Women's preferences for obstetric care in rural Ethiopia: a population-based discrete choice experiment in a region with low rates of facility delivery

摘要: Background Delivery attended by skilled professionals is essential to reducing maternal mortality. Although the facility delivery rate in Ethiopia9s rural areas extremely low, little known about which health system characteristics most influence women9s preferences for services. In this study, attributes of facilities Ethiopia were investigated. Methods A population-based discrete choice experiment (DCE) was fielded Gilgel Gibe, southwest Ethiopia, among women with a past 5 years. Women asked select hypothetical future from two on picture card. hierarchical Bayesian procedure used estimate utilities associated attributes: distance, type provider, provider attitude, drugs and medical equipment, transport cost. Results 1006 completed 8045 DCE tasks. Among them, 93.8% had delivered their last child at home. The greatest overall utility availability equipment (mean β=3.9, p Conclusion who have limited personal experience nonetheless value that indicate high technical quality: physician providers. Well-designed policy experiments measure contribution quality improvements rates other countries low service utilisation mortality may inform national efforts reduce