Table 2.

Thematic analysis exploring reasons for home delivery or low facility based delivery

Main themes	Sub themes	Sub sub themes
• Perceived obstetric risk	1. Childbirth experience	1. Number of prior pregnancy (ies)
		2. History of obstetric complications
		3. Awareness of pregnancy complications and their consequences
	2. Need for health services	1. Facility delivery or referral for complicated conditions
		2. Referral for c-section
• Socio-cultural norms and beliefs	1. Family and social support	1. Influence of family and community members
		Support for child care
	2. Preferences regarding health provider	1. Gender
		2. Age
	3. Delivery preferences	1. Delivery position
		2. Placenta handling/disposal
• Economic factors	1. Direct costs	1. Funds for delivery items
		2. Funds for drug costs
	2. Indirect costs	1. Funds to hire a boda boda
		2. Funds to hire a bicycle
• Health facility related factors	1. Perceived quality of care	1. Health provider manpower
		2. Adequacy of equipment and supplies
	2. Communication skills of health care providers	1. Language and behaviour
		2. Provision of information