scholarly journals Development of a Phone Survey Tool to Measure Respectful Maternity Care During Pregnancy and Childbirth in India: Study Protocol

10.2196/12173 ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. e12173
Author(s):  
Amnesty E LeFevre ◽  
Kerry Scott ◽  
Diwakar Mohan ◽  
Neha Shah ◽  
Aarushi Bhatnagar ◽  
...  
Keyword(s):  
Study Protocol ◽  
Maternity Care ◽  
Respectful Maternity Care ◽  
Survey Tool ◽  
Pregnancy And Childbirth ◽  
Phone Survey

scholarly journals Development of a Phone Survey Tool to Measure Respectful Maternity Care During Pregnancy and Childbirth in India: Study Protocol (Preprint)

2018 ◽  
Author(s):  
Amnesty E LeFevre ◽  
Kerry Scott ◽  
Diwakar Mohan ◽  
Neha Shah ◽  
Aarushi Bhatnagar ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Quality Data ◽  
Respectful Maternity Care ◽  
Validity And Reliability ◽  
Survey Tool ◽  
Face To Face ◽  
Pregnancy And Childbirth ◽  
Phone Survey

BACKGROUND Respectful maternity care (RMC) is a key barometer of the underlying quality of care women receive during pregnancy and childbirth. Efforts to measure RMC have largely been qualitative, although validated quantitative tools are emerging. Available tools have been limited to the measurement of RMC during childbirth and confined to observational and face-to-face survey modes. Phone surveys are less invasive, low cost, and rapid alternatives to traditional face-to-face methods, yet little is known about their validity and reliability. OBJECTIVE The primary objective of this study was to develop validated face-to-face and phone survey tools for measuring RMC during pregnancy and childbirth for use in India and other low resource settings. The secondary objective was to optimize strategies for improving the delivery of phone surveys for use in measuring RMC. METHODS To develop face-to-face and phone surveys for measuring RMC, we describe procedures for assessing content, criterion, and construct validity as well as reliability analyses. To optimize the delivery of phone surveys, we outline plans for substudies, which aim to assess the effect of survey modality, and content on survey response, completion, and attrition rates. RESULTS Data collection will be carried out in 4 districts of Madhya Pradesh, India, from July 2018 to March 2019. CONCLUSIONS To our knowledge, this is the first RMC phone survey tool developed for India, which may provide an opportunity for the rapid, routine collection of data essential for improving the quality of care during pregnancy and childbirth. Elsewhere, phone survey tools are emerging; however, efforts to develop these surveys are often not inclusive of rigorous pretesting activities essential for ensuring quality data, including cognitive, reliability, and validity testing. In the absence of these activities, emerging data could overestimate or underestimate the burden of disease and health care practices under assessment. In the context of RMC, poor quality data could have adverse consequences including the naming and shaming of providers. By outlining a blueprint of the minimum activities required to generate reliable and valid survey tools, we hope to improve efforts to develop and deploy face-to-face and phone surveys in the health sector. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/12173

scholarly journals Yes, no, maybe so: the importance of cognitive interviewing to enhance structured surveys on respectful maternity care in northern India

2019 ◽  
Author(s):  
Kerry Scott ◽  
Dipanwita Gharai ◽  
Manjula Sharma ◽  
Namrata Choudhury ◽  
Bibha Mishra ◽  
...  
Keyword(s):  
Rural Women ◽  
Maternity Care ◽  
Critical Discussion ◽  
Respectful Maternity Care ◽  
Cognitive Interviews ◽  
Survey Question ◽  
Response Options ◽  
Survey Tool ◽  
Northern India ◽  
Survey Questions

Abstract Quantitative survey findings are important in measuring health-related phenomena, including on sensitive topics such as respectful maternity care (RMC). But how well do survey results truly capture respondent experiences and opinions? Quantitative tool development and piloting often involve translating questions from other settings and assessing the mechanics of implementation, which fails to deeply explore how respondents understand survey questions and response options. To address this gap, we conducted cognitive interviews on survey questions (n = 88) adapted from validated RMC instruments used in Ethiopia, Kenya and elsewhere in India. Cognitive interviews with rural women (n = 21) in Madhya Pradesh, India involved asking the respondent the survey question, recording her response, then interviewing her about what the question and response options meant to her. We analysed the interviews to revise the tool and identify question failures, which we grouped into six areas: issues with sequencing, length and sensitivity; problematic response options; inappropriate vocabulary; temporal and spatial confusion; accessing different cognitive domains; and failure to resonate with the respondent’s worldview and reality. Although women tended to provide initial answers to the survey questions, cognitive interviews revealed widespread mismatch between respondent interpretation and question intent. Likert scale response options were generally incomprehensible and questions involving hypothetical scenarios could be interpreted in unexpected ways. Many key terms and concepts from the international RMC literature did not translate well and showed low resonance with respondents, including consent and being involved in decisions about one’s care. This study highlights the threat to data quality and the validity of findings when translating quantitative surveys between languages and cultures and showcases the value of cognitive interviews in identifying question failures. While survey tool revision can address many of these issues, further critical discussion is needed on the use of standardized questions to assess the same domains across contexts.

scholarly journals RESPECTFUL MATERNITY CARE (RMC): SAFE MOTHER HOOD

2021 ◽  
pp. 164-168
Author(s):  
Hazarika L ◽  
Konwar G
Keyword(s):  
Maternity Care ◽  
Poor Quality ◽  
Safe Motherhood ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Negative Effects ◽  
Pregnancy And Childbirth ◽  
The Right

Pregnancy and childbirth are the momentous events in the lives of every woman worldwide and represents a time of intense vulnerability. The concept of “Respectful Maternity Care (RMC)” has evolved and expanded over the past few decades to include diverse perspectives and frameworks. RMC is not only a crucial component of quality of care; it is a human right. A women’s relationship with maternity care providers and the maternity care system during pregnancy and childbirth is vitally important. In 2014, WHO released a statement calling for the prevention and elimination of disrespect and abuse during childbirth, stating that “every woman has the right to the highest attainable standard of health, including the right to dignified, respectful care during pregnancy and childbirth.” Traumatic childbirth experience can have many negative effects, including poor mother-baby bond, unwillingness to breastfeed and poor quality of life. As facility-based birth and the use of skilled birth attendants continue to rise, a focus on quality and RMC remains critical for improving global maternal health. KEY WORDS: Safe Motherhood, maternity care, disrespect, abuse, childbirth

scholarly journals An innovative intervention to improve respectful maternity care in three Districts in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Birkety Mengistu ◽  
Haregeweyni Alemu ◽  
Munir Kassa ◽  
Meseret Zelalem ◽  
Mehiret Abate ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Maternity Care ◽  
Regression Coefficient ◽  
Interrupted Time Series ◽  
The Other ◽  
Respectful Maternity Care ◽  
Experience Of Care ◽  
National Initiative ◽  
Care Training

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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