scholarly journals Expectations and needs of Ugandan women for improved quality of childbirth care in health facilities: A qualitative study

2017 ◽  
Vol 139 ◽  
pp. 38-46 ◽  
Author(s):  
David Kyaddondo ◽  
Kidza Mugerwa ◽  
Josaphat Byamugisha ◽  
Olufemi T. Oladapo ◽  
Meghan A. Bohren
Keyword(s):  
Qualitative Study ◽  
Health Facilities ◽  
Childbirth Care

scholarly journals ‘We just look at the well-being of the baby and not the money required’: a qualitative study exploring experiences of quality of maternity care among women in Nairobi’s informal settlements in Kenya

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036966 ◽  
Author(s):  
Jackline Oluoch-Aridi ◽  
Francis Wafula ◽  
Gilbert Kokwaro ◽  
Mary B Adam
Keyword(s):  
Qualitative Study ◽  
Health Facility ◽  
Maternity Care ◽  
Informal Settlement ◽  
Perceived Quality ◽  
Poor Quality ◽  
Health Facilities ◽  
Public Facility ◽  
Clinical Services

ObjectiveTo examine how women living in an informal settlement in Nairobi perceive the quality of maternity care and how it influences their choice of a delivery health facility.DesignQualitative study.SettingsDandora, an informal settlement, Nairobi City in Kenya.ParticipantsSix focus group discussions with 40 purposively selected women aged 18–49 years at six health facilities.ResultsFour broad themes were identified: (1) perceived quality of the delivery services, (2) financial access to delivery service, (3) physical amenities at the health facility, and (4) the 2017 health workers’ strike.The four facilitators that influenced women to choose a private health facility were: (1) interpersonal treatment at health facilities, (2) perceived quality of clinical services, (3) financial access to health services at the facility, and (4) the physical amenities at the health facility. The three barriers to choosing a private facility were: (1) poor quality clinical services at low-cost health facilities, (2) shortage of specialist doctors, and (3) referral to public health facilities during emergencies.The facilitators that influenced women to choose a public facility were: (1) physical amenities for dealing with obstetric emergencies and (2) early referral to public maternity during antenatal care services. Barriers to choosing a public facility were: (1) perception of poor quality clinical services, (2) concerns over security for newborns at tertiary health facilities, (3) fear of mistreatment during delivery, (4) use of unsupervised trainee doctors for deliveries, (5) poor quality of physical amenities, and (6) inadequate staffing.ConclusionThe study provides insights into decision-making processes for women when choosing a delivery facility by identifying critical attributes that they value and how perceptions of quality influence their choices.

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 ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Emotional Support ◽  
Health Facilities ◽  
Support Needs ◽  
Women's Experience ◽  
Southwest Nigeria ◽  
Childbirth Care

scholarly journals The quality of childbirth care in China: women’s voices: a qualitative study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Joanna Raven ◽  
Nynke van den Broek ◽  
Fangbiao Tao ◽  
Huang Kun ◽  
Rachel Tolhurst
Keyword(s):  
Qualitative Study ◽  
Women's Voices ◽  
Childbirth Care

scholarly journals Antenatal, intranatal and postnatal practices in Melghat tribal area: a qualitative study

2017 ◽  
Vol 4 (9) ◽  
pp. 3117
Author(s):  
Sourav Goswami ◽  
Subodh S. Gupta ◽  
Abhishek V. Raut ◽  
Bishan S. Garg
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Postnatal Period ◽  
Health Facilities ◽  
Birth Preparedness ◽  
Care Providers ◽  
Government Health

