Hand of fate nomads desert free#
Nomadic women are not free in their movements, and in order to seek care, they require the permission and support of a man (husband, brother, or father). They identified sociocultural determinants related to their representations and bodily experiences the risks and emotions (fear, stress, anxiety) associated with pregnancy the onset of labor and delivery and their weak autonomy in terms of movement, decision-making, and economic agency. Several participants recognized the value of assisted delivery but gave birth at home. The study identified a complex combination of determinants resulting in the use or non-use of assisted childbirth by the nomads of Gossi. A thematic content analysis was performed with QDA Miner software. Nomadic women who gave birth in the past three months were included in the study, whether they used assisted delivery or not. Data were collected through a literature review, 26 semi-structured interviews, a non-participant observation, and a logbook. We conducted a qualitative research in the health area of Gossi (Mali), mainly populated by nomads.
The objective of this study was to understand the sociocultural determinants of assisted childbirth by nomadic women. The reasons behind this limited use have been poorly documented. Few nomadic women use assisted delivery, which increases the risk of maternal mortality. Their mobility, due to a constant search for pastures and water points, makes health services less accessible to them.
In sub-Saharan Africa (SSA), nomads account for 30 to 60 million people.
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