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dc.contributor.authorRos, Bandeth
dc.contributor.authorLê, Gillian
dc.contributor.authorFustukian, Suzanne
dc.contributor.authorMcPake, Barbara
dc.identifier.citationRos, B., Lê, G., Fustukian, S. & McPake, B. (2019) Socio-cultural change in conflict and post conflict settings: Five decades of giving birth in Cambodia. Conflict and Health, 13:53.
dc.descriptionFrom Springer Nature via Jisc Publications Router
dc.description.abstractBackground: This paper explores the changing experience of giving birth in Cambodia over a 53-year period. During this time, Cambodian people experienced armed conflict, extreme privation, foreign invasion, and civil unrest. Methods: An historical perspective was used to explore the changing place and nature of birth assistance given to Cambodian women between 1950 and 2013. Twenty-four life histories of poor and non-poor Cambodians aged 40–74 were gathered and analysed using a grounded thematic approach. Results: In the early lives of the respondents, almost all births occurred at home and were assisted by Traditional Birth Attendants. In modern times, towards the end of their lives, the respondents’ grand-children and great grand-children are almost universally born in institutions in which skilled birth attendants are available. Respondents recognise that this is partly due to the availability of modern health care facilities but also describe the process by which attitudes to institutional and homebirth changed over time. Interviews can also chart the increasing awareness of the risks of homebirth, somewhat influenced by the success of health education messages transmitted by public health authorities. Conclusions: The life histories provide insight into the factors driving the underlying cultural change: a modernising supply side; improving transport and communications infrastructure. In addition, a step-change occurred in the aftermath of the conflict with significant influence of extensive contact with the Vietnamese recognised. Trial registration: None.
dc.description.sponsorshipFunding sources for this research was the ReBUILD Consortium. The role of the funding body in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript was zero.
dc.publisherBioMed Central
dc.relation.ispartofConflict and Health
dc.rightsLicence for this article:
dc.rightsCreative Commons Attribution 4.0 International License
dc.subjectGiving Birth
dc.subjectSocio-cultural Change
dc.subjectLife Histories
dc.titleSocio-cultural change in conflict and post conflict settings: Five decades of giving birth in Cambodia
qmu.authorFustukian, Suzanne
qmu.authorMcPake, Barbara
qmu.centreInstitute for Global Health and Development

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