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Respectful maternal...
Respectful maternal and newborn care: measurement in one EN-BIRTH study hospital in Nepal.
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- Gurung, Rejina (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Ruysen, Harriet (författare)
- London Sch Hyg & Trop Med, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Sunny, Avinash K (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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visa fler...
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- Day, Louise T (författare)
- London Sch Hyg & Trop Med, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Penn-Kekana, Loveday (författare)
- London Sch Hyg & Trop Med, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- Målqvist, Mats, 1971- (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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- Ghimire, Binda (författare)
- Minist Hlth & Populat, Kathmandu, Nepal.
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- Singh, Dela (författare)
- Minist Hlth & Populat, Kathmandu, Nepal.
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- Basnet, Omkar (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Sharma, Srijana (författare)
- Golden Community, Res Div, Lalitpur, Nepal.
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- Shaver, Theresa (författare)
- USAID, Washington, DC USA.
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- Moran, Allisyn C (författare)
- WHO, Dept Maternal Newborn Child & Adolescent Hlth & A, Geneva, Switzerland.
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- Lawn, Joy E (författare)
- London Sch Hyg & Trop Med, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England.
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Internationell barnhälsa och nutrition,Global hälsa - implementering och hållbarhet
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Golden Community, Res Div, Lalitpur, Nepal London Sch Hyg & Trop Med, Ctr Maternal Adolescent Reprod & Child Hlth MARCH, London, England. (creator_code:org_t)
- 2021-03-26
- 2021
- Engelska.
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 21:Suppl 1
- Relaterad länk:
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https://bmcpregnancy...
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Respectful maternal and newborn care (RMNC) is an important component of high-quality care but progress is impeded by critical measurement gaps for women and newborns. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study was an observational study with mixed methods assessing measurement validity for coverage and quality of maternal and newborn indicators. This paper reports results regarding the measurement of respectful care for women and newborns.At one EN-BIRTH study site in Pokhara, Nepal, we included additional questions during exit-survey interviews with women about their experiences (July 2017-July 2018). The questionnaire was based on seven mistreatment typologies: Physical; Sexual; or Verbal abuse; Stigma/discrimination; Failure to meet professional standards of care; Poor rapport between women and providers; and Health care denied due to inability to pay. We calculated associations between these typologies and potential determinants of health - ethnicity, age, sex, mode of birth - as possible predictors for reporting poor care.Among 4296 women interviewed, none reported physical, sexual, or verbal abuse. 15.7% of women were dissatisfied with privacy, and 13.0% of women reported their birth experience did not meet their religious and cultural needs. In descriptive analysis, adjusted odds ratios and multivariate analysis showed primiparous women were less likely to report respectful care (β = 0.23, p-value < 0.0001). Women from Madeshi (a disadvantaged ethnic group) were more likely to report poor care (β = - 0.34; p-value 0.037) than women identifying as Chettri/Brahmin. Women who had caesarean section were less likely to report poor care during childbirth (β = - 0.42; p-value < 0.0001) than women with a vaginal birth. However, babies born by caesarean had a 98% decrease in the odds (aOR = 0.02, 95% CI, 0.01-0.05) of receiving skin-to-skin contact than those with vaginal births.Measurement of respectful care at exit interview after hospital birth is challenging, and women generally reported 100% respectful care for themselves and their baby. Specific questions, with stratification by mode of birth, women's age and ethnicity, are important to identify those mistreated during care and to prioritise action. More research is needed to develop evidence-based measures to track experience of care, including zero separation for the mother-newborn pair, and to improve monitoring.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Adult
- Attitude of Health Personnel
- Delivery
- Obstetric
- ethics
- statistics & numerical data
- Female
- Hospitals
- ethics
- statistics & numerical data
- Humans
- Infant
- Newborn
- Nepal
- Perinatal Care
- ethics
- organization & administration
- statistics & numerical data
- Pregnancy
- Professional-Patient Relations
- ethics
- Qualitative Research
- Quality Indicators
- Health Care
- statistics & numerical data
- Respect
- Social Determinants of Health
- statistics & numerical data
- Social Stigma
- Surveys and Questionnaires
- statistics & numerical data
- Young Adult
- Respectful maternal and newborn care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Gurung, Rejina
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Ruysen, Harriet
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Sunny, Avinash K
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Day, Louise T
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Penn-Kekana, Lov ...
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Målqvist, Mats, ...
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visa fler...
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Ghimire, Binda
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Singh, Dela
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Basnet, Omkar
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Sharma, Srijana
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Shaver, Theresa
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Moran, Allisyn C
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Lawn, Joy E
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KC, Ashish, 1982
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MEDICIN OCH HÄLS ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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BMC pregnancy an ...
- Av lärosätet
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Göteborgs universitet
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Uppsala universitet