Table 2 Barriers and facilitators for labor and delivery at the Casa Materna for delivery services
Categories | Availability | Accessibility | Acceptability/Quality |
|---|---|---|---|
Barriers | -Care is only available at the CM during the day | -The CM is isolated from local communities Transportation expenses to reach the CM -Food expenses while at the CM | -Must leave their other children at home to seek services at the CM -The CM facilities are not ideal for labor -Doctors interfere whit care given at the CM |
Facilitators | -TBAs accompany women until labor is resolved at the CM | -Care at the CM is provided in the same language that women speak -Care at the CM provides benefits in the event of a complication because transportation to hospital facilities is rapid whit no additional cost | -At the CM procedure are conducted that women appreciate, such as massages before and after labor -During care provided at the CM the women are not undressed -During care provided at the CM invasive practices such as vaginal examination are not conducted -Services at the CM are provided by female personnel |