CULTURAL NORMS AND THEIR EFFECTS ON THE THREE DELAYS IN PREGNANCY: A QUALITATIVE STUDY IN RURAL SINDH, PAKISTAN

Abstract

Maternal mortality remains a criticall public health issue in low-resource settings, particularly in South Asia. This study aims to investigate how cultural norms and social structures influence the three phases of delay decision to seek care, reaching a healthcare facility, and receiving appropriate care during pregnancy and childbirth in the village of Haji Ameer Ali Shah, District Naushero Feroze, Sindh. Using a qualitative approach, 25 pregnant women were interviewed to uncover cultural beliefs, mobility restrictions, and family dynamics that contribute to delays in maternal healthcare. The study highlights how patriarchal structures, religious misconceptions, and lack of autonomy impede timely care. Findings will inform culturally sensitive strategies to reduce maternal mortality through community engagement, male involvement, and culturally competent healthcare delivery.