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Table 3 Summary of cross-country findings

From: Summary findings from a mixed methods study on identifying and responding to maternal and newborn illness in seven countries: implications for programs

Illness recognition and perceptions of severity
 Maternal Strong recognition of symptoms of excessive bleeding Families able to assess severity of perceived PPH Non-bleeding signs/symptoms not as easily recognized and varies by country Recognition of severity of perceived PPH usually triggers immediate care-seeking, but not necessarily for other illnesses Illness generally attributed to biomedical causes Clusters of signs/symptoms may aid in recognition of severity as well as past experience with similar signs/symptoms
 Newborn Variable recognition of signs of newborn illness Severity more likely to be acknowledged with longer duration, but poor recognition of risk of rapid decline   Recognition of severity of illness does not necessarily precipitate immediate care seeking Illness often attributed to supernatural causes
Decision-making
 Maternal Key decision makers are husband, mother-in-law, elders Perceived severity speeds up decision making Perceived outcome, or belief in unfavorable outcome does not discourage decision to seek care Community programs (e.g., self-help groups, savings groups) can aid in decision-making Cultural norms of post-partum seclusion fosters decision-making towards home-based care Perceived cause (biomedical vs supernatural) influences decision making (skilled vs traditional care)
 Newborn Key decision makers are mother, mother-in-law, older woman Perceived severity does not necessarily result in prompt decision-making Perceptions that there is nothing to be done does influence decision to seek care
Care-seeking
 Maternal Care is sought outside the home except in cases of cultural norms of post-partum seclusion In most cases, skilled care sought (although traditional/ spiritual care can also be sought) Several points of care accessed reflecting supply side failures Perceived and actual poor quality of facility care does not discourage care-seeking Trusted community based workers are consulted in care-seeking process  
 Newborn Care more likely to be brought into the home as a first step Non-skilled care often sought, especially if perceived supernatural cause Community-based workers are generally not viewed as resources for newborn illness