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.
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.
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).