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Table 3 Main themes, sub-themes and codes for why women participate or not in the JSY program

From: ‘The money is important but all women anyway go to hospital for childbirth nowadays’ - a qualitative exploration of why women participate in a conditional cash transfer program to promote institutional deliveries in Madhya Pradesh, India

 

Main Theme #1

 

Institutional delivery is now the social norm

Sub-theme

1.1 Social norm to deliver in

a health facility

1.2 Individual women’s perception

of the importance for ‘safe’ and

‘easy’ delivery

1.3 Social pressure from the ASHA to deliver in a health facility

Codes

Desired place of delivery · Justification for place of delivery · Affirmation of normalcy · Reflections on future delivery plans · Comparison between home delivery and institutional delivery · Advantages/disadvantages of home delivery and institutional delivery

· ASHA involvement · Dai involvement · Anganwadi helper involvement · Sweeper involvement · How decision where to deliver is made · Who influenced · Role of Family members on where to deliver · Family relationships · Affirmation of normalcy · Reflections on future delivery plans · Perceptions of quality of care

 

Main Theme #2

 

Role of cash incentive: Diversity among views

Sub-theme

2.4 Incentive motivates for institutional delivery

2.5 Money is important but health is more important

2.6 Institutional delivery regardless of the cash benefit

 

2.4.1 Difficulties to retain entire benefit and unintentional costs associated with

participating in JSY

  

Codes

Influence of JSY on place of delivery · Reflections on future delivery plans · Justification for place of delivery · Awareness/View of JSY program · Expenses related to hospital delivery · Rationale for giving payments · Perception of delivery costs · Influence of JSY on place of delivery · Perception how the incentive should be spent · Adequacy of Incentive · Process/procedure to obtain incentive Actual use of incentive payment · ASHA involvement · Method of payment for delivery

 

Main Theme #3

 

Unintentional participation due to barriers to institutional delivery

Sub-theme

3.7 Circumstantial events and difficulties with transportation cause unintentional non-participation.

Codes

Pre-labor/labor experience · Transport experience · Role of transport in determining place of delivery · How decision is made · Role of Family members · Family relationships · ASHA involvement · Dai involvement · Role of Family members on where to deliver

 

Main Theme #4

 

Public hospital is acceptable for ‘normal’ delivery but not complicated

Sub-theme

4.8 Distrust in public delivery services

Codes

Trust/distrust in public sector to provide care · Trust/distrust in private sector to provide care · Comparison of sectors

  1. ASHA: Accredited social health activist, JSY Janani Suraksha Yojana