Table 1.

Analytic framework

Theme	Description
Cost	Direct and indirect costs associated with facility birth
Influence of others on birthing decisions	Involvement of husbands, partners, family members, and friends on delivery location decisions
Plan for childbirth	Plans or lack of plans that a woman or her family make for her delivery
HIV	Fear of HIV testing, disclosure, and discrimination
Transportation/access	Perception of the distance and time to a health facility and implications of available transportation options.
Policies	Health policies that may influence the decision to deliver in a facility or at home
Perception of risk	Awareness of risks associated with childbirth, influence of previous birth experiences on future delivery choices, and influence of ANC on delivery choice.
Perceived quality of care	Perceived quality of care received at facilities during delivery
Medicalization of childbirth	The perception that birth is a natural event, lack of supportive attendance at facility deliveries, fear of cutting
Intersection of traditionalism and modernity	Influence of tradition and culture on delivery decisions, delays in transition from unskilled to skilled care, cooperation between traditional and biomedical health systems
Logistics of home birth	Perception that home deliveries are logistically easier than facility deliveries

Initial framework and themes for analysis. Each theme was broken down into sub-themes in the second round of analysis. See appendix C for full codebook.