Can changes to improve person-centred maternity care be spread across public health facilities in Uttar Pradesh, India?

Sudhinaraset, May; Giessler, Katie; Nakphong, Michelle Kao; Roy, Kali Prosad; Sahu, Ananta Basudev; Sharma, Kavita; Montagu, Dominic; Green, Cathy

doi:10.1080/26410397.2021.1892570

Cited by 5 publications

(6 citation statements)

References 27 publications

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“…Very few comparative studies measured the effect of interventions to improve RMC and showed divergent results 11 17 36. Some authors attribute this to the multiple and complex challenges of implementing change in a low-resource setting and variations in measurement 9 17. The study that obtained similar results to ours is the one that implemented a complex strategy, which was designed in a participatory manner with multiple stakeholders and levels of leadership, specific to the context and supported structural improvements 11.…”

Section: Discussionmentioning

confidence: 56%

“…Either way, uncontrolled pre–post intervention studies fail to identify whether the improvements are associated with the intervention or secular trends. Very few comparative studies measured the effect of interventions to improve RMC and showed divergent results 11 17 36. Some authors attribute this to the multiple and complex challenges of implementing change in a low-resource setting and variations in measurement 9 17.…”

Section: Discussionmentioning

confidence: 99%

“…The latter often focus on training providers and fail to demonstrate a consistent sustained change over time 9–13. On the other hand, the literature suggests that complex, context-specific interventions targeting multiple levels of the health system are most likely to be effective in improving RMC 8 9 11 14–18. There is a need to advance from understanding the nature and extent of RMC gaps to developing and evaluating interventions designed to improve and sustain the adoption of RMC 9…”

Section: Introductionmentioning

confidence: 99%

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Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study

Manu,

Pingray,

Billah

et al. 2023

BMJ Glob Health

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IntroductionMany women worldwide cannot access respectful maternity care (RMC). We assessed the effect of implementing maternal and newborn health (MNH) quality of care standards on RMC measures.MethodsWe used a facility-based controlled before and after design in 43 healthcare facilities in Bangladesh, Ghana and Tanzania. Interviews with women and health workers and observations of labour and childbirth were used for data collection. We estimated difference-in-differences to compare changes in RMC measures over time between groups.Results1827 women and 818 health workers were interviewed, and 1512 observations were performed. In Bangladesh, MNH quality of care standards reduced physical abuse (DiD −5.2;−9.0 to –1.4). The standards increased RMC training (DiD 59.0; 33.4 to 84.6) and the availability of policies and procedures for both addressing patient concerns (DiD 46.0; 4.7 to 87.4) and identifying/reporting abuse (DiD 45.9; 19.9 to 71.8). The control facilities showed greater improvements in communicating the delivery plan (DiD −33.8; –62.9 to –4.6). Other measures improved in both groups, except for satisfaction with hygiene. In Ghana, the intervention improved women’s experiences. Providers allowed women to ask questions and express concerns (DiD 37.5; 5.9 to 69.0), considered concerns (DiD 14.9; 4.9 to 24.9), reduced verbal abuse (DiD −8.0; −12.1 to –3.8) and physical abuse (DiD −5.2; −11.4 to –0.9). More women reported they would choose the facility for another delivery (DiD 17.5; 5.5 to 29.4). In Tanzania, women in the intervention facilities reported improvements in privacy (DiD 24.2; 0.2 to 48.3). No other significant differences were observed due to improvements in both groups.ConclusionInstitutionalising care standards and creating an enabling environment for quality MNH care is feasible in low and middle-income countries and may facilitate the adoption of RMC.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study

Manu,

Pingray,

Billah

et al. 2023

BMJ Glob Health

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“…La atención de maternidad de mala calidad conduce a retrasos en la atención y resultados adversos para la gestante y el recién nacido, incluida la mortalidad perinatal. Un estudio cuasi experimental en India demostró que la ACP mejoró los resultados (52) .…”