Background: Melghat, the hilly and forest dense area in the northeastern Maharashtra is the home of the Gond and Korku tribes. The maternal and child health indicators in Melghat are poor compared to other parts of Maharashtra. Apart from poor socio-economic development, traditions and social norms prevailing in the area also prevent people to seek reproductive health care. The current study tried to capture the perception of women in reproductive health regarding their practices during the antenatal, natal and postnatal period and reasons for not seeking medical advice during pregnancy or childbirth. Methods: This qualitative study was conducted during September to October 2015 in the selected villages under three PHC areas of Melghat region, where we used in-depth, key informant interviews and focus group discussion with the purposively chosen participants, after taking verbal consent from them. All the interviews were audio recorded which were transcribed for doing the analysis. Ethical clearance was taken from institutional ethical committee. Results: We identified different practices during the antenatal, natal and postnatal period in Melghat, which could be classified into common and deviant. Though some of the mothers go to health facilities for delivery but still there are many others who prefer home delivery due to poor health literacy, family customs, poor communication network, perception regarding quality of health care in government health facilities and more reliance on health seeking from unqualified health care providers and faith healers. Conclusions: More emphasis should be given on counselling for increasing the awareness among the mothers and their families regarding institutional delivery, birth preparedness and maternal deaths in Melghat, along with improvement in quality of services at government health facilities and the inter-sectorial coordination. 

scholarly journals Mothers’ experiences of quality of care and potential benefits of implementing the WHO safe childbirth checklist: a case study of Aceh Indonesia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siobhan Doria ◽  
Farah Diba ◽  
Suryane S. Susanti ◽  
Sebastian Vollmer ◽  
Ida G. Monfared
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Health Facilities ◽  
World Health ◽  
Care Providers ◽  
Safe Childbirth Checklist ◽  
Holistic Understanding ◽  
Experiences Of Women ◽  
Safe Childbirth

Abstract Background In an effort to mitigate missed opportunities to provide high-quality care, the World Health Organization (WHO) has developed the Safe Childbirth Checklist (SCC) to support health providers perform essential tasks. Our qualitative study is a baseline assessment of quality of care (QoC) perceived by mothers who gave birth at health facilities aiming to highlight areas where implementing the SCC can potentially improve the QoC as well as areas that are not part of the SCC yet require improvement. Methods Assessing the overall experience of care, our qualitative study focuses on 8 out of 29 items in the checklist that are related to the personal interactions between healthcare provider and mothers. Using a set of semi-structured questions, we interviewed 26 new mothers who gave institutional births in Aceh province in Indonesia. Results Our findings revealed some gaps where implementing the SCC can potentially improve safety and QoC. They include communicating danger signs at critical points during birth and after discharge, encouraging breastfeeding, and providing mothers with information on family planning. Moreover, taking a qualitative approach allowed us to identify additional aspects such as need for clarity at the point of admission, maintaining dignity, and protecting mothers’ rights in the decision-making process to be also essential for better QoC. Conclusions Our study highlights the need to actively listen to and engage with the experiences of women in the adaptation and implementation of the checklist. While our findings indicate that implementing the SCC has the potential to improve the quality of maternal care and overall birth experience, a more holistic understanding of the lived experiences of women and the dynamics of their interactions with health facilities, care providers, and their birth companions can complement the implementation of the checklist.

scholarly journals Quality of antenatal and childbirth care in rural health facilities in Burkina Faso, Ghana and Tanzania: an intervention study

2015 ◽  
Vol 21 (1) ◽  
pp. 70-83 ◽  
Author(s):  
Els Duysburgh ◽  
Marleen Temmerman ◽  
Maurice Yé ◽  
Afua Williams ◽  
Siriel Massawe ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Rural Health ◽  
Intervention Study ◽  
Health Facilities ◽  
Childbirth Care

scholarly journals Quality of antenatal and childbirth care in selected rural health facilities in Burkina Faso, Ghana and Tanzania: similar finding

2013 ◽  
Vol 18 (5) ◽  
pp. 534-547 ◽  
Author(s):  
E. Duysburgh ◽  
W-H. Zhang ◽  
M. Ye ◽  
A. Williams ◽  
S. Massawe ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Rural Health ◽  
Health Facilities ◽  
Childbirth Care

Exploration of Mothers’ Expectations of Care during Childbirth in Public Health Facilities in Kumasi, Ghana

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Veronica Dzomeku ◽  
Brian Van Wyk ◽  
Lucia Knight ◽  
Jody R. Lori
Keyword(s):  
Public Health ◽  
Clinical Care ◽  
Health Facilities ◽  
Individual Interviews ◽  
Midwifery Education ◽  
Health Centres ◽  
Adequate Communication ◽  
Safe Care ◽  
Respectful Care ◽  
Childbirth Care

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.

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