Women giving birth at home has been practiced throughout human history. Communities had their own birthing arrangements. Modern multi-level governance practices mandate governments to provide health care services through partnerships and collaboration with communities and service users, but locally available maternity arrangements are excluded.
Drawing from the co-production literature, the research explores how maternal health care is co-produced in one of the rural settings in Uganda, and whether or not community arrangements can be integrated in the mainstream health care system. It adopts an ethnographic approach to gain in-depth insights into the realities of maternal health service delivery in a natural setting. This will enable the identification of different actors and their roles in maternal health service delivery, and the available opportunities to involve communities and service users who are experts of local knowledge for better governance of health services.