scholarly journals The communication and emotional support needs to improve women's experience of childbirth care in health facilities in Southwest Nigeria: A qualitative study

2017 ◽  
Vol 139 ◽  
pp. 27-37 ◽  
Author(s):  
Olubunmi A. Ojelade ◽  
Musibau A. Titiloye ◽  
Meghan A. Bohren ◽  
Akinpelu O. Olutayo ◽  
Adebimpe A. Olalere ◽  
...  
2017 ◽  
Vol 139 ◽  
pp. 38-46 ◽  
Author(s):  
David Kyaddondo ◽  
Kidza Mugerwa ◽  
Josaphat Byamugisha ◽  
Olufemi T. Oladapo ◽  
Meghan A. Bohren

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Veronica Dzomeku ◽  
Brian Van Wyk ◽  
Lucia Knight ◽  
Jody R. Lori

It is well established that clients’ past healthcare experiences influence their further use of that particular service, as well as their recommendations of that service. This also applies to the use of facility-based childbirth services which contribute to reducing maternal and infant mortality rates. This paper explores what mothers’ want from care in public health centres during childbirth. Knowing mothers’ expectations will contribute to improving their future childbirth care experiences. In this explorative qualitative study, 56 women were recruited from four public health centres. In-depth individual interviews were digitally recorded and transcribed in full, and subjected to content analysis. Themes emerged, revealing participants’ desire for both “respectful care” and “safe care”. From our findings, we posit that respectful care should be characterised by adequate communication between the healthcare provider and patient, and involvement of the patient in care decisions. Participants expected safe care, which results from health facilities with adequate resources. Health services generally concentrate on clinical care which aligns with mothers’ expectations of respectful and safe care. However, soft skills need much attention in nursing and midwifery education. There is also a need to orient midwives to a patient-centred approach to care that meets mothers’ expectations for childbirth care.


2018 ◽  
Vol 31 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Jennie Jaribu ◽  
Suzanne Penfold ◽  
Cathy Green ◽  
Fatuma Manzi ◽  
Joanna Schellenberg

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.


Midwifery ◽  
2017 ◽  
Vol 55 ◽  
pp. 90-95 ◽  
Author(s):  
Veronica Millicent Dzomeku ◽  
Brian van Wyk ◽  
Jody R. Lori

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Addmore Chadambuka ◽  
Leila Katirayi ◽  
Auxilia Muchedzi ◽  
Esther Tumbare ◽  
Reuben Musarandega ◽  
...  

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Tigest Shifraw ◽  
Yemane Berhane ◽  
Hanna Gulema ◽  
Tamil Kendall ◽  
Anne Austin

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