Prevention of disrespectful care in women and newborns within maternity services Pregnancy and Childbirth
Conditions
Interventions
The researchers will use a positive organisational approach (appreciative inquiry) alongside the Behaviour Change Wheel (BCW), a theory-based method for the design of interventions.
The study has th
Sponsors
Liverpool School of Tropical Medicine
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women who are: 1. Admitted to one of the study hospitals for childbirth 2. Are not being transferred to another hospital immediately or taken straight to theatre for caesarean section 3. Are not admitted for abortion or abortion-related complications 4. Are at least 18 years old 5. Are not related to an employee of the facility 6. Are willing and able to participate
Exclusion criteria
Exclusion criteria: Women who do not have capacity to understand the information
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Women-reported incidences of dis/respectful care measured using a specifically designed (and piloted) satisfaction rating scale using a smiley survey terminal at exit from the postnatal ward. Measurements will be taken during a 9-month pre-implementation period, 9-month implementation period and 9-month post-implementation period. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Potential confounding interventions collated fortnightly throughout the study, informed by verbal reports and local documents, and recorded in an electronic site log on REDCap 2. Incidences of disrespectful care measured using WHO’s validated structured postnatal community survey tool (CS) pre-implementation (month 7) and post-implementation (month 3) 3. Incidences of disrespectful care measured through 48-hour continuous non-participant structured observations using WHO's Labour Observation Tool (LOT) at five timepoints at baseline, 5, 12, 15 and 22 months 4. Experiences of care assessed using in-depth interviews with women (conducted at 16-18 months), health workers (conducted at 8 months and 23 months) and hospital managers (conducted at 8 months and 23 months) 5. Changes in direct resources associated with the implementation of the care bundle captured via a specifically designed questionnaire completed with managers at month 16 | — |
Countries
Malawi, Tanzania
Outcome results
None listed