Premature Absence of an accountable anxiety about first labour gaves birth at home, birth authority - a neglected especially coming before a nurse was called neighbourhood in siting term upon to come and maternity services obeying social norms of help at home - after complying with the wishes initially going to the Social norms - living in a of her husband and older PHC TJ who failed to multigenerational women diagnose labour and expected to respect the ability to call on a nurse advice of husband and older that lives in the women neighbourhood Progressive Governance/pluralism - lax Confidence in the ability of a doctor that lives in loss of power regulation around nature of the visiting doctors to the areas pays him in legs and medical practice allowing address the problem and regular visit to assess hands frequent informal didn't feel that going to and prescribe care/prescription hospital will make any medicines for him difference or better results can be achieved elsewhere Dizziness Governance – poor quality of anxiety about the illness been to different diagnostics - failure of the (preventing her from hospitals and trying different hospitals to solve the reading especially the many different presenting problem Quran) and the hope that options Economic realities - availability one of the hospitals may be of care through husband's able to address the employer problem place of birth Nature of the problem – Anxiety about the outcome a local nurse (daughter pregnancy in a young considering lack of conducted the inexperienced mother experience of the young delivery at home Social norms – safeguarding mother even though hospital individual and family honour anxiety about the delivery was planned around privacy of intimate possibility of losing the by mother in-law body parts new-born Social norms - living in a multigenerational A compromise since they and expected to respect the were unable to go to advice of husband and older hospital was to at least women have a nurse present Absence of an accountable authority – no support with reliable public transport, payment arrangements or information system Pluralism – availability of informal care from a local midwife
Premature birth Absence of an accountable authority - a neglected neighbourhood in siting maternity services Social norms - living in a multigenerational and expected to respect the advice of husband and older women anxiety about first labour especially coming before term obeying social norms of complying with the wishes of her husband and older women ability to call on a nurse that lives in the neighbourhood gaves birth at home, a nurse was called upon to come and help at home - after initially going to the PHC TJ who failed to diagnose labour Progressive loss of power in legs and hands Governance/pluralism - lax regulation around nature of medical practice allowing frequent informal care/prescription Confidence in the ability of the visiting doctors to address the problem and didn't feel that going to hospital will make any difference or better results can be achieved elsewhere a doctor that lives in the areas pays him regular visit to assess and prescribe medicines for him Dizziness Governance – poor quality of diagnostics - failure of the different hospitals to solve the presenting problem Economic realities - availability of care through husband's employer anxiety about the illness (preventing her from reading especially the Quran) and the hope that one of the hospitals may be able to address the problem been to different hospitals and trying many different options place of birth (daughter Nature of the problem – pregnancy in a young inexperienced mother Social norms – safeguarding individual and family honour around privacy of intimate body parts Social norms - living in a multigenerational and expected to respect the advice of husband and older women Absence of an accountable authority – no support with reliable public transport, payment arrangements or information system Pluralism – availability of informal care from a local midwife Anxiety about the outcome considering lack of experience of the young mother anxiety about the possibility of losing the new-born A compromise since they were unable to go to hospital was to at least have a nurse present a local nurse conducted the delivery at home even though hospital delivery was planned by mother in-law
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