Norms and Practices of Gewata Community Toward Maternal and Child Health Services.

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Abstract Background: World Vision Ethiopia is now implementing timely and targeted Counseling, Channel of Hope, Information, Education and communication on Basic Health Service Package using Faith Based Organization with the goal of Contribution in reduction of mothers and New born morbidity and death through further strengthening of the Supportive Supervision and Primary Health Care Unit. The community’s norms, practice, knowledge, accessibility and attitude towards of excellence of service delivered were significant to making choice on utilization of Maternal and Neonate health services. These social gradients apply across family planning, antenatal care assisted delivery and post delivery services.Objective: To assess the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum, South West Ethiopia from March 29- April 20, 2019.Methods: Ethnography study design was employed to describe the norms and practices of Gewata communities toward MCH services during pregnancy, labour and post-partum time. Data were collected through non- probability technique namely in-depth interviews and FGDs. A Total of 14 in-depth interview were and 4 FGD were employed each have 8 members/participants among (Pregnant mothers, Lactating mothers, Health Extension Workers (HEWs) and Health Development Agent Leader (HDAL). Study participants were selected purposively based on maximum variation criteria-based selection. Findings: Currently, it is unhidden reality that the qualities of services, Religious principles, Educational level, Accessibilities of the services, Infrastructure facilities, religious leader perceptions and traditional views have an impact on norms and practice MCH services during pregnancy, delivery and post partum period. On the other hand, the Weradas’ Maternal and Child services are showing some improvements from previous with the improvement of Gewata woreda transportation which mainly indicate impact of infrastructure development on services utilizations. The main tasks ahead include integrating and networking religious healing with modern medical services, improving the underdeveloped medical service infrastructures, improving under developed transportation/road infrastructures and networks, make fit medical services with culture of the community and rising the community’s consciousness of the advantages of Maternal and Child health services.

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