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Seeking Skilled Care
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Seeking Skilled Care
Introduction
 
For many years, safe motherhood programs have encouraged timely use of skilled care for obstetric emergencies by providing information and education about danger signs, how to recognize when complications progress to true emergencies and where to go for skilled care.

The CHANGE Project's approach to increasing skilled careseeking builds on lessons learned and adds other elements that influence household careseeking. These include "contextual domains" that relate to cultural and social norms, religious and spiritual beliefs and gender relations. Experience has shown that increasing careseeking or the demand for skilled care is complex and involves more than knowledge of danger signs.

 
A Behavior Change Approach to Factors Influencing Women's Use of Skilled Care in Homa Bay District, Kenya
 
The CHANGE Project partnered with Family Care International (FCI) in Kenya to develop and test tools to:

Explore careseeking practices for routine births and emergencies;
Negotiate changes in careseeking practices; and
Test concepts of new roles for traditional birth attendants to facilitate skilled careseeking.
The CHANGE Project conducted qualitative research to explore these issues with women, elder female relatives and other family members, community leaders, traditional birth attendants and skilled providers. Interviews, or complication narratives, with women and the families of women with recent obstetric complications or emergencies elicited rich details about their decision-making processes. This information was used to craft locally appropriate behavior change intervention strategies.

Summary: A Behavior Change Approach to Factors Influencing Women's Use of Skilled Care in Homa Bay District, Kenya

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Appendices

Tools

 
     
 
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