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Fluid Cash and Discordant Households: Exploring perceptions of and attitudes towards saving for childbirth: A qualitative study in Pallisa district, Uganda
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2015 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background and Aim:  Maternal mortality in Uganda is among the highest in the world despite improvements in access to skilled delivery and emergency obstetric services. This is impacted in part by financial barriers.  This qualitative study explores men and women’s perceptions of and attitudes towards saving for childbirth and the related decision-making processes in rural eastern Uganda.

Methods: Data was collected through six focus group discussions with community members, seven key informant interviews with members of the District Health Office and Commercial Office and observations. Data was analysed using thematic analysis.

Results:  Men and women utilise savings to cope with varying demands, often taking precedence over preparing for childbirth.  A gender division in preferences and ability to save, underlined by poverty and illiteracy was identified.  Partners operated in separate financial spheres, with ambiguous financial responsibilities. Responsibility for childbirth was negotiated through household decision-making, but ultimately male partners held control over resources. Open communication and understanding between partners was perceived as key to saving for childbirth.   Male involvement was desired but complex and its best form undefined.

Conclusion: Savings groups can act as a conduit for financial birth preparedness, but without increased co-operation within the household and an increased awareness of birth being a joint responsibility, money may be diverted to other priorities. Existing power structures must be recognised if male involvement is to be increased. A greater emphasis needs to be placed on improving communication between partners

Place, publisher, year, edition, pages
2015. , 70 p.
Keyword [en]
Maternal health, birth preparedness, Uganda, savings groups, gender, household decision-making
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:uu:diva-258231OAI: oai:DiVA.org:uu-258231DiVA: diva2:842185
External cooperation
Makerere University School of Public Health - MANIFEST
Educational program
Master Programme in International Health
Available from: 2015-08-05 Created: 2015-07-12 Last updated: 2015-08-05Bibliographically approved

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