Singing Your Way To Safe Delivery Öffentlichkeit
Paulos, Gifti (2012)
Published
Abstract
Maternal and neonatal mortality rates in Ethiopia are among the
highest in the
world. The maternal mortality ratio is 676 per 100,000 live births
and the neonatal
mortality rate is 37 per 1000 live births (Demographic Health
Survey (DHS), 2011).
Because the rates were so high, the Maternal and Newborn Health in
Ethiopia
Partnership (MaNHEP) was established to improve maternal and
neonatal health. A
major part of their initiative is to use behavioral change
communication methods
such as music, to promote healthy behaviors. As part of that
initiative, the author
focused on birth songs sung by women in Oromo communities in
Ethiopia, one of
the sites where MaNHEP is working. The objectives of this thesis
are to identify the
role the birth songs play in these communities and determine the
content and
meaning of the messages in the songs. The author uses qualitative
research
methods including observation of women singing birth songs; focus
group
discussions with mothers, traditional birth attendants and
frontline health workers;
and in-depth interviews with MaNHEP staff. Results suggest that the
birth songs,
particularly the birth ceremonies of which they are an integral
component, play a
huge role in the lives of the women. They are seen as joyous social
activities that
facilitate camaraderie among all the women in the community in
celebrating a
woman's successful delivery. The results indicate that songs in
general have also
been useful in teaching important lessons regarding maternal and
newborn health
and that music is a great communication vehicle that should be
further explored in
the Oromo communities.
Table of Contents
Abstract
x
Acknowledgements
Xii
Introduction
1
MaNHEP
2
Music health communication
10
Purpose
11
Literature Review
12
Review of BCC interventions
12
Mass media
14
Social marketing
15
Community mobilization
16
Music
18
Home based life saving skills
19
Methods
25
Institutional Review Board
25
Location & Population
25
Recording of Songs
27
Focus Group Discussions
28
In depth interview
29
Analaysis
30
Results
32
Demographics of Participants
32
Birth Song Information
34
Role of birth songs
37
Messages in birth songs
39
Role of tradition
41
MaNHEP approach
45
Messages for future songs
47
Conclusion
49
Appendix A Informed Consent (English)
54-55
Appendix B Focus Group Discussion Guide (English)
56
Appendix C Informed Consent (Afaan Oromo)
57-58
Appendix D Focus Group Discussion Guide (Afaan Oromo)
59-60
Appendix E Take Action Card (English)
61-62
Appendix F Take Action Card (Afaan Oromo)
63-64
References
65-66
About this Master's Thesis
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