Analysis of the social acceptability of a humanized childbirth intervention in Senegal: A qualitative study |
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| Affiliation: | 1. Women’s Health Economics, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia;2. Maternal, Child and Adolescent Health Program, Burnet Institute, 85 Commercial Road, Melbourne, VIC 3004, Australia;3. Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia;4. Monash Centre for Health Research and Implementation, Level 1, 43–51 Kanooka Grove, Clayton, VIC 3168, Australia;1. School of Public Service and Governance, Ghana Institute of Management and Public Administration, Accra, Ghana;2. School of Public Service and Governance, Ghana Institute of Management and Public Administration. Achimota, Accra, Ghana;1. Department of OBGYN, Boston University School of Medicine, 771 Albany Street, Dowling 4, Boston, MA 02118, United States;2. Rural Health Equity Postdoctoral Program, University of Minnesota Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, 2221 University Ave. SE #350, Minneapolis, MN 55414-3078, United States;3. Helen Varney Professor of Midwifery, Yale School of Nursing, 400 West Campus Drive, Room 22302, West Haven, CT 06516, United States;4. UAB School of Nursing, University of Alabama at Birmingham, 1701 University Blvde, Birmingham, AL 35294, United States;1. School of Nursing and Midwifery, Edith Cowan University, Joondalup 6027 WA, Australia;2. The University of Notre Dame Australia, 19 Mouat Street, Fremantle 6959, WA, Australia;3. School of Nursing and Midwifery, University of Newcastle, University Dve, 2308 NSW, Australia;1. Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia;2. School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia;3. The Royal Women’s Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, VIC 3052, Australia |
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| Abstract: | BackgroundIn efforts to improve the quality of women’s care and enhance related experiences in Senegal, the Senegalese government implemented an intervention named “humanized childbirth” in their health facilities.AimTo analyze the social acceptability of humanized childbirth as well as its relevance given the social values in Senegal.MethodsA multiple-case study was conducted within four health facilities in Dakar. Breastfeeding mothers (n = 20), pregnant women (n = 4), midwives (n = 8), Bajenu Gox (n = 4), members of the Health Development Committee (n = 4), and men from the community (n = 4) were interviewed individually, and a documentary analysis was done. The thematic analysis was performed using the acceptability theoretical framework.FindingsThe results show that most participants agreed with the idea of humanized childbirth. However, participants display varying viewpoints as to the social acceptability of various components of the intervention. While there is an overall agreement concerning the benefits of motivated and attentive health professionals focused on prevention, restoring dignity for the parturient woman, freedom to eat and drink, massages and relaxation, the same cannot be said about the freedom of choice for birth positions and companionship.DiscussionThe contrasting viewpoints as to the acceptability of humanized childbirth can be explained by the perception of risk and lack of experience with free birthing positions, as well as structural and cultural barriers surrounding the notion of companionship.ConclusionEducation and awareness of the benefits of free birthing positions and companionship would be required among Senegalese women to enable a cultural shift in maternity wards in Senegal. |
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| Keywords: | Humanized childbirth Acceptability Senegal Qualitative research |
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