Section: Atención Obstétrica Centrada En La Mujerunclassified

“…• Cambiar el paradigma en las políticas de salud, fortalecer el primer nivel de atención para rescatar la atención primaria conforme las conclusiones de Alma Ata y prestar atención centrada en la persona (52,(65)(66)(67)(68) • Mejorar la planta física y el equipamiento de los establecimientos de salud para atender adecuada, oportuna y dignamente a las gestantes, parturientas y recién nacidos (9,21,49) • Construir un sistema de salud integral, con dimensiones biopsicosociales, culturales, espirituales y energéticas debidamente armonizadas y equilibradas, basadas en el derecho a la salud y con la participación intersectorial de todo el Estado, construyendo la defensa de la salud de las personas, la familia y la comunidad (13,19) • Educar al personal de salud y formar tutores en medicina centrada en las personas desde el pregrado, el posgrado y en la educación médica continua, de manera de fortalecer las actitudes (9,19,32,35,56,69,70,71) • Construir una salud participativa y consensuada, entre cuidadores y cuidados, con respeto irrestricto a las ideas de todos (18) • Utilizar la medicina basada en evidencias para fortalecer la MCP (14,20,30,39,72) • Fomentar la investigación de la atención obstétrica centrada en la persona (7,14,18) • Fortalecer la participación familiar y comunitaria en el cuidado de las personas (4,12,65) • Actualizar las Guías Nacionales de Atención Integral de la Salud Sexual y Reproductiva (53,54) .…”

Section: Recomendacionesunclassified

Atención Obstétrica Centrada en la Persona

Orozco¹

2023

Rev peru ginecol obstet.

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El Código de Ética del Colegio Médico del Perú establece que la medicina es una profesión científica y humanística. La Atención Centrada en la Persona ahora es reconocida como elemento fundamental de la atención médica de alta calidad porque se le asocia con numerosos resultados beneficiosos para los pacientes, miembros de la familia y proveedores. Objetivo. Explorar los argumentos de la medicina centrada en la persona para incorporarlos a nuestra especialidad y contribuir a mejorar la atención obstétrica. Metodología. Revisión no sistemática de la literatura, con selección de 72 referencias para construir este ensayo. Resultados. Históricamente, las mujeres han sido atendidas y apoyadas por otras mujeres durante el parto. Sin embargo, en los hospitales de todo el mundo, el apoyo continuo durante el trabajo de parto a menudo se ha convertido en la excepción. En la actualidad, las mujeres tienen su parto sin acompañamiento en un ambiente de estricta privacidad, situación que debe ser cambiada, de acuerdo con las evidencias. La OMS recomienda la atención materna respetuosa y se refiere a la atención que mantiene la dignidad, la privacidad, la confidencialidad, garantiza la ausencia de daño y maltrato, y permite la elección informada y el apoyo continuo durante el trabajo de parto y el parto. Conclusión. La revisión de la bibliografía muestra que la atención obstétrica centrada en la persona mejora la salud materna y perinatal.

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Are respectful maternity care (RMC) interventions effective in reducing intrapartum mistreatment against adolescents? A systematic review

Habib

Mwaisaka²,

Torpey³

et al. 2023

Front. Glob. Womens Health

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Intrapartum mistreatment of women by health professionals is a widespread global public health challenge. It leads to a decreased quality of maternity care and is evinced to precipitate detrimental maternal and neonatal outcomes, especially among adolescents. Relatedly, research indicates that Respectful Maternity Care (RMC) interventions are especially effective in mitigating intrapartum mistreatment and improving birth outcomes. However, evidence on the success of RMC, specifically for adolescents, is insufficient and unaggregated. Accordingly, this review specifically aims to synthesize existing evidence on RMC care provision to adolescent parturients. This review searched for relevant literature from published and gray sources including PubMed, ScienceDirect, Cochrane, CINAHL, PsycINFO, Scopus, as well as Population Council, WHO and White Ribbon Alliance data sources published between January 1990 and December 2021. Based on eligibility, studies were selected and quality appraised after which thematic analysis and narrative synthesis was conducted. Twenty-nine studies were included in the systematic review. Due to paucity and heterogeneity of quantitative studies, the review was limited to a thematic analysis. Adolescent and health provider perspectives alike underscored the burden and outcomes of mistreatment. Need for RMC interventions to improve quality of maternity care was recommended by majority of studies.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42020183440.

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Can changes to improve person-centred maternity care be spread across public health facilities in Uttar Pradesh, India?

Abstract: Green (2021) Can changes to improve person-centred maternity care be spread across public health facilities in

Cited by 5 publications

References 27 publications

Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study

Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study

Atención Obstétrica Centrada en la Persona

Are respectful maternity care (RMC) interventions effective in reducing intrapartum mistreatment against adolescents? A systematic review

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