Table 3 Matrix of facilitating factors and barriers affecting the accessibility and utilization of KMC service by the PLBWIs in MDH, in 2018
Availability of KMC service | Accessibility of KMC service | Acceptability of KMC service | Affordability of KMC service | Personal Behavior | Quality of care | |
|---|---|---|---|---|---|---|
Facilitating factors | Availability of KMC providers | Social support -Parents utilized KMC service 24 h | LBWI recognized as a human being | KMC perceived as a cheap service | ||
Knowledge on KMC and timing of KMC message dissemination | KMC perceived as a safe service to an LBWI | |||||
Health linkage systems -refer LBWIs to secondary facility level for further management | Preference of KMC as LBWI care | |||||
Parental affection | ||||||
Lived experience -positive outcome with KMC service | ||||||
Motivation talks by mothers who practiced KMC and experience a positive outcome | ||||||
Perceived causes of LBWI birth -medical and trauma | ||||||
Barriers | Non- availability of KMC providers | Social obligation -fulfilling gender roles | Associating LBWI birth to a spiritual punishment and a consequence of diversion norm | Lack of women empowerment in decision making | Compromised quality care -poor documentation, monitoring and follow-up | |
Learning about KMC when after giving birth to an LBWI | LBWI identified as ‘these kinds of people’ | Inadequate skill by KMC provider |