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 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 The impact of COVID-19 on the provision of respectful maternity care: findings from a global survey of health workers

2021 ◽  
Author(s):  
Anteneh Asefa ◽  
Aline Semaan ◽  
Therese Delvaux ◽  
Elise Huysmans ◽  
Anna Galle ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Qualitative Data ◽  
Health Workers ◽  
Qualitative Content Analysis ◽  
Standards Of Care ◽  
Respectful Maternity Care ◽  
The Impact ◽  
Maternal And Newborn

Background Significant adjustments to the provision of maternity care in response to the COVID-19 pandemic and the direct impacts of COVID-19 can compromise the quality of maternal and newborn care. Aim To explore how the COVID-19 pandemic affected frontline health workers' ability to provide respectful maternity care globally. Methods We conducted a global online survey of health workers to assess the provision of maternal and newborn healthcare during the COVID-19 pandemic. We collected quantitative and qualitative data between July and December 2020 and conducted a qualitative content analysis to explore open-ended responses. Findings Health workers (n=1,127) from 71 countries participated; and 120 participants from 33 countries provided qualitative data. The COVID-19 pandemic negatively affected the provision of respectful maternity care in multiple ways. Six central themes were identified: less family involvement, reduced emotional and physical support for women, compromised standards of care, increased exposure to medically unjustified caesarean section, and staff overwhelmed by rapidly changing guidelines and enhanced infection prevention measures. Further, respectful care provided to women and newborns with suspected or confirmed COVID-19 infection was severely affected due to health workers' fear of getting infected and measures taken to minimise COVID-19 transmission. Discussion Multidimensional and contextually-adapted actions are urgently needed to mitigate the impacts of the COVID-19 pandemic on the provision and continued promotion of respectful maternity care globally in the long-term. Conclusions The measures taken during the COVID-19 pandemic disrupted the quality of care provided to women during labour and childbirth generally, and respectful maternity care specifically. Keywords Maternal health; Quality of care; Labour; Childbirth; Newborn health; Intrapartum care, Antenatal care, Postnatal care

scholarly journals Respectful maternity care for positive birthing experience at Pravara Rural Hospital

2020 ◽  
Vol 9 (8) ◽  
pp. 3297
Author(s):  
Vidyadhar B. Bangal ◽  
Sangita Vikhe ◽  
Shobha Borhade ◽  
Ujjwala Thorat
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Rural Hospital ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Care Hospital ◽  
Maternity Unit ◽  
Essential Components ◽  
Patient Turnover

Background: Many women in developing countries experience disrespect and abuse during labour and delivery. Respectful maternity care (RMC) is considered as one of the basic reproductive health rights of the women. It is one of the essential components of LaQshya programme of Government of India. The aim of the study was to highlight the important components of the RMC, its implementation and its impact on patient turnover in the maternity unit of Pravara Rural Hospital Loni and review the literature on the subject.Methods: A prospective observational study was conducted for a period of one year from January 2019 to December 2019 at tertiary care hospital. The implementation of RMC was observed and important findings were documented. The patient turnover and cliental satisfaction was noted.Results: It was observed that all components of RMC were strictly followed in maternity unit of Pravara Rural Hospital Loni. The staff and doctors were trained and oriented towards importance of RMC. The patient turnover has increased exponentially year by year. The patient feedback system about the quality of care in labour and delivery ward shows overall satisfaction score of 4.3 on the 5-point Likert scale. There was a surveillance system that supervises and closely monitor the quality of care in labour room in general and RMC in particular.Conclusions: RMC is one of the important components of LaQshya certification process. Respectful maternity care is implemented at Pravara Rural hospital in its true spirit. It has resulted in gaining the faith and trust of the community, which is reflected through exponential rise in the number of deliveries taking place in the hospital.

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 Deliver on Your Own: Disrespectful Maternity Care in rural Kenya

2019 ◽  
Author(s):  
Adelaide M Lusambili ◽  
Violet Naanyu ◽  
Terrance J. Wade ◽  
Lindsay Mossman ◽  
Michaela Mantel ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Health Workers ◽  
Quality Care ◽  
Sustainable Use ◽  
Standard Of Care ◽  
Respectful Maternity Care ◽  
Mortality And Morbidity ◽  
Using Data

ABSTRACTBackgroundUnder the Free Maternity Policy (FMP), Kenya has witnessed an increase health facility deliveries rather than home deliveries with Traditional Birth Attendants (TBA) resulting in improved maternal and neonatal outcomes. Despite these gains, maternal and infant mortality and morbidity rates in Kenya remain unacceptably high indicating that more work needs to be done.AimUsing data from the Access to Quality Care through Extending and Strengthening Health Systems (AQCESS) project’s qualitative gender assessment, this paper examines and describes women’s experience of disrespectful care during pregnancy, labour and delivery. The goal is to promote improved understanding of actual care conditions in order to develop interventions that can lift the standard of care, increase maternity facility use, and improve health outcomes for both women and newborns.MethodologyWe conducted sixteen focus group discussions (FGDs) with female adolescents, women, men and community health committee members. Twenty four key informants interviews (KII) including religious leaders, local government representatives, Ministry of Health (MOH) and local women’s organizations were conducted. Data were captured through audio recordings and reflective field notes.Research siteKisii and Kilifi Counties in Kenya.FindingsFindings show Nursing and medical care was sometimes disrespectful, humiliatings, uncompassionate, and neglectful. In both sites, male health workers were the most preferred by women as they were friendly and sensitive. Young women were more likely to be abused and women with disabled children were stigmatized.ConclusionsKenya needs to enforce the implementation of the quality of care guidelines for pregnancy and delivery, including respectful maternity care of pregnant women. To make sure these procedures are enforced, measurable benchmarks for maternity care need to be established, and hospitals need to be regularly monitored to make sure they are achieved. Quality of care and compassionate and caring staff may lead to successful and sustainable use of facility care.

