Exploring experiences with sensitivity to cultural practices among birth attendants in Kenya: A phenomenological study

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Exploring experiences with sensitivity to cultural practices among birth attendants in Kenya: A phenomenological study
 
Creator Ngotie, Teckla K. Kaura, Doreen K.M. Mash, Robert
 
Subject Rural Health; Primary health care; Primary care skilled birth attendants; traditional birth attendants; cultural sensitivity; cultural practices; pregnancy; birth
Description Background: Sensitivity to women’s cultural needs and expectations by care providers is essential. Skilled birth services for women are as essential as traditional birth services. Therefore, collaborative skilled and cultural care optimises childbearing experiences.Aim: This study explored the experiences of birth attendants (BAs) with sensitivity to cultural practices (CPs) during pregnancy and birth among the Keiyo community in Kenya.Setting: The study was conducted in the purposively selected public health centres and dispensaries offering maternity services and the villages in Keiyo South Sub County in Kenya.Methods: A qualitative interpretive phenomenological study of BAs was conducted. Iterative and inductive interviews using a semistructured guide were conducted with 11 skilled BAs (SBAs) and eight traditional BAs (TBAs). Audio-recorded interviews were transcribed and analysed using ATLAS.ti software version 8.4.4 (1135), following Van Manen’s five thematic analysis steps.Results: Three themes emerged: birth attendants’ cultural encounters, response to cultural encounters and collaboration. Birth attendants’ responses to different cultural encounters revealed their awareness of CPs. The response was experienced as a sensitivity to the need for a triad (woman, TBAs and SBAs) collaborative care, enabling collaborative, woman-centred and culturally safe care.Conclusion: Birth attendants are exposed to cultural encounters, and their responses determine their awareness of enabling sensitive care for optimal childbearing experiences. The study illuminated the need for further collaborative engagements between the BAs and the community to facilitate positive experiences by women through woman-centred, culturally safe care.
 
Publisher AOSIS
 
Contributor
Date 2022-08-22
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v14i1.3322
 
Source African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 14 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3322/5548 https://phcfm.org/index.php/phcfm/article/view/3322/5549 https://phcfm.org/index.php/phcfm/article/view/3322/5551 https://phcfm.org/index.php/phcfm/article/view/3322/5552
 
Coverage Africa January 2018- December 2022 Age; gender; ethinicity
Rights Copyright (c) 2022 Teckla K. Ngotie, Doreen K.M. Kaura, Robert Mash https://creativecommons.org/licenses/by/4.0
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