Promoting Respectful Maternity Care: A training guide for community-based workshops—Community facilitator's guide

Ndwiga, Charity; Warren, Charlotte E.; Abuya, Timothy; Kanya, Lucy; Maranga, Alice; Ochieng, Christine; Wanjala, Mary; Chelang'at, Beatrice; Njeru, Anne; Gituto, Annie; Odhiambo, George; Mbehero, Faith; Maina, Lucia; Maina, Jeremiah

doi:10.31899/rh9.1032

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is supported by studies conducted in Bahir Dar and Addis Ababa where poor women were found to be more abused and disrespected during child birth [ 17 , 30 ]. Low socio-economic status leads women to seek services in low-quality facilities where women are prone to be disrespected and abused[ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of evidence shows that disrespect and abuse during maternity care is becoming an increasing problem worldwide [ 1 , 3 , 7 , 10 , 14 ]. A cross-sectional study conducted in Nigeria showed that 98% of childbearing mothers had faced at least one category of disrespect [ 15 ].…”

Section: Back Groundmentioning

confidence: 99%

“…It is common to see disrespect and abusive care at the point of client-provider interaction [ 2 , 4 , 11 , 14 , 18 ]. In addition to the high prevalence of disrespect and abusive care worldwide, it is neglected and even considered normal in many areas [ 5 , 10 , 16 , 19 ]. For instance among 78.6% of participants who were disrespected based on observational checklist in Addis Ababa during child birth, only 22% of them considered it a disrespectful care [ 17 ].…”

Section: Back Groundmentioning

confidence: 99%

See 2 more Smart Citations

Respectful family planning service provision in Sidama zone, Southern Ethiopia

et al. 2020

View full text Add to dashboard Cite

Introduction Disrespect and abusive care is a violation of women's basic human rights and it is serious global problem that needs urgent intervention. Poor quality client-provider interaction is commonly reported from family planning programmes. In Ethiopia, disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service (client-provider interaction) in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Back Groundmentioning

confidence: 99%

Section: Back Groundmentioning

confidence: 99%

See 1 more Smart Citation

Respectful family planning service provision in Sidama zone, Southern Ethiopia

et al. 2020

View full text Add to dashboard Cite

show abstract

“…13 White ribbon alliance defines RMC as the human and dignified treatment of a childbearing woman throughout her pregnancy, birth, and the period following childbirth. 14,15 It refers to care organized for and provided to all women in a manner that maintains their dignity, privacy, and confidentiality 16 and ensures women's fundamental right to make informed choices during labor and delivery. 17 Disrespectful and abusive (D&A) treatment during childbirth remains a major barrier to institutional birth.…”

Section: Introductionmentioning

confidence: 99%

Respectful maternity care among laboring women in public hospitals of Benishangul Gumuz Region, Ethiopia: A mixed cross-sectional study with direct observations

et al. 2022

View full text Add to dashboard Cite

Objectives: Promoting respectful maternity care is a fundamental strategy for enhancing facility birth, which significantly reduces maternal and newborn mortality and morbidity. Despite these effects, disrespect and abusive childbirth care remain a challenge in Ethiopia. Therefore, this study aimed to determine the prevalence of respectful maternity care and its associated factors among laboring women in public hospitals of Benishangul Gumuz region, Ethiopia. Methods: A facility-based cross-sectional study design was employed, and trained external assessors observed the care provided to 404 laboring women in public hospitals using structured observation checklists. A focus group discussion and two key informant interviews were also conducted. A structured pre-tested questionnaire and a semi-structured guide were used to generate quantitative and qualitative data, respectively. Seven verification criteria were employed, and the mean value and above for each criterion were used to measure respectful maternity care. Results: Of the 404 client–provider interaction observations during childbirth, only 12.6% ( n = 51) participants received respectful maternity care. Being from an urban area (adjusted odds ratio = 3.34, 95% confidence interval: 1.39, 8.08), giving childbirth at daytime (adjusted odds ratio = 2.59, 95% confidence interval: 1.26, 5.33), receiving the service from compassionate and respectful care trained provider (adjusted odds ratio = 4.54, 95% confidence interval: 1.63, 12.66), giving childbirth at general hospital (adjusted odds ratio = 3.03, 95% confidence interval: 1.39, 6.65) were positively associated with respectful maternity care. Staff workload, shortage of supply and equipment, partiality in providing timely care, yelling and insulting at clients and birth companions were also barriers to respectful maternity care. Conclusion: The observed respectful maternity care practices were low in the study area. Therefore, the findings of this study suggest that addressing respectful maternity care would require increased compassionate and respectful care trained providers, and sustained efforts to improve access to basic equipment and supply for maternity care with an emphasis on primary hospitals. Tailored interventions aimed at improving respectful maternity care should also target rural residents and nighttime parturients.

show abstract

“…A multipronged approach is required, including empowering MH providers to deal with difficult situations and providing opportunities, such as providing group and individual counseling services, to help them overcome experiences related to high workload, trauma, or critical incidents. 41,45,46…”

Section: Discussionmentioning

confidence: 99%

Modeling Pathways to Describe How Maternal Health Care Providers' Mental Health Influences the Provision of Respectful Maternity Care in Malawi

Burnett-Zieman,

Warren,

Chiundira

et al. 2023

Glob Health Sci Pract

View full text Add to dashboard Cite

Without identifying and addressing burnout among maternal health (MH) providers, efforts to achieve respectful maternity care (RMC) will not be reached. Providers report being emotionally exhausted and depersonalizing their clients, and one-tenth experience depression, post-traumatic stress disorder (PTSD), or suicidal ideation. nWe found correlations between mental health factors and RMC. A path analysis indicates that emotional exhaustion and depression appear to directly influence RMC; PTSD and depression have secondary effects, which are mediated through exhaustion and depression.nThe path analysis also shows that having positive, supportive working relationships with facility managers is strongly associated with improved RMC. Moreover, positive working relationships may also protect MH providers against some of the more pernicious effects of burnout.

show abstract

Promoting Respectful Maternity Care: A training guide for community-based workshops—Community facilitator's guide

Cited by 3 publications

References 0 publications

Respectful family planning service provision in Sidama zone, Southern Ethiopia

Respectful family planning service provision in Sidama zone, Southern Ethiopia

Respectful maternity care among laboring women in public hospitals of Benishangul Gumuz Region, Ethiopia: A mixed cross-sectional study with direct observations

Modeling Pathways to Describe How Maternal Health Care Providers' Mental Health Influences the Provision of Respectful Maternity Care in Malawi

Contact Info

Product

Resources

About