Jessica D Gipson1, Kunchok Gyaltsen2, Lhusham Gyal3, Tsering Kyi4, Andrew L Hicks5, Anne R Pebley6. 1. Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA; California Center for Population Research, UCLA, Los Angeles, CA, USA. Electronic address: jgipson@ucla.edu. 2. Tso-ngon (Qinghai) University Tibetan Medical College (TUTMC), Xining City, Qinghai Province, China; Kumbum Tibetan Medical Hospital, Kumbum Monastery, Lusar (CH: Huangzhong), Qinghai Province, China. 3. Tso-ngon (Qinghai) University Tibetan Medical College (TUTMC), Xining City, Qinghai Province, China. 4. Tibetan Birth and Training Center, Tongren County of Huangnan Prefecture, Qinghai Province, China. 5. California Center for Population Research, UCLA, Los Angeles, CA, USA; Department of Health Care Policy, Harvard Medical School, Boston, MA, USA. 6. Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA; California Center for Population Research, UCLA, Los Angeles, CA, USA.
Abstract
OBJECTIVE: To identify sociodemographic characteristics and factors involved in Tibetan women's decisions to deliver at the Tibetan Birth and Training Center (TBTC) in rural western China. METHODS: In the present mixed-methods study, a random sample of married women who delivered at the TBTC between June 2011 and June 2012 were surveyed. Additionally, four focus group discussions were conducted among married women living in the TBTC catchment area. Descriptive analyses were conducted, and dominant themes were identified. RESULTS: In focus group discussions, women (n=33) reported that improved roads and transportation meant that access to health facilities was easier than in the past. Although some of the 114 survey participants voiced negative perceptions of healthcare facilities and providers, 99 (86.8%) indicated that they chose to deliver at the TBTC because they preferred to have a doctor present. Most women (75 [65.8%]) said their mother/mother-in-law made the final decision about delivery location. Women valued logistic and cultural aspects of the TBTC, and 108 (94.7%) said that they would recommend the TBTC to a friend. CONCLUSION: Study participants preferred delivery care that combines safety and comfort. The findings highlight avenues for further promotion of facility delivery among populations with lower rates of skilled deliveries.
OBJECTIVE: To identify sociodemographic characteristics and factors involved in Tibetan women's decisions to deliver at the Tibetan Birth and Training Center (TBTC) in rural western China. METHODS: In the present mixed-methods study, a random sample of married women who delivered at the TBTC between June 2011 and June 2012 were surveyed. Additionally, four focus group discussions were conducted among married women living in the TBTC catchment area. Descriptive analyses were conducted, and dominant themes were identified. RESULTS: In focus group discussions, women (n=33) reported that improved roads and transportation meant that access to health facilities was easier than in the past. Although some of the 114 survey participants voiced negative perceptions of healthcare facilities and providers, 99 (86.8%) indicated that they chose to deliver at the TBTC because they preferred to have a doctor present. Most women (75 [65.8%]) said their mother/mother-in-law made the final decision about delivery location. Women valued logistic and cultural aspects of the TBTC, and 108 (94.7%) said that they would recommend the TBTC to a friend. CONCLUSION: Study participants preferred delivery care that combines safety and comfort. The findings highlight avenues for further promotion of facility delivery among populations with lower rates of skilled deliveries.
Authors: Rafael Lozano; Haidong Wang; Kyle J Foreman; Julie Knoll Rajaratnam; Mohsen Naghavi; Jake R Marcus; Laura Dwyer-Lindgren; Katherine T Lofgren; David Phillips; Charles Atkinson; Alan D Lopez; Christopher J L Murray Journal: Lancet Date: 2011-09-19 Impact factor: 79.321
Authors: Kunchok Gyaltsen Gongque Jianzan; Lhusham Gyal Li Xianjia; Jessica D Gipson; Tsering Kyi Cai Rangji; Anne R Pebley Journal: Reprod Health Matters Date: 2014-11
Authors: Ben Bellows; Catherine Kyobutungi; Martin Kavao Mutua; Charlotte Warren; Alex Ezeh Journal: Health Policy Plan Date: 2012-03-21 Impact factor: 3.344
Authors: Juan Liang; Li Dai; Jun Zhu; Xiaohong Li; Weiyue Zeng; He Wang; Qi Li; Mingrong Li; Rong Zhou; Yanping Wang Journal: BMC Public Health Date: 2011-04-19 Impact factor: 3.295
Authors: Mary Wellhoner; Anne Cc Lee; Karen Deutsch; Mariette Wiebenga; Maria Freytsis; Sonam Drogha; Phuntsok Dongdrup; Karma Lhamo; Ojen Tsering; Janis Tse Yong-Jee; Dawa Khandro; Luke C Mullany; Lee Weingrad Journal: Int J Equity Health Date: 2011-10-04
Authors: Kunchok Gyaltsen Gongque Jianzan; Lhusham Gyal Li Xianjia; Jessica D Gipson; Tsering Kyi Cai Rangji; Anne R Pebley Journal: Reprod Health Matters Date: 2014-11
Authors: Kunchok Gyaltsen; Jessica D Gipson; Lhusham Gyal; Tsering Kyi; Andrew L Hicks; Anne R Pebley Journal: BMC Pregnancy Childbirth Date: 2015-09-22 Impact factor: 3.007