*Corresponding author:Brahima A Diallo, PhD Candidate, University of Bayreuth, Germany
Received: September 21, 2017; Published: October 03, 2017
To view the Full Article Peer-reviewed Article PDF
The relationship between the medical caregiver and the patient usually displays an authoritative knowledge [1,2] of the former although the latter contributes to making the health care delivery more efficient . Despite an involvement of the patient, his/her embodied knowledge  most often lacks legitimacy considering the health service delivery procedures particularly in the presence of a complication. However, the prominence of the patient’s subjective interpretation may contribute to challenging the practice of the biomedicine regarding the accountability in some context. The following reflection draws on two cases of maternal death that occur in Ouenkoro’s community health centre, a rural area in central Mali. The health facility is the first level of health care delivery in the Malian health systems. The midwife in charge of providing child birth services has been running the maternity for about thirty years. In the two cases highlighted the context of care delivery waschallenged by the parturient subjective interpretations of their conditions. Those accounts not only gained legitimacy over the clinical indications but also in reporting the maternal deaths from the perspective of the midwife.