1. The Application of Anthropology in Global Health Dept of Primary Care and Public Health, Imperial College, 3 rd Nov 2011 Dr Juliet Bedford

2. Barriers Logistical Economic Social Local aetiologies Cultural Regional / structural Practical Skill, competency HCP’s background

3. Contextual Appropriate Relevant Acceptable Macro-level constraints AccountabilityTransparency Political economiesDonor-drivenMDGs

4. demand + delivery ≠ uptake

6. Objectives Provide a better understanding of maternal health seeking behaviour in relation to the socio-cultural environment in South Wollo Identify and assess factors contributing to the low uptake of maternal health services Make strategic recommendations concerning MNCH interventions in Ethiopia

7. Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? Perceptions of a normal delivery

8. Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? Perceptions of a normal delivery Motivations encouraging health facility attendance

10. Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? Perceptions of a normal delivery Motivations encouraging health facility attendance Deterrents preventing health facility deliveries

14. Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? Perceptions of a normal delivery Motivations encouraging health facility attendance Deterrents preventing health facility deliveries Decision-making processes

16. Why do women who access health facilities and utilise MNCH services at other times, not deliver at health facilities? Perceptions of a normal delivery Motivations encouraging health facility attendance Deterrents preventing health facility deliveries Decision-making processes Level of knowledge and health education

21. Thank you