Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere

Abstract Quality and respect are increasingly recognized as critical aspects of the provision of health care, and poor quality may be an essential driver of low health care utilization, especially for maternal and neonatal care. Beyond differential access to care, unequal levels of quality exacerbat...

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Main Authors: Emma Sacks, Emily Peca
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-020-02894-z
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author Emma Sacks
Emily Peca
author_facet Emma Sacks
Emily Peca
author_sort Emma Sacks
collection DOAJ
description Abstract Quality and respect are increasingly recognized as critical aspects of the provision of health care, and poor quality may be an essential driver of low health care utilization, especially for maternal and neonatal care. Beyond differential access to care, unequal levels of quality exacerbate inequity, and those who need services most, including displaced, migrant, and conflict-affected populations, may be receiving poorer quality care, or may be deterred from seeking care at all. Examples from around the world show that mothers and their children are often judged and mistreated for presenting to facilities without clean or “modern” clothing, without soap or clean sheets to use in the hospital, or without gifts like sweets or candies for providers. Underfunded facilities may rely on income from those seeking care, but denying and shaming the poor further discriminates against vulnerable women and newborns, by placing additional financial burden on those already marginalized. The culture of care needs to shift to create welcoming environments for all care-seekers, regardless of socio-economic status. No one should fear mistreatment, denial of services, or detainment due to lack of gifts or payments. There is an urgent need to ensure that health care centers are safe, friendly, respectful, and hospitable spaces for women, their newborns, and their families.
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spelling doaj.art-b4a4155723fb4fa89fa185e870773fc32022-12-21T17:48:54ZengBMCBMC Pregnancy and Childbirth1471-23932020-04-012011410.1186/s12884-020-02894-zConfronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhereEmma Sacks0Emily Peca1Johns Hopkins School of Public HealthUniversity Research Co., LLCAbstract Quality and respect are increasingly recognized as critical aspects of the provision of health care, and poor quality may be an essential driver of low health care utilization, especially for maternal and neonatal care. Beyond differential access to care, unequal levels of quality exacerbate inequity, and those who need services most, including displaced, migrant, and conflict-affected populations, may be receiving poorer quality care, or may be deterred from seeking care at all. Examples from around the world show that mothers and their children are often judged and mistreated for presenting to facilities without clean or “modern” clothing, without soap or clean sheets to use in the hospital, or without gifts like sweets or candies for providers. Underfunded facilities may rely on income from those seeking care, but denying and shaming the poor further discriminates against vulnerable women and newborns, by placing additional financial burden on those already marginalized. The culture of care needs to shift to create welcoming environments for all care-seekers, regardless of socio-economic status. No one should fear mistreatment, denial of services, or detainment due to lack of gifts or payments. There is an urgent need to ensure that health care centers are safe, friendly, respectful, and hospitable spaces for women, their newborns, and their families.http://link.springer.com/article/10.1186/s12884-020-02894-zMaternal and newborn healthRespectful maternity careQuality of careHealth care utilizationHealth equity
spellingShingle Emma Sacks
Emily Peca
Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
BMC Pregnancy and Childbirth
Maternal and newborn health
Respectful maternity care
Quality of care
Health care utilization
Health equity
title Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
title_full Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
title_fullStr Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
title_full_unstemmed Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
title_short Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere
title_sort confronting the culture of care a call to end disrespect discrimination and detainment of women and newborns in health facilities everywhere
topic Maternal and newborn health
Respectful maternity care
Quality of care
Health care utilization
Health equity
url http://link.springer.com/article/10.1186/s12884-020-02894-z
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