Theme Description
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