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This paper seeks to understand the recent rise in facility deliveries in Ethiopia.

The findings in this paper, authored by Zelee Hill and others suggest that barriers, which had prevented women in the past from delivering their babies at health facilities were overcome through a combination of saturation of messages around facility delivery from trusted sources, reduction in access
issues, the prohibition of traditional birth attendants (TBA), power shifts away from grandmothers and positive experiences.

The focus of this paper on what has driven the change process adds new insights to the literature, which to date has focused on barriers and facilitators to uptake rather than mechanisms of change. It is widely recognised that comprehensive efforts, at multiple levels, are required to successfully increase facility delivery rates.


Profile picture of Professor Joanna Schellenberg
Professor Joanna Schellenberg

IDEAS Co-Principal Investigator and Professor