Local people’s views on the evidence-based skilled-maternal-care in Mfuwe, Zambia: a qualitative study


Choolwe Muzyamba


Assistant Professor

University of Amsterdam

Choolwe is an Assistant Professor at Utrecht University and also lectures at the University of Amsterdam (UvA).He specialises in development economics, political economy, decoloniality studies, decolonized research methods, global/public health.

Key Takeaways

    How To Apply Insights

    • Policymakers should pay attention to the local efforts and comparative advantages relevant to the local communities
    • Policies should not follow a one-size-fits-all approach that has proven to be harmful to low income countries that might not have the realities that the policy is set up for
    • Policy should be more aligned with local contexts and give more credit to local knowledge

    Findings & Research Conclusions

    There are many efforts and useful skills and experiences in so-called low income spaces that policymakers in favor of International Development tend to ignore just by focusing on what in the West is considered as efficient care (e.g. facility-based care), but that care for them is absent in these places. By discounting local efforts, western-based practitioners tend to exclude the only form of care that is actually more optimal for the people who are there. Providing care from a Western-only approach perpetuates a hierarchy of knowledge where only Western forms of doing business are appreciated and legitimized that disadvantages local communities in most cases. I was trying to demonstrate that there are people who live in different parts of the world and use their community’s strengths to navigate the lack of skilled care, and this kind of care should not be thrown out. This local-based care (e.g. traditional birth attendants, peer support networks, support for post-partum stress disorder, local ambulances) is not a substitute for skilled care, but both types of care can work as compliments to one another. Ultimately, local-forms of mobilizing and making care available should be made more visible and empowered.

    Research's methodology

    Qualitative study where data was collected using various forms of focus group discussions and interviews.


    It has a small study population thereby limiting the external validity of the study.

    Reference this research

    Muzyamba, C. (2019). Local people’s views on the evidence-based skilled-maternal-care in Mfuwe, Zambia: a qualitative study. BMC Pregnancy Childbirth 19(135).

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