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. 2016 Mar 25;4(1):114–131. doi: 10.9745/GHSP-D-15-00266

TABLE 4. Thematic Analysis of Factors Affecting Decision About Birth Place.

First-Order Themes Second-Order Themes Third-Order Themes
Barrier: Too many people involved in the decision-making process Influence of others on delivery location Decision about birth place
Facilitator: The role of comadronas
Facilitator/barrier: The role of husbands
Barrier: Tradition supports giving birth at home Cultural traditions
Facilitator: The role of the comadrona
Facilitator/barrier: Effects of previous birth experiences on subsequent delivery location Previous birth experience
Barrier: Casa Materna perceived as being located far away by some Perception of distance
Facilitator: Casa Materna perceived as being nearby by others
Barrier: Perceived high cost of facility birth compared with home birth Cost of childbirth
Facilitator: Perceived low cost of Casa Materna for facility birth compared with private facilities
Facilitator: Comadrona is part of the team during delivery process Cultural traditions Assessment of birth experience
Facilitator: Woman is attended to in her own language and with respect for long-standing traditions
Barrier: Home perceived as safe place to give birth Perceived quality of care
Facilitator: Home perceived as an unsafe place to give birth.
Facilitator: Casa Materna perceived as providing high-quality care
Facilitator: To have more equipment Suggestion Recommendations for improving care at the Casa Materna