Perceptions of the quality of care vary greatly across the country. For many women, care at a formal facility is so bad that they prefer to stay at home and have a home delivery. The process of labor is affected by strong traditions. Great influence is given by grandparents with more traditional methods who normally suggest home births. However, due to more access to technology and the mixing of women in larger cities, a shift is taking place moving toward more advanced means of childbirth in formal hospitals.
