This book examines the factors influencing women's choices of
obstetrical care in a Bariba community in the People's Republic of
Benin, West Africa. When selecting a research topic, I decided to
investigate health care among the Bariba for several reasons. First, I
had served as a Peace Corps Volunteer in northern Benin (then Dahomey)
and had established a network of contacts in the region. In addition, I
had worked for a year as assistant manager of a pharmacy in a northern
town and had become interested in the pattern of utilization of health
care services by urban residents. This three-year residence proved an
invaluable asset in preparing and conducting research in the northern
region. In particular, I was able to establish relationships with
several indigenous midwives whose families I already knew both from
prior research experience and mutual friend- ships. These relationships
enabled me to obtain detailed information regarding obstetrical practice
and thus form the foundation of this book. The fieldwork upon which the
book is directly based was conducted between June 1976 and December 1977
and sponsored by the F ord-Rockefeller Popula- tion Policy Program, the
Social Science Research Council, the National Science Foundation, and
the FUlbright-Hays Doctoral Dissertation Research Program. The
Ford-Rockefeller Population Policy Program funded the project as a
collab- oration between myself and Professor Eusebe Alihonou, Professor
Agrege (Gynecologie-Obstetrique) at the National University of Benin.