing health facility deliveries • Decision-making processes • Level of knowledge and health education