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"It is not by choice that I gave birth at home": the social determinants of home births during COVID-19 in peri-urban and urban Kenya, a qualitative study.
Sudhinaraset, May; Woofter, Rebecca; Mboya, John; Wambui, Sarah; Golub, Ginger; Mershon, Claire-Helene.
Afiliación
  • Sudhinaraset M; Department of Community Health Sciences, Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA. msudhinaraset@ucla.edu.
  • Woofter R; Department of Community Health Sciences, Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
  • Mboya J; Innovations for Poverty Action, Sandalwood Lane, Nairobi, Kenya.
  • Wambui S; Jacaranda Health Solutions Limited, San Francisco, CA, USA.
  • Golub G; Innovations for Poverty Action, Sandalwood Lane, Nairobi, Kenya.
  • Mershon CH; Bill & Melinda Gates Foundation, Seattle, Washington, USA.
BMC Pregnancy Childbirth ; 23(1): 722, 2023 Oct 11.
Article en En | MEDLINE | ID: mdl-37821855
BACKGROUND: The COVID-19 pandemic significantly impacted the provision of global maternal health services, with an increase in home births. However, there are little data on women's decision-making and experiences leading up to home births during the pandemic. The objective of this study is to examine the economic, social, and health system factors associated with home births in Kenya. METHODS: Community health volunteers (CHVs) and village leaders helped identify potential participants for an in-depth, one-on-one, qualitative telephone interview in Nairobi and Kiambu County in Kenya. In total, the study interviewed 28 mothers who had home births. RESULTS: This study identified a number of economic, social, neighborhood, and health system factors that were associated with birthing at home during the COVID-19 pandemic. Only one woman had planned on birthing at home, while all other participants described various reasons they had to birth at home. Themes related to home births during the pandemic included: (1) unmet preferences related to location of birth; (2) burdens and fear of contracting COVID-19 leading to delayed or missed care; (3) lack of perceived community safety and fear of encounters with law enforcement; and (4) healthcare system changes and uncertainty that led to home births. CONCLUSION: Addressing and recognizing women's social determinants of health is critical to ensuring that preferences on location of birth are met.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 / Parto Domiciliario Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 / Parto Domiciliario Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido