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Tibetan women's perspectives and satisfaction with delivery care in a rural birth center
Author(s) -
Gipson Jessica D.,
Gyaltsen Gongque Jianzan Kunchok,
Gyal Li Xianjia Lhusham,
Kyi Cai Rangji Tsering,
Hicks Andrew L.,
Pebley Anne R.
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.12.012
Subject(s) - medicine , logistic regression , focus group , promotion (chess) , descriptive statistics , family medicine , health care , nursing , statistics , mathematics , marketing , politics , political science , economics , law , business , economic growth
Abstract Objective To identify sociodemographic characteristics and factors involved in Tibetan women's decisions to deliver at the Tibetan Birth and Training Center (TBTC) in rural western China. Methods In the present mixed‐methods study, a random sample of married women who delivered at the TBTC between June 2011 and June 2012 were surveyed. Additionally, four focus group discussions were conducted among married women living in the TBTC catchment area. Descriptive analyses were conducted, and dominant themes were identified. Results In focus group discussions, women (n = 33) reported that improved roads and transportation meant that access to health facilities was easier than in the past. Although some of the 114 survey participants voiced negative perceptions of healthcare facilities and providers, 99 (86.8%) indicated that they chose to deliver at the TBTC because they preferred to have a doctor present. Most women (75 [65.8%]) said their mother/mother‐in‐law made the final decision about delivery location. Women valued logistic and cultural aspects of the TBTC, and 108 (94.7%) said that they would recommend the TBTC to a friend. Conclusion Study participants preferred delivery care that combines safety and comfort. The findings highlight avenues for further promotion of facility delivery among populations with lower rates of skilled deliveries.