Lessons learned through respectful maternity care training and its implementation in Ethiopia: an interventional mixed methods study

Abstract Background Mistreatment of women during facility-based childbirth is a major violation of human rights and often deters women from attending skilled birth. In Ethiopia, mistreatment occurs in up to 49.4% of mothers giving birth in health facilities. This study describes the development, implementation and results of interventions to improve respectful maternity care. As part of a national initiative to reduce maternal and perinatal mortality in Ethiopia, we developed respectful maternity care training module with three core components: testimonial videos developed from key themes identified by staff as experiences of mothers, skills-building sessions on communication and onsite coaching. Respectful maternity care training was conducted in February 2017 in three districts within three regions. Methods Facility level solutions applied to enhance the experience of care were documented. Safe Childbirth Checklist data measuring privacy and birth companion offered during labor and childbirth were collected over 27 months from 17 health centers and three hospitals. Interrupted time series and regression analysis were conducted to assess significance of improvement using secondary routinely collected programmatic data. Results Significant improvement in the percentage of births with two elements of respectful maternal care—privacy and birth companionship offered— was noted in one district (with short and long-term regression coefficient of 18 and 27% respectively), while in the other two districts, results were mixed. The short-term regression coefficient in one of the districts was 26% which was not sustained in the long-term while in the other district the long-term coefficient was 77%. Testimonial videos helped providers to see their care from their clients’ perspectives, while quality improvement training and coaching helped them reflect on potential root causes for this type of treatment and develop effective solutions. This includes organizing tour to the birthing ward and allowing cultural celebrations. Conclusion This study demonstrated effective way of improving respectful maternity care. Use of a multipronged approach, where the respectful maternity care intervention was embedded in quality improvement approach helped in enhancing respectful maternity care in a comprehensive manner.

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Into the ordinary: Lessons learned from a mixed-methods study in the homes of people living with dementia.

Qualitative research in psychology: Expanding perspectives in methodology and design (2nd ed.). ◽

10.1037/0000252-012 ◽

2021 ◽

pp. 235-262

Author(s):

Emma Harding ◽

Mary Pat Sullivan ◽

Keir X. X. Yong ◽

Sebastian J. Crutch

Keyword(s):

Mixed Methods ◽

Lessons Learned ◽

Mixed Methods Study

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HIV prevention and HIV care among transgender and gender diverse youth: design and implementation of a multisite mixed-methods study protocol in the U.S.

BMC Public Health ◽

10.1186/s12889-019-7605-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Laura Jadwin-Cakmak ◽

Sari L. Reisner ◽

Jaclyn M. W. Hughto ◽

Liz Salomon ◽

Miguel Martinez ◽

...

Keyword(s):

Mixed Methods ◽

Informed Consent ◽

Hiv Prevention ◽

Study Protocol ◽

Qualitative Interview ◽

Lessons Learned ◽

Mixed Methods Study ◽

Gender Diverse ◽

And Gender ◽

The U.S

Abstract Background In the U.S., transgender and gender diverse (TGD) populations face structural, interpersonal, and individual barriers to healthcare. Less is known, however, about the HIV prevention and treatment experiences of TGD youth in the U.S. The current study was developed to fill this research gap. Methods This article describes the research protocol for a multi-site, U.S.-based mixed-methods study that sought to identify the multi-level facilitators and barriers that influence participation of TGD youth in various stages of the HIV prevention (e.g., pre-exposure prophylaxis uptake) and care continua. A sample of diverse TGD youth ages 16–24 was recruited from 14 U.S. sites. TGD youth participants completed a one-time, in-person visit that included an informed consent process, computer-based quantitative survey, and in-depth qualitative interview assessing experiences accessing HIV prevention and/or care services. Providers serving TGD youth were recruited from the same 14 sites and completed a one-time visit via phone that included informed consent, demographic questionnaire, and in-depth qualitative interview assessing their experiences providing HIV prevention or treatment services to TGD youth. Results Overall, 186 TGD youth ages 16–24 and 59 providers serving TGD youth were recruited and enrolled from across the 14 U.S. sites. TGD youth participants had a mean age of 20.69; 77.3% youth of color; 59.7% trans-feminine; 15.5% trans-masculine; 24.9% non-binary; 53.6% family income under poverty level. Providers included medical and mental health providers as well as case manager/care coordinators, HIV test counselors, and health educators/outreach workers. Providers were 81.3% cisgender and 30.5% people of color. Successes with community-engagement strategies and gender-affirming research methods are reported. Conclusions This study addresses critical gaps in current knowledge about the HIV prevention and care experiences of TGD youth. Findings have implications for the development of HIV interventions across levels to support the health and well-being of TGD youth. Future research is warranted to replicate and expand on lessons learned regarding recruitment and engagement of communities of TGD youth, including longitudinal designs to assess engagement across their developmental stages. Lessons learned working with TGD youth through developing and implementing the study protocol are shared. Trial registration Registered on ClinicalTrials.gov on 05/20/2015 (NCT02449629).

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Integrating Community-based Research into a Senior Capstone Seminar: Lessons Learned from a Mixed-methods Study

Teaching Sociology ◽

10.1177/0092055x19841667 ◽

2019 ◽

Vol 47 (3) ◽

pp. 191-203 ◽

Cited By ~ 1

Author(s):

Sara Shostak ◽

Margarita Corral ◽

Ann G. Ward ◽

Alex Willett

Keyword(s):

Mixed Methods ◽

Research Methods ◽

Social Processes ◽

Lessons Learned ◽

Mixed Methods Study ◽

Important Work ◽

Community Based ◽

Community Based Research ◽

Community Based Organizations ◽

Sociology Departments

This article describes a senior capstone, Neighborhoods and Health, which used community-based research (CBR) as its primary pedagogy. Students in the course drew upon multiple research methods and forms of data to provide our partner, the Urban Farming Institute of Boston, with an array of research products in support of the revitalization of a historic farm in the Boston neighborhood of Mattapan. Based on pre- and posttest assessment and analysis of students’ reflections in their journals, we identify how a multimethods approach—combined with a commitment to producing usable research products—simultaneously contributed to students’ research methods proficiency and their understanding of complex social processes. For both sociology departments and interdisciplinary majors that draw on sociological perspectives, CBR offers a compelling means of providing seniors with meaningful capstone experiences while adding capacity to the important work of community-based organizations.

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