[c l rI I I SITTING FIRE A community-based study of home births and postpartum care in East Timor Vanessa van Schoor Masters Thesis August2003 University of Amsterdam Faculty of Social & Behavioural Sciences Medical Anthropology Unit The Netherlands ~ .. Mam"'ri'P'·" '.c)Jl,;<>-k· AirpanaS?~;"~;:;:,;Y_"- _1~~-"-.:~:'/~'·':;tr·'"·' 'A , ." ·t:r'~' .,., "· 125" -- · • .. Horan p·"', / l:{ahotlO ;_ ·--'o 127" i Aimau .-, !lhpuang ,_ · -, JiiPuti 0 10 • •• ... ;.,'' "'etar - -:r/.'1-;;!'>•·.' .·. S Mahuan Ha.\u·t<I·!J.-'~"""':':c I n' · P••' · ese ·~· 1} •·. ••· o 5 tO 15 Wmi -··- I --· r,.· ,.). island .. rar. , ... n s•---~1 East Timor ...,..,.____,.~ ------ ------····--·--·--·· a• DIStriCt boundar Y . 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I tis• tie• MapNo.4111Rev.4 UNITEONATIONS Departmet'lt of Plibllc Information November 1999 Cartogrnphic Section ·~~~~-·-~·~-~-~~~~' -=>"P''''"'' --------~--~.- ·~~~--- --- ' ' r ACKNOWLEDGEMENTS ..............••...............•••.•••••...........•••.....•.•........•••..........•.......•......•••••••...............••••••••.................•.•.. 2 SUMMAR¥•••................•..........•.........•..........•....••..•..••••..••..................•.••........•.........•••..••••.......................•••.••.........•...••••...•...•• 3 1- ACRONYMS ..................••.•....................•.....••........•.......••.....................•.........•...•.......••.....•..............•.•••.•••...........•....•••...••••.... .4 L INTRODUCTION•............•..•..........•.....•..•................••.•.......••......•....•.........•.•••....................•••••••••............•••...............•.•.... S 1 11. BACKGROUND ...•••............••.........••••.••.••................••.•......••.•.............•.........•••.............•.•••.•...............••••••.•....••...........•.... 9 EAST TiMOR ......................................................................................................................................................................... 9 INDEPENDENCE .................................................................................................................................................................. 10 HEALTH CARE ................................................................................................................................................................... 12 VIQUEQUE ·········································································································································································· 13 WOMEN .............................................................................................................................................................................. 15 IlL METHODOLOGY .•..•••...........•..........••....•..••..........••.....••••............•.•..........•.•••....••.........................•••..•....•••••••...••....•••. 16 TiiEORETICAL APPROACH ................................................................................................................................................. 16 TIMING & LOCATION ........................................................................................................................................................ 17 SAMPLE .............................................................................................................................................................................. 17 TOOLS .............................................................................................................................................................................. 18 ETHICAL CONSIDERATION ....................................................................................................................................... 22 RESEARCHER'S CREDENTIALS ............................................................................................................................... 22 OUTLINE .......................................................................................................................................................................... 22 IV. MATERNAL MORTALITY: THE STATISTICAL ARGUMENT ........................................................................ 23 MORTALITY ....................................................................................................................................................................... 23 MORBIDITY ........................................................................................................................................................................ 26 QUALITATIVE V ALIDATION ............................................................................................................................................... 28 V. PREGNANCY: TWO BODIES ..................................................................................................................................... 29 0LIMPIA .............................................................................................................................................................................. 29 BELIEFS .............................................................................................................................................................................. 31 PRACTICES ......................................................................................................................................................................... 35 FAMILY PLANNING ............................................................................................................................................................ 36 [SINRUA, KO'OS, KABAI, KABUK, MATAATUISI, NAIOLI .................................................................................................. 37 ANTE NATAL CARE ............................................................................................................................................................ 38 RISKS & QUESTIONS .......................................................................................................................................................... 40 VI. DELIVERY: THE DOOR IS OPEN ........................................................................................................................... 42 BELIEFS .......................................................................................................................................................................... .43 PRACTICES .................................................................................................................................................................... .43 Home ............................................................................................................................................................................ .46 Midwives ......................................................................................................................................................................