Social and Cultural Factors Affecting Maternal Health in Rural Gambia: An Exploratory Qualitative Study
Publication Date
September 23, 2016
Journal
PLOS ONE
Authors
Mat Lowe, Duan Rung Chen & Song Lih Huang
Volume
11
Issue
9
Pages
e0163653
DOI
https://dx.plos.org/10.1371/journal.pone.0163653
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0163653
Scopus
84992049102
Mendeley
http://www.mendeley.com/research/social-cultural-factors-affecting-maternal-health-rural-gambia-exploratory-qualitative-study-5
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Mendeley | Further Information

{"title"=>"Social and Cultural Factors Affecting Maternal Health in Rural Gambia: An Exploratory Qualitative Study", "type"=>"journal", "authors"=>[{"first_name"=>"Mat", "last_name"=>"Lowe"}, {"first_name"=>"Duan-Rung", "last_name"=>"Chen"}, {"first_name"=>"Song-Lih", "last_name"=>"Huang"}], "year"=>2016, "source"=>"PLOS ONE", "identifiers"=>{"issn"=>"1932-6203", "sgr"=>"84992049102", "pui"=>"612774790", "isbn"=>"1932-6203 (Electronic) 1932-6203 (Linking)", "pmid"=>"27661617", "doi"=>"10.1371/journal.pone.0163653"}, "id"=>"fb31080d-4eaf-3ca9-ba84-fdfa7e3f83db", "abstract"=>"BACKGROUND The high rate of maternal mortality reported in The Gambia is influenced by many factors, such as difficulties in accessing quality healthcare and facilities. In addition, socio-cultural practices in rural areas may limit the resources available to pregnant women, resulting in adverse health consequences. The aim of this study is to depict the gender dynamics in a rural Gambian context by exploring the social and cultural factors affecting maternal health. METHODS AND FINDINGS Five focus group discussions that included 50 participants (aged 15-30 years, with at least one child) and six in-depth interviews with traditional birth attendants were conducted to explore perceptions of maternal health issues among rural women. The discussion was facilitated by guides focusing on issues such as how the women perceived their own physical health during pregnancy, difficulties in keeping themselves healthy, and health-related problems during pregnancy and delivery. The data resulting from the discussion was transcribed verbatim and investigated using a qualitative thematic analysis. In general, rural Gambian women did not enjoy privileges in their households when they were pregnant. The duties expected of them required pregnant women to endure heavy workloads, with limited opportunities for sick leave and almost nonexistent resources to access prenatal care. The division of labor between men and women in the household was such that women often engaged in non-remunerable field work with few economic resources, and their household duties during pregnancy were not alleviated by either their husbands or the other members of polygamous households. At the time of delivery, the decision to receive care by trained personnel was often beyond the women's control, resulting in birth-related complications. CONCLUSIONS Our findings suggest that despite women's multiple roles in the household, their positions are quite unfavorable. The high maternal morbidity and mortality rate in The Gambia is related to practices associated with gender inequality.", "link"=>"http://www.mendeley.com/research/social-cultural-factors-affecting-maternal-health-rural-gambia-exploratory-qualitative-study-5", "reader_count"=>52, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Student > Doctoral Student"=>2, "Researcher"=>7, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>16, "Student > Bachelor"=>9, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Student > Doctoral Student"=>2, "Researcher"=>7, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>16, "Student > Bachelor"=>9, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Engineering"=>1, "Nursing and Health Professions"=>15, "Biochemistry, Genetics and Molecular Biology"=>1, "Agricultural and Biological Sciences"=>2, "Medicine and Dentistry"=>14, "Arts and Humanities"=>1, "Sports and Recreations"=>1, "Psychology"=>1, "Social Sciences"=>10, "Immunology and Microbiology"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Social Sciences"=>{"Social Sciences"=>10}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>15}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "group_count"=>0}

Scopus | Further Information

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