Quality of care for pregnant women and newborns—the <scp>WHO</scp> vision

Tunçalp, Özge; Were, Wilson; Maclennan, Carolyn; Oladapo, Olufemi T.; Gülmezoglu, A Metin; Bahl, Rajiv; Daelmans, Bernadette; Mathai, Matthews; Say, Lale; Kristensen, Finn Børlum; Temmerman, Marleen; Bustreo, Flavia

doi:10.1111/1471-0528.13451

Cited by 838 publications

(878 citation statements)

References 14 publications

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“…However the service is designed and delivered, there are non‐negotiable elements of good‐quality maternity care 2. Therefore, any strategy to improve the quality of service delivery during labour and childbirth would require a comprehensive approach that responds to all quality of care domains.…”

Section: The Who Intrapartum Care Modelmentioning

confidence: 99%

“…Globally, there is a shift in the maternal, newborn, and child health agenda from an exclusive focus on survival to the inclusion of drivers for thriving and transformation 1, 2. This shift is in line with the third Sustainable Development Goal – ensuring healthy lives and promoting wellbeing for all at all ages – and the new Global Strategy for Women's, Children's and Adolescents’ Health (2016–2030) 3.…”

mentioning

confidence: 99%

“…This shift is in line with the third Sustainable Development Goal – ensuring healthy lives and promoting wellbeing for all at all ages – and the new Global Strategy for Women's, Children's and Adolescents’ Health (2016–2030) 3. Through research and the development of norms and standards, the World Health Organization (WHO) is supporting this global agenda by outlining a vision for high‐quality care for all pregnant women and their newborns, throughout pregnancy, childbirth, and the postnatal period 2. As part of this effort, WHO released new recommendations on antenatal care for a positive pregnancy experience in 2016,4 and recently published new recommendations on intrapartum care, again stressing the importance of a positive experience during childbirth 5.…”

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confidence: 99%

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WHO model of intrapartum care for a positive childbirth experience: transforming care of women and babies for improved health and wellbeing

Oladapo

Tunçalp

Bonet

et al. 2018

BJOG

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158

137

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Section: The Who Intrapartum Care Modelmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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WHO model of intrapartum care for a positive childbirth experience: transforming care of women and babies for improved health and wellbeing

Oladapo

Tunçalp

Bonet

et al. 2018

BJOG

Self Cite

158

137

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“…The World Health Organisation (WHO) states that obstetric care should be: safe; effective; timely; efficient, equitable; and people-centred [5]. …”

Section: Introductionmentioning

confidence: 99%

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Bhattacharyya

Srivastava

Saxena

et al. 2018

Global Health Action

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Background: Persistently high maternal mortality levels are a concern in developing countries. In India, monetary incentive schemes have increased institutional delivery rates appreciably, but have not been equally successful in reducing maternal mortality. Maternal outcomes are affected by quality of obstetric care and socio-cultural norms. In this light there is need to examine the quality of care provided to women delivering in institutions. Objective: This study aimed to examine pregnant women’s expectations of high-quality care in public health facilities in Uttar Pradesh, India, and to contrast this with provider’s perceptions of the same, as well as the barriers that limit their ability to provide high-quality care. Methods: A qualitative descriptive analysis was conducted on data from two studies – focus group discussions with rural women in their last trimester of pregnancy (conducted in 2014) to understand women’s experience and satisfaction with maternal care services, and in-depth interviews with care providers (conducted in 2016–17) to understand provision of person-centred care. Provider perspectives were matched with themes of women’s perspectives on quality of childbirth care in facilities. Results: Major themes of care prioritised by women included availability of doctors at the facility; availability of medicines; food; ambulance services; maintenance of cleanliness and hygiene; privacy; good and safe delivery with no complications; client-provider interaction; financial cost of care. Many women also voiced no expectation of care, indicating disillusionment from the existing system. Providers concurred with women on all themes of care except availability of doctors, as they felt that trained nurses were proficient in conducting deliveries. Conclusions: This study shows that women have clear expectations of quality care from facilities where they go to deliver. Understanding their expectations and matching them with providers’ perspectives of care is critical for efforts to improve the quality of care and thereby impact maternal outcomes.

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“…In this regard, the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) has initiated a multi‐country research project to develop and validate evidence‐based tools to measure how women are treated during childbirth 20. As part of the vision on quality of care for pregnant women and newborns,5 WHO aims to establish standards and indicators of respectful maternal and newborn care, as well as conducting the necessary research to identify, evaluate and implement effective interventions to reduce mistreatment and promote respectful care globally. We call on all members of the maternal health community to contribute to research, implementation and advocacy on this important public health issue.…”

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confidence: 99%