Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation
Plain Language Summary Instances of disrespect and abuse during childbirth are prevalent around the world, particularly in low-resource settings. Few interventions have been designed and evaluated in these settings and even fewer in Southern Africa. This study aimed to understand the effects of a be...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01447-1 |
| _version_ | 1811334542642905088 |
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| author | Jana Smith Allison Schachter Rachel Banay Emily Zimmerman Ariadna Vargas Abigail Sellman Ameck Kamanga |
| author_facet | Jana Smith Allison Schachter Rachel Banay Emily Zimmerman Ariadna Vargas Abigail Sellman Ameck Kamanga |
| author_sort | Jana Smith |
| collection | DOAJ |
| description | Plain Language Summary Instances of disrespect and abuse during childbirth are prevalent around the world, particularly in low-resource settings. Few interventions have been designed and evaluated in these settings and even fewer in Southern Africa. This study aimed to understand the effects of a behaviorally informed intervention on the provision of respectful maternity care. We performed an evaluation of a health facility-based intervention, in Chipata District, Zambia. The study included quantitative and qualitative surveys with health care providers and women who recently delivered, as well as health facility observations and qualitative interviews with health facility supervisors. Our results show that clients who delivered at a facility where our intervention took place had a decreased likelihood of experiencing disrespect and abuse and an increased provision of pain management support. Our findings suggest that facility-based approaches informed by behavioral science have the potential to increase provision of respectful care and decrease the prevalence of mistreatment in low-resource settings. A large-scale evaluation of these interventions across settings could contribute valuable evidence around low-cost solutions to promote respectful maternity care. |
| first_indexed | 2024-04-13T17:10:31Z |
| format | Article |
| id | doaj.art-065f716d661b40e89436a63d658b68c6 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-13T17:10:31Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-065f716d661b40e89436a63d658b68c62022-12-22T02:38:18ZengBMCReproductive Health1742-47552022-06-0119111310.1186/s12978-022-01447-1Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluationJana Smith0Allison Schachter1Rachel Banay2Emily Zimmerman3Ariadna Vargas4Abigail Sellman5Ameck Kamanga6ideas42ideas42ideas42ideas42ideas42ideas42JhpiegoPlain Language Summary Instances of disrespect and abuse during childbirth are prevalent around the world, particularly in low-resource settings. Few interventions have been designed and evaluated in these settings and even fewer in Southern Africa. This study aimed to understand the effects of a behaviorally informed intervention on the provision of respectful maternity care. We performed an evaluation of a health facility-based intervention, in Chipata District, Zambia. The study included quantitative and qualitative surveys with health care providers and women who recently delivered, as well as health facility observations and qualitative interviews with health facility supervisors. Our results show that clients who delivered at a facility where our intervention took place had a decreased likelihood of experiencing disrespect and abuse and an increased provision of pain management support. Our findings suggest that facility-based approaches informed by behavioral science have the potential to increase provision of respectful care and decrease the prevalence of mistreatment in low-resource settings. A large-scale evaluation of these interventions across settings could contribute valuable evidence around low-cost solutions to promote respectful maternity care.https://doi.org/10.1186/s12978-022-01447-1Respectful maternity careQualitativeZambiaDisrespect and abuseProvidersBehavioral science |
| spellingShingle | Jana Smith Allison Schachter Rachel Banay Emily Zimmerman Ariadna Vargas Abigail Sellman Ameck Kamanga Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation Reproductive Health Respectful maternity care Qualitative Zambia Disrespect and abuse Providers Behavioral science |
| title | Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation |
| title_full | Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation |
| title_fullStr | Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation |
| title_full_unstemmed | Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation |
| title_short | Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation |
| title_sort | promoting respectful maternity care using a behavioral design approach in zambia results from a mixed methods evaluation |
| topic | Respectful maternity care Qualitative Zambia Disrespect and abuse Providers Behavioral science |
| url | https://doi.org/10.1186/s12978-022-01447-1 |
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