| Cost |
Direct and indirect costs associated with facility birth |
| Influence of others on birthing decisions |
Involvement of husbands, partners, family members, and friends on delivery location decisions |
| Plan for childbirth |
Plans or lack of plans that a woman or her family make for her delivery |
| Human Immunodeficiency Virus (HIV) |
Fear of HIV testing, disclosure, and discrimination |
| Transportation/access |
Perception of the distance and time to a health facility and implications of available transportation options. |
| Policies |
Health policies that may influence the decision to deliver in a facility or at home |
| Perception of risk |
Awareness of risks associated with childbirth, influence of previous birth experiences on future delivery choices, and influence of Antenatal Care (ANC) on delivery choice. |
| Perceptions of quality of care |
Perceived quality of care received at facilities during delivery |
| Medicalization of Childbirth |
The perception that birth is a natural event, lack of supportive attendance at facility deliveries, fear of cutting |
| Intersection of traditionalism and modernity |
Influence of tradition and culture on delivery decisions, delays in transition from unskilled to skilled care, cooperation between traditional and biomedical health systems |
| Logistics of home birth |
Perception that home deliveries are logistically easier than facility deliveries |