(PHCII) - MMH/MMS

labour/delivery and the post partum period which can have serious outcomes (WHO
1998), hence, prompt and timely decision to seek health care is the most appropriate
resort for their well being.
Therefore in this case health education is an important intervention to ensure that these
women understand that although pregnancy is not a disease however once they are
pregnant, and if not cared properly your pregnancy can have devastating outcome to both
mother and child also the concern family. Women need to know that although family
members in the expectation of getting a new family member may cheer pregnancy they
are risking their lives from many complications, which are associated with.
HAM: Motivation system.
This describes a complex change of elements that ultimately determine the individual
attitudes to the adopting it.
HAM also shares features of value expectancy theory (VET) which states that motivation
involves not only effective goals, but also beliefs about the likelihood of a given course
of action achieving such goals. In addition, HAM also emphasizes the centrality of drive
forces in determining health action. HAM also asserts that a given value may give rise to
variety of particular attitudes.
Fishben et al (1986) observes that “an attitude represents a person’s general feeling of
favourableness towards some stimulus object” while values are those emotionally
changed beliefs and elements of faith which make up what can individual considers
worth while in life. Women in Kigoma district value to deliver at home in the presence of
the significant others (grand mothers, TBAs) because of their traditional culture. In this
case even if complications develop it is difficult for these significant others (mothers,
relatives) to detect them early enough hence refer them to higher centres with no delay.
Moreover, clarification of values of an individual woman or her family will facilitate
women’s intention to seek medical early during their illness.
32