Table 1 Main topics included in the guidelines used for focus group discussions and in-depth interviews

Mothers or fathers:

a. Using trained delivery attendants at childbirth

The use of trained attendants' services

Obstacles when using trained attendants' services

History of delivery

b. Using traditional birth attendants at childbirth

The use of traditional birth attendants' services

Obstacles when using trained attendants' services

History of delivery (including the services provided by the delivery attendants)

c. Having an institutional delivery

Reasons for facility-based delivery services

Obstacles when accessing a health care facility

d. Having a home delivery

Reasons for a delivery outside a health care facility

Obstacles when accessing a health care facility

Health care providers

Content of delivery care services provided

The implementation of delivery care services in the community

Obstacles when delivering health care services

Maternal and child health programs available in the community

Community response towards maternal and child health programs

Traditional birth attendants

Type of services provided during pregnancy

Practice of partnership

Community and religious leaders

Perception about maternal and health care services

Perception about different care providers

Obstacles using different care providers

Maternal and chid health programs in the community

Staff from district health office

Maternal and child health programs

Community response towards maternal and child health program

Obstacles during implementation of maternal and child health programs

All participants

Family support and decision making on health services during delivery

Traditional practices and beliefs during delivery

Fee for services used/provided