Study protocol for promoting respectful maternity care initiative to assess, measure and design interventions to reduce disrespect and abuse during childbirth in Kenya.
Study protocol for promoting respectful maternity care initiative to assess, measure and design interventions to reduce disrespect and abuse during childbirth in Kenya.
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DOI：
10.1186/1471-2393-13-21
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发表时间：
2013-01-24
影响因子：
3.1
通讯作者：
Bellows B
中科院分区：
文献类型：
--
作者：
Warren C;Njuki R;Abuya T;Ndwiga C;Maingi G;Serwanga J;Mbehero F;Muteti L;Njeru A;Karanja J;Olenja J;Gitonga L;Rakuom C;Bellows B
在非洲地区许多低收入国家，设施配送比例的增长幅度很小。初步临床和人类学证据表明，阻碍孕妇在设施分娩的一个主要因素是产科医疗保健提供者的不尊重和虐待行为。尽管政策制定者、项目工作人员、民间社会团体和社区成员都承认这种行为，但这个问题似乎很普遍，但普遍程度并没有得到充分记录。将进行形成性研究，以测试不尊重和虐待 (D&A) 结构的可靠性和有效性，然后衡量诊所客户和普通人群遭受不尊重和虐待的普遍程度。随后将采用准实验设计，对四个地区的 12 个卫生机构和内罗毕的一家大型妇产医院以及引入不尊重和虐待 (D&A) 干预措施之前和之后的地区进行调查。该设计旨在控制观察到的因素的潜在时间依赖性混杂因素。本研究旨在进行实施研究，旨在设计、测试和评估一种方法，以显着减少在设施中分娩和分娩过程中对妇女的不尊重和虐待 (D&A) 护理。具体而言，拟议研究的目的是：(i) 确定分娩中 D&A 的表现、类型和患病率 (ii) 开发和验证评估 D&A 的工具 (iii) 识别和探索 D&A 的潜在驱动因素 (iv) 设计、实施、监测和评估一项或多项减少 D&A 干预措施的影响，以及 (v) 记录和评估实施干预措施的动态，以减少 D&A 并产生大规模复制的经验教训。
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. 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. 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.
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DOI：
10.1016/s0020-7292(01)00519-7
发表时间：
2001-11-01
影响因子：
3.8
作者：
Wagner, M
通讯作者：
Wagner, M
DOI：
10.1016/s0020-7292(01)00511-2
发表时间：
2001-11-01
影响因子：
3.8
作者：
Misago, C;Kendall, C;Umenai, T
通讯作者：
Umenai, T
影响因子：
--
作者：
Kyomuhendo, GB
通讯作者：
Kyomuhendo, GB
影响因子：
5.4
作者：
Jewkes, R;Murcott, A
通讯作者：
Murcott, A
影响因子：
--
作者：
Penn-Kekana, Loveday;McPake, Barbara;Parkhurst, Justin
通讯作者：
Parkhurst, Justin