Common use of Contributing Factors for Objectives Not Fully Achieved Clause in Contracts

Contributing Factors for Objectives Not Fully Achieved. Cultural barriers between the Aymara people and health personnel are a constraint to adoption of behavior change in reproductive health practices. In order to improve inter-cultural relationships and to bridge the gap between the indigenous population and modern medical practitioners, CSRA sponsored an ethnographic study to determine how to better reach Aymara women and men with reproductive health interventions. The local population generally is wary of strangers and often feels mistreated at health centers and hospitals. When an obstetric emergency occurs there is usually a long process of decision-making that includes the mother and/or mother-in-law, the traditional healer and the husband. If the case is not resolved, the patient may seek care at a health center as a last resort. The decision to seek modern medical treatment may be too late, and if a mother dies at a health facility the gap between traditional and modern medicine widens. As CSRA/MOH facilities implement new ways of service provision taking into account cultural differences, the use of modern medical services is increasing.