Maternal Health Infrastructure and Interpersonal Quality of Care During Childbirth: An Examination of Facility Delivery in Malawi.
Objectives: The maternal health field has recently focused on the importance of interpersonal quality of care and continues to cite structural deficits as a contributor to poor interpersonal treatment. This hypothesis is supported by qualitative evidence. This study quantitatively tested the effect...
| Publicado en: | Maternal & Child Health Journal Vol. 25; no. 3; pp. 460 - 471 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Springer Nature
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149268539&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149268539 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Mar2021 vid: 25 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 149268539 147211991 149268539 149268539 10.1007/s10995-020-03081-4 149268539 ppf: 460 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Maternal Health Infrastructure and Interpersonal Quality of Care During Childbirth: An Examination of Facility Delivery in Malawi. aug: au: Kujawski, Stephanie A. affil: Department of Epidemiology, Columbia University Mailman School of Public Health, 722 W. 168 Street, 10032, New York, NY, USA sug: subj: Maternal Health Services Malawi Health Care Delivery Childbirth Interpersonal Relations Quality of Health Care Quantitative Studies Human Malawi Linear Regression Female Confidence Intervals Respect Surveys Questionnaires Univariate Statistics Bivariate Statistics Data Analysis Software Young Adult Adult Adolescence Adult: 19-44 years Adolescent: 13-18 years Female ab: Objectives: The maternal health field has recently focused on the importance of interpersonal quality of care and continues to cite structural deficits as a contributor to poor interpersonal treatment. This hypothesis is supported by qualitative evidence. This study quantitatively tested the effect of maternal health structural inputs on interpersonal quality of care during childbirth. Methods: Analyses were conducted using data from the 2013 to 2014 Malawi Service Provision Assessment, which documented the availability and quality of health facility services and included the observation of laboring and delivering women. Maternal health structural inputs were measured using 26 facility infrastructure variables. The outcome, interpersonal quality of care, was measured as a sum score of 12 items collected during the observations. Crude and adjusted associations between maternal health structural inputs on interpersonal quality of care were assessed using linear regression with cluster robust standard errors. Results: 345 Observations of delivering women in 174 health facilities were included in the analysis. 19.1% of women delivered in a facility with high maternal health structural inputs, and the mean interpersonal quality of care score was 8.9/12. Maternal health structural inputs had a small, non-meaningful association with interpersonal quality of care during childbirth (adjusted β − 0.19, 95% CI − 0.85, 0.47). Conclusions for Practice: These findings do not verify the quality of care frameworks or qualitative evidence that support the relationship between structure and interpersonal quality of care. While structural inputs are important for health system performance, the results suggest that they might not be necessary for a respectful childbirth experience. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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