Strategies Applied by Women in Coping With ad-hoc Demands for Unauthorized User Fees During Pregnancy and Childbirth. A Focus Group Study From Angola.
(2007) In Health Care for Women International 28(3). p.46-224- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/166484
- author
- Odberg Pettersson, Karen LU ; Christensson, Kyllike ; De Freitas, Engracia Da Gloria Gomes and Johansson, Eva
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Health Care for Women International
- volume
- 28
- issue
- 3
- pages
- 46 - 224
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:33847008641
- pmid:17364983
- ISSN
- 1096-4665
- DOI
- 10.1080/07399330601179885
- language
- English
- LU publication?
- yes
- id
- beb270af-e178-4780-a7d7-f12d22ab612d (old id 166484)
- date added to LUP
- 2016-04-01 12:05:41
- date last changed
- 2022-01-26 22:40:51
@article{beb270af-e178-4780-a7d7-f12d22ab612d,
abstract = {{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.}},
author = {{Odberg Pettersson, Karen and Christensson, Kyllike and De Freitas, Engracia Da Gloria Gomes and Johansson, Eva}},
issn = {{1096-4665}},
language = {{eng}},
number = {{3}},
pages = {{46--224}},
publisher = {{Taylor & Francis}},
series = {{Health Care for Women International}},
title = {{Strategies Applied by Women in Coping With ad-hoc Demands for Unauthorized User Fees During Pregnancy and Childbirth. A Focus Group Study From Angola.}},
url = {{http://dx.doi.org/10.1080/07399330601179885}},
doi = {{10.1080/07399330601179885}},
volume = {{28}},
year = {{2007}},
}