Patience A. Afulani|Beth Phillips|Raymond Aborigo|Cheryl A. Moyer
Person-centred maternity care in low-income and middle-income countries: analysis of data from Kenya, Ghana, and India
Global Brain Health Institute|University of California, San Francisco|Global Brain Health Institute|University of California, San Francisco|Navrongo Health Research Centre|University of Michigan–Ann Arbor
h3backgroundh3 several qualitative studies described disrespectful abusive neglectful treatment women facilitybased childbirth studies document extent personcentred maternity care pcmcie responsive respectful maternity carein lowincome middleincome countries article present descriptive statistics pcmc four settings across three lowincome middleincome countries examine key factors associated pcmc setting h3methodsh3 examined data four crosssectional surveys 3625 women aged 1549 years recently given birth kenya ghana india surveys done august 2016 october 2017 kenya data collected rural county n877 seven health facilities two urban counties n530 ghana data five rural health facilities northern region n200 india data 40 health facilities uttar pradesh n2018 pcmc measure used previously validated scale subscales dignity respect communication autonomy supportive care analysed data using descriptive statistics bivariate multivariate regressions examine predictors pcmc h3findingsh3 highest mean pcmc score found urban kenya 602 sd 123 90 lowest rural ghana 465 69 across sites lowest scores communication autonomy 83 33 27 ghana 151 59 urban kenya 3280 90 total 3625 women across countries reported providers never introduced 2076 57 women 1475 73 1980 india reported providers never asked permission performing medical procedures 120 60 200 women ghana 1393 69 1980 women india reported providers explain purpose examinations procedures 116 58 women ghana 1162 58 india reported receive explanations medications given additionally 104 52 women ghana feel able ask questions overall 576 16 women across countries reported verbal abuse 108 3 reported physical abuse pcmc varied socioeconomic status type facility three settings ie rural urban kenya india h3interpretationh3 regardless setting women getting adequate pcmc efforts needed improve quality facilitybased maternity care h3fundingh3 bill melinda gates foundation marc lynne benioff usaid systems health