scholarly journals Access to care and worsening eating disorder symptomatology in youth during the COVID-19 pandemic

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Spigel ◽  
Jessica A. Lin ◽  
Carly E. Milliren ◽  
Melissa Freizinger ◽  
Julia A. Vitagliano ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Eating Disorder ◽  
Access To Care ◽  
Treatment Quality ◽  
Related Factors ◽  
Web Based ◽  
Face To Face ◽  
Recovery Study ◽  
And Behaviors

Abstract Background Shelter-in-place orders and social distancing guidelines, in response to the COVID-19 pandemic, have limited traditional face-to-face interactions and led to many clinical providers transitioning to the use of videoconferencing platforms. The present study aims to assess how the COVID-19 pandemic has impacted adolescents’/young adults’ (AYA) eating disorder (ED)-related care, and how access to, changes in, perceived disruptions to, and quality of care are associated with ED thoughts and behaviors. Methods AYA enrolled in the RECOVERY study, a pre-existing web-based longitudinal study, and completed a COVID-19-specific survey (n = 89). We examined bivariate associations of four markers of care: i) access to care, ii) changes in care, iii) perceived disruption to care, and iv) quality of care. Using multiple logistic regression, we examined the associations of pandemic-related markers of care with changes in ED thoughts and behaviors. We excluded those not engaged in treatment pre-pandemic (n = 16). Results In the remaining 73 participants, reported access to care was high, with 92% of respondents continuing care with at least one ED provider during the pandemic; however, 47% stopped some treatment during the pandemic. Nearly one-third (32%) perceived a disruption in treatment. Quality of care remained high with 67% reporting care to be better than or as good as pre-pandemic. Respondents acknowledged heightened symptomatology: 81% reported increased ED thoughts and 81% reported increased ED behaviors due to COVID-19-related factors. However, none of the markers of care described were significantly associated with ED thoughts or behaviors in regression analyses adjusting for demographic variables and baseline characteristics, except our quality of care measure which was approaching significance (p = 0.07). Conclusions Our findings show the majority of AYA who had care prior to the pandemic continued receiving some element of their multi-disciplinary ED treatment and perceived their care as high quality. None of the markers of care described were statistically associated with increased ED thoughts and behaviors.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

scholarly journals Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains (Preprint)

2020 ◽  
Author(s):  
Eva Serhal ◽  
Anne Kirvan ◽  
Marcos Sanches ◽  
Allison Crawford
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Quality Care ◽  
Clinical Intervention ◽  
Strongly Correlated ◽  
Clinical Quality ◽  
Survey Tool ◽  
Development And Validation

BACKGROUND Telepsychiatry is an increasingly used model of mental health care that connects patients with psychiatrists at a distance via videoconference. Telepsychiatry is an effective clinical intervention that improves access to quality care in regions with limited resources or in clinical situations where in-person care is unavailable. OBJECTIVE This study aims to develop a validated survey tool to measure patient experience and satisfaction with telepsychiatry based on the quality of care domains. This study also seeks to understand which health service outcomes were most strongly correlated with overall satisfaction in the context of telepsychiatry. METHODS The survey created in this study was developed and validated with a panel of subject matter and process experts and was piloted with 274 patients who received clinical consultations through the TeleMental Health Program at the Centre for Addiction and Mental Health. Factor analysis was used to determine correlations between questions and quality of care domains and was also used to assess model fit. RESULTS The study provides a validated survey to measure patient satisfaction and experience with telepsychiatry across 4 domains: access and timeliness, appropriateness, effectiveness, and safety. Both safety and access and timeliness were found to be statistically significant predictors of satisfaction in our sample. CONCLUSIONS By situating patient satisfaction and experience within this framework, the survey facilitates patient data collection and interpretation through a clinical quality lens.

scholarly journals Validity and reliability of criterion based clinical audit to assess obstetrical quality of care in West Africa

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Catherine M Pirkle ◽  
Alexandre Dumont ◽  
Mamadou Traore ◽  
Maria-Victoria Zunzunegui
Keyword(s):  
Quality Of Care ◽  
West Africa ◽  
Clinical Audit ◽  
Validity And Reliability

Effects of Physician-Patient Electronic Communications on the Quality of Care

2013 ◽  
Vol 2 (2) ◽  
pp. 54-62 ◽  
Author(s):  
Shima Tabatabai
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Electronic Communication ◽  
Process Efficiency ◽  
Electronic Communications ◽  
Face To Face ◽  
Potential Benefits ◽  
Healthcare Process ◽  
Physician Patient

The article summarizes evidence about the effectiveness of patient–physician electronic communication. The emphasis was on the importance of understanding the potential impact of e-communication on patient satisfaction, and on the quality of health care. A review of literature was performed in the area of patient–physician electronic communication, and references were appraised, and synthesized for an overview of benefits and challenges of this model of communication. Electronic communication is becoming popular, has the potential to transform the health care system, and support the patient–physician interaction. Patients are enthusiastic about this convenience model of communication, and feel strongly embraced in communicating via email & web messaging. Although, there is evidence that electronic communication could increase quality of care due to increased interaction and would extend health care efficiency, a variety of potential benefits and challenges is reported. Overall, electronic communication introduces a new model of patient-physician interaction that could supplement and reasonably replace a portion of traditional face-to-face encounters. However, further investigation is required to assess its impact on healthcare process efficiency.

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