Patience A. Afulani|Takudzwa Sayi|Dominic Montagu
Predictors of person-centered maternity care: the role of socioeconomic status, empowerment, and facility type
University of California, San Francisco|University of South Florida|University of California, San Francisco
low use maternal health services well poor quality care contribute high maternal mortality subsaharan africa ssa particular poor personcentered maternity care pcmc captures user experience contributes directly pregnancy outcomes indirectly decreased demand services many studies examined disparities use maternal health services examined disparities quality care none knowledge empirically examined disparities pcmc ssa aim study examine factors associated pcmc particularly role household wealth personal empowerment type facility data survey conducted western kenya 2016 women aged 15 49 years delivered 9 weeks preceding survey n 877 pcmc operationalized summative score based responses 30 items pcmc scale capturing dignity respect communication autonomy supportive care find net factors wealthier employed literate married women report higher pcmc poorer unemployed illiterate unmarried women respectively also women experienced domestic violence report lower pcmc never experienced domestic violence addition women delivered health centers private facilities reported higher pcmc delivered public hospitals effect employment facility type conditional wealth strongest poorest women poor women unemployed poor women deliver higherlevel facilities receive lowest quality pcmc findings imply disadvantaged women receive lowest quality pcmc especially seek care higherlevel facilities interventions reduce disparities pcmc essential improve maternal outcomes among disadvantaged groups