(Eds.), Art-Based Research: a proper thesis
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In the current study, the high number of referrals in the intervention and comparison areas can be attributed to awareness created about obstetric danger signs in the families and birth attendants. However, the high number of maternal deaths of women, at facilities other than the specified referral facility, highlights the dire need for improving the quality of emergency obstetric care within the public and private sectors, especially in rural areas. Based on our results, we can recommend that the continuum of care approach starting from the home until reaching a facility is the only way to reduce maternal deaths in the rural setting.
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We found that three important factors contributed to the acceptability and use of misoprostol tablets. First and foremost was community awareness, which, to a great extent, was facilitated by the local public sector community-based lady health workers who helped in targeting pregnant women and their family members. Second, and also part of community awareness, were discussions with community elders and influential people. Third, counseling sessions provided accurate and credible information directly to the women, their family members, husbands, and birth attendants using culturally appropriate information, education and communication materials.