Abstract
In Zambia 57% of births occur at home under the supervision of unskilled attendants. This situation poses a danger to the lives of both delivering mothers and their newborns. The 2001–2002 Zambia Demographic Health Survey revealed that nearly two thirds of mothers who died in childbirth had delivered at home and most of the maternal deaths reported at health facilities were as a result of late referrals from home. The purpose of the study, therefore, was to explore Zambian midwifery students' perceptions of Zambian women's choice of place of delivery, either home or health facility. Four focus group discussions were held with 40 students from Lusaka School of Midwifery. The study deduced that in order to make childbirth safer midwives need to see themselves as change agents not as victims of external factors over which they have no influence.
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