for maternal death in many developing countries. This paper examines how decisions for maternal care are made\r\nin two rural communities in Burkina Faso.\r\nMethods: Focus group discussions (FGDs) and individual interviews (IDIs)) were used to collect information with 30\r\nwomen in Ouargaye and Diapaga medical districts. All interviews were tape recorded and analyzed using QSR\r\nNvivo 2.0.\r\nResults: Decision-making for use of obstetric care in the family follows the logic of the family�s management.\r\nHusbands, brothers-in-law and parents-in-law make the decision about whether to use a health facility for antenatal\r\ncare or for delivery. In general, decision-makers are those who can pay, including the woman herself. Payment of\r\ncare is the responsibility of men, according to women interviewed, because of their social role and status.\r\nConclusions: To increase use of health facilities in Ouargaye and Diapaga, the empowerment of women could be\r\nhelpful as well as exemption of fees or cost sharing for care
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