Table 6 Implementation of the by-laws
Rules | Material and non-material sanctions reported |
|---|---|
Antenatal care visits | • Denial of care by health workers • Financial penalty issued by health worker for coming late to ANC (beyond three months) |
Male involvement in ANC | • Chief refusing to write letter to excuse absence of husband • Women coming without husbands treated after women who are with husbands • Women who come alone sent back by health workers • MoH and UNICEF introduced a new award that health facilities can win if they increase the number of male ANC attendants |
Institutional childbirth | • Payment in kind for home delivery (goat) • Financial penalty for home delivery ranging from MKW 6000 to 20,000 (USD 10–35) • Verbal insults to women who do not bring material, such as razors, soap and cloth, to the facility for their delivery |