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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Study protocol for promoting respectful maternity care initiative to assess, Measure and design interventions to reduce disrespect and abuse during childbirth in Kenya
BMC Pregnancy and Childbirth, Volume 13, Article 21, Year 2013
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Description
Background: Increases in the proportion of facility-based deliveries have been marginal in many low-income countries in the African region. Preliminary clinical and anthropological evidence suggests that one major factor inhibiting pregnant women from delivering at facility is disrespectful and abusive treatment by health care providers in maternity units. Despite acknowledgement of this behavior by policy makers, program staff, civil society groups and community members, the problem appears to be widespread but prevalence is not well documented. Formative research will be undertaken to test the reliability and validity of a disrespect and abuse (D&A) construct and to then measure the prevalence of disrespect and abuse suffered by clinic clients and the general population.Methods/design: A quasi-experimental design will be followed with surveys at twelve health facilities in four districts and one large maternity hospital in Nairobi and areas before and after the introduction of disrespect and abuse (D&A) interventions. The design is aimed to control for potential time dependent confounding on observed factors.Discussion: This study seeks to conduct implementation research aimed at designing, testing, and evaluating an approach to significantly reduce disrespectful and abusive (D&A) care of women during labor and delivery in facilities. Specifically the proposed study aims to: (i) determine the manifestations, types and prevalence of D&A in childbirth (ii) develop and validate tools for assessing D&A (iii) identify and explore the potential drivers of D&A (iv) design, implement, monitor and evaluate the impact of one or more interventions to reduce D&A and (v) document and assess the dynamics of implementing interventions to reduce D&A and generate lessons for replication at scale. © 2013 Warren et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Warren, Charlotte E.
Kenya, Nairobi
Population Council Nairobi
Njuki, Rebecca
Kenya, Nairobi
Population Council Nairobi
Abuya, Timothy O.
Kenya, Nairobi
Population Council Nairobi
Ndwiga, Charity
Kenya, Nairobi
Population Council Nairobi
Maingi, Grace
Kenya, Nairobi
Federation of Women Lawyers
Serwanga, Jane
Kenya, Nairobi
Federation of Women Lawyers
Mbehero, Faith
Kenya, Nairobi
Nursing Council of Kenya
Muteti, Louisa
Kenya, Nairobi
Nursing Council of Kenya
Njeru, Anne
Kenya, Nairobi
Ministry of Public Health and Sanitation
Karanja, Joseph G.
Kenya, Nairobi
University of Nairobi
Kenya, Nairobi
Kenya Obstetrics and Gynaecological Society
Olenja, Joyce Muhenge
Kenya, Nairobi
University of Nairobi
Gitonga, Lucy N.
Kenya, Nairobi
Ministry of Medical Services
Rakuom, Chris Podo
Kenya, Nairobi
Ministry of Medical Services
Bellows, Benjamin W.
Kenya, Nairobi
Population Council Nairobi
Statistics
Citations: 109
Authors: 14
Affiliations: 7
Identifiers
Doi:
10.1186/1471-2393-13-21
e-ISSN:
14712393
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Quasi Experimental Study
Exploratory Study
Study Locations
Kenya
Participants Gender
Female