Strategies Applied by Women in Coping With ad-hoc Demands for Unauthorized User Fees During Pregnancy and Childbirth. A Focus Group Study From Angola

Datos Bibliográficos

ID15218600
AutoresKaren Odberg Pettersson (Lund University, autor de correspondencia), Kyllike Christensson (Karolinska Institutet), Engrácia da Glória Gomes de Freitas (Clínica Sagrada Esperança), Ella Johansson (0000-0003-2351-5173), Eva Johansson (0000-0001-6695-7989, Karolinska Institutet)
Año2007
Volumen28
Número3
Páginas224-246
Fecha de publicación2007-03-20
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaHealth Care For Women International (JOURNAL)
Identificadores de la revistaISSN: 0739-9332 • E-ISSN: 1096-4665
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399330601179885
PMID17364983
OpenAlexW2131256423
IdiomaEN
Referencias citadas26

Our aim in this study was to explore women's responses to reported ad-hoc demands for unauthorized user fees during pregnancy and childbirth in Luanda, Angola. Ten focus group discussions were conducted and data were analysed using grounded theory. Women were found to apply six strategies as they "endeavored to cope with demands for unauthorized user fees" (core category): (i) blowing the whistle, (ii) searching for comprehension, (iii) manipulating the system, (iv) bargaining, (v) extending the limits, and (vi) balancing. The system of unauthorized user fees appears to be a symptom of a deeper structural problem, which requires multifaceted and long-term interventions such as insti-tutional reforms and clear policies on accountability and transparency. Better resource availability for the MHC sector is required in order to secure adequate salaries to maternal health care providers. The fact that unethical behavior is unveiled implies that interventions also need to target the national midwifery training

Business · Childbirth · Coping (psychology · Focus (optics · Focus group · Obstetrics · Pregnancy · Clinical Psychology · Global Maternal and Child Health · Medicine · Psychology