The Application of Anthropology in Global Health

Dept of Primary Care and Public Health, Imperial College, 3rd Nov 2011

Dr Juliet Bedford

Barriers

• Logistical• Economic• Social• Local aetiologies• Cultural

• Regional / structural• Practical• Skill, competency• HCP’s background

Contextual

Appropriate

Relevant

Acceptable

Macro-level constraints

Accountability Transparency

Political economiesDonor-driven MDGs

demand + delivery ≠ uptake

Objectives

• Provide a better understanding of maternal health seeking behaviour in relation to the socio-cultural environment in South Wollo

• Identify and assess factors contributing to the low uptake of maternal health services

• Make strategic recommendations concerning MNCH interventions in Ethiopia

Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities?

• Perceptions of a normal delivery

Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities?

• Perceptions of a normal delivery• Motivations encouraging health facility attendance

Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities?

• Perceptions of a normal delivery• Motivations encouraging health facility attendance• Deterrents preventing health facility deliveries

Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities?

• Perceptions of a normal delivery• Motivations encouraging health facility attendance• Deterrents preventing health facility deliveries• Decision-making processes

Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities?

• Perceptions of a normal delivery• Motivations encouraging health facility attendance• Deterrents preventing health facility deliveries• Decision-making processes• Level of knowledge and health education

Thank you