Category of determinants | Reproductive health needs at three levels for married and non-married women | ||
---|---|---|---|
Antenatal care | Contraceptive use | Obstetric care | |
Socio-cultural factors | 1. Ethnicity and residence of women | 1. Women age and parity | 1. Cultural acceptability |
2. Cultural viewpoints and beliefs | 2. Number of surviving children | 2. Social stigma | |
3. Family unions of women | 3. Spousal communication | 3. Socio-demographic factors | |
4. Increasing Parity needs | 4. Husband refusal to use, socio | ||
5. Husband/parental influence | 5. cultural and religious beliefs, | ||
6. Empowered decision making beliefs | 6. desire for large family size | ||
7. Religion (ATR) | 7. Desire for their husband attention, love and favor | ||
8. Social factors | 8. Marriage status of women | ||
Institutional/clinical factors | 1. Access by distance | 1. Poor health infrastructure | 1. Poor health service infrastructure |
2. Economic cost | 2. Unfriendly relational attitude of health providers | 2. Lack of skilled personnel for obstetric services | |
3. Geographic inaccessibility | 3. side effects of use | 3. Place of delivery | |
4. Poor health infrastructure | 4. Method choices available for women | 4. Physician inadequate to deliver services | |
5. Unfriendly attitude of health providers | 5. Ineffective leadership in managing and monitoring the demand | 5. Optimal organization of obstetric services | |
6. Unavailability of health staff at facility | 6. Poor and inefficient counselling | ||
7. Poorly equipped health infrastructure | |||
8. Type of facility (private/public/Hop/clinics | |||
Economic factors | 1. Socio-economic status | 1. Socioeconomic status of woman | 1. Cost effectiveness in accessing services |
2. Household wealth | 2. Economic Access for contraceptives | 2. Travel cost and distance | |
3. Cost of accessing delivery services | 3. Residence(rural/urban | 3. Catastrophic expenditures | |
4. Women value in society | |||
Knowledge and risk factors | 1. Educational Status of women | 1. Previous experience | 1. Restrictive abortion laws |
2. Knowledge of danger signs | 2. Fear of side effects | 2. Poor knowledge concerning | |
3. High risk patient risk | 3. Educational status of woman | 3. Lifesaving skills (LSS) for health staff | |
4. Risk of associated with utilization of services |