Meghan A Bohren1, Musibau A Titiloye2, David Kyaddondo3, Erin C Hunter4, Olufemi T Oladapo1, Özge Tunçalp1, Josaphat Byamugisha5, Akinpelu O Olutayo6, Joshua P Vogel1, A Metin Gülmezoglu1, Bukola Fawole7, Kidza Mugerwa5. 1. UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, Geneva, Switzerland. 2. Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. 3. Child Health and Development Centre, College of Health Sciences, Makerere University, Kampala, Uganda. 4. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 5. Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda. 6. Department of Sociology, Faculty of the Social Sciences, University of Ibadan, Ibadan, Nigeria. 7. Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Abstract
OBJECTIVE: To explore what "quality of care" means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. METHODS: Qualitative methods, with a purposive sample of women in Nigeria and Uganda. Participants were asked to define quality of care and to provide examples of when it was and was not provided. Thematic analysis was used to synthesize findings based on an a priori framework (the WHO quality of care framework). RESULTS: 132 in-depth interviews and 21 focus group discussions are included. Participants spontaneously discussed each of the WHO framework domains of quality of care. Data were richest across the domains of effective communication, respect and dignity, emotional support, competent and motivated human resources, and essential physical resources. Women believed that good quality of care ensured optimal psychological and physiological outcomes for the woman and her baby. Positive interpersonal relationships between women and health providers were important. These included supportive care, building rapport, and using positive and clear language. CONCLUSION: To provide good quality of care, maternity services should consider and act on the expectations and experiences of women and their families.
OBJECTIVE: To explore what "quality of care" means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. METHODS: Qualitative methods, with a purposive sample of women in Nigeria and Uganda. Participants were asked to define quality of care and to provide examples of when it was and was not provided. Thematic analysis was used to synthesize findings based on an a priori framework (the WHO quality of care framework). RESULTS: 132 in-depth interviews and 21 focus group discussions are included. Participants spontaneously discussed each of the WHO framework domains of quality of care. Data were richest across the domains of effective communication, respect and dignity, emotional support, competent and motivated human resources, and essential physical resources. Women believed that good quality of care ensured optimal psychological and physiological outcomes for the woman and her baby. Positive interpersonal relationships between women and health providers were important. These included supportive care, building rapport, and using positive and clear language. CONCLUSION: To provide good quality of care, maternity services should consider and act on the expectations and experiences of women and their families.
Authors: Samantha R Lattof; Özge Tunçalp; Allisyn C Moran; Maurice Bucagu; Doris Chou; Theresa Diaz; Ahmet Metin Gülmezoglu Journal: BMJ Open Date: 2019-04-24 Impact factor: 2.692