Interventions to provide culturally-appropriate maternity care services: factors affecting implementation
Abstract Background The World Health Organization recently made a recommendation supporting ‘culturally-appropriate’ maternity care services to improve maternal and newborn health. This recommendation results, in part, from a systematic review we conducted, which showed that interventions to provide...
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| Format: | Article |
| Language: | English |
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BMC
2017-08-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-017-1449-7 |
| _version_ | 1811208292446240768 |
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| author | Eleri Jones Samantha R. Lattof Ernestina Coast |
| author_facet | Eleri Jones Samantha R. Lattof Ernestina Coast |
| author_sort | Eleri Jones |
| collection | DOAJ |
| description | Abstract Background The World Health Organization recently made a recommendation supporting ‘culturally-appropriate’ maternity care services to improve maternal and newborn health. This recommendation results, in part, from a systematic review we conducted, which showed that interventions to provide culturally-appropriate maternity care have largely improved women’s use of skilled maternity care. Factors relating to the implementation of these interventions can have implications for their success. This paper examines stakeholders’ perspectives and experiences of these interventions, and facilitators and barriers to implementation; and concludes with how they relate to the effects of the interventions on care-seeking outcomes. Methods We based our analysis on 15 papers included in the systematic review. To extract, collate and organise data on the context and conditions from each paper, we adapted the SURE (Supporting the Use of Research Evidence) framework that lists categories of factors that could influence implementation. We considered information from the background and discussion sections of papers included in the systematic review, as well as cost data and qualitative data when included. Results Women’s and other stakeholders’ perspectives on the interventions were generally positive. Four key themes emerged in our analysis of facilitators and barriers to implementation. Firstly, interventions must consider broader economic, geographical and social factors that affect ethnic minority groups’ access to services, alongside providing culturally-appropriate care. Secondly, community participation is important in understanding problems with existing services and potential solutions from the community perspective, and in the development and implementation of interventions. Thirdly, respectful, person-centred care should be at the core of these interventions. Finally, cohesiveness is essential between the culturally-appropriate service and other health care providers encountered by women and their families along the continuum of care through pregnancy until after birth. Conclusion Several important factors should be considered and addressed when implementing interventions to provide culturally-appropriate care. These factors reflect more general goals on the international agenda of improving access to skilled maternity care; providing high-quality, respectful care; and community participation. |
| first_indexed | 2024-04-12T04:19:20Z |
| format | Article |
| id | doaj.art-d420883491f84e51973159a8491091ca |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-12T04:19:20Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-d420883491f84e51973159a8491091ca2022-12-22T03:48:19ZengBMCBMC Pregnancy and Childbirth1471-23932017-08-0117111010.1186/s12884-017-1449-7Interventions to provide culturally-appropriate maternity care services: factors affecting implementationEleri Jones0Samantha R. Lattof1Ernestina Coast2Independent ConsultantDepartment of Social Policy, London School of Economics and Political ScienceDepartment of Social Policy, London School of Economics and Political ScienceAbstract Background The World Health Organization recently made a recommendation supporting ‘culturally-appropriate’ maternity care services to improve maternal and newborn health. This recommendation results, in part, from a systematic review we conducted, which showed that interventions to provide culturally-appropriate maternity care have largely improved women’s use of skilled maternity care. Factors relating to the implementation of these interventions can have implications for their success. This paper examines stakeholders’ perspectives and experiences of these interventions, and facilitators and barriers to implementation; and concludes with how they relate to the effects of the interventions on care-seeking outcomes. Methods We based our analysis on 15 papers included in the systematic review. To extract, collate and organise data on the context and conditions from each paper, we adapted the SURE (Supporting the Use of Research Evidence) framework that lists categories of factors that could influence implementation. We considered information from the background and discussion sections of papers included in the systematic review, as well as cost data and qualitative data when included. Results Women’s and other stakeholders’ perspectives on the interventions were generally positive. Four key themes emerged in our analysis of facilitators and barriers to implementation. Firstly, interventions must consider broader economic, geographical and social factors that affect ethnic minority groups’ access to services, alongside providing culturally-appropriate care. Secondly, community participation is important in understanding problems with existing services and potential solutions from the community perspective, and in the development and implementation of interventions. Thirdly, respectful, person-centred care should be at the core of these interventions. Finally, cohesiveness is essential between the culturally-appropriate service and other health care providers encountered by women and their families along the continuum of care through pregnancy until after birth. Conclusion Several important factors should be considered and addressed when implementing interventions to provide culturally-appropriate care. These factors reflect more general goals on the international agenda of improving access to skilled maternity care; providing high-quality, respectful care; and community participation.http://link.springer.com/article/10.1186/s12884-017-1449-7CultureCulturally-appropriate carePregnancyBirthMaternity careMaternal health |
| spellingShingle | Eleri Jones Samantha R. Lattof Ernestina Coast Interventions to provide culturally-appropriate maternity care services: factors affecting implementation BMC Pregnancy and Childbirth Culture Culturally-appropriate care Pregnancy Birth Maternity care Maternal health |
| title | Interventions to provide culturally-appropriate maternity care services: factors affecting implementation |
| title_full | Interventions to provide culturally-appropriate maternity care services: factors affecting implementation |
| title_fullStr | Interventions to provide culturally-appropriate maternity care services: factors affecting implementation |
| title_full_unstemmed | Interventions to provide culturally-appropriate maternity care services: factors affecting implementation |
| title_short | Interventions to provide culturally-appropriate maternity care services: factors affecting implementation |
| title_sort | interventions to provide culturally appropriate maternity care services factors affecting implementation |
| topic | Culture Culturally-appropriate care Pregnancy Birth Maternity care Maternal health |
| url | http://link.springer.com/article/10.1186/s12884-017-1449-7 |
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