How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions
Includes bibliographical references (page 18-19).
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© 2015 BMC Pregnancy & Childbirth
2016
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| Online pristup: | http://hdl.handle.net/10361/5208 http://doi.org/10.1186/s12884-015-0560-x |
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10361-52082019-09-30T03:01:13Z How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions Kambala, Christabel Lohmann, Julia Mazalale, Jacob Brenner, Stephan Allegri, Manuela De Muula, Adamson S. Sarker, Malabika James P Grant School of Public Health, BRAC University Perceived quality of care Maternal and newborn Women’s health Includes bibliographical references (page 18-19). Background: While perceived quality of care is now widely recognized to influence health service utilization, limited research has been conducted to explore and measure perceived quality of care using quantitative tools. Our objective was to measure women’s perceived quality of maternal and newborn care using a composite scale and to identify individual and service delivery factors associated with such perceptions in Malawi. Methods: We conducted a cross-sectional survey in selected health facilities from March to May 2013. Exit interviews were conducted with 821 women convenience sampled at antenatal, delivery, and postnatal clinics using structured questionnaires. Experiences and the corresponding perceived quality of care were measured using a composite perception scale based on 27 items, clustered around three dimensions of care: interpersonal relations, conditions of the consultation and delivery rooms, and nursing care services. Statements reflecting the 27 items were read aloud and the women were asked to rate the quality of care received on a visual scale of 1 to 10 (10 being the highest score). For each dimension, an aggregate score was calculated using the un-weighted item means, representing three outcome variables. Descriptive statistics were used to display distribution of explanatory variables and one-way analysis of variance was used to analyse bivariate associations between the explanatory and the outcome variables. Results: A high perceived quality of care rating was observed on interpersonal relations, conditions of the examination rooms and nursing care services with an overall mean score of 9/10. Self-introduction by the health worker, explanation of examination procedures, consent seeking, encouragement to ask questions, confidentiality protection and being offered to have a guardian during delivery were associated with a high quality rating of interpersonal relations for antenatal and delivery care services. Being literate, never experienced a still birth and, first ANC visit were associated with a high quality rating of room conditions for antenatal care service. Conclusions: The study highlights some of the multiple factors associated with perceived quality of care. We conclude that proper interventions or practices and policies should consider these factors when making quality improvements. Christabel Kambala Julia Lohmann Jacob Mazalale Stephan Brenner Manuela De Allegri Adamson S. Muula Malabika Sarker Published 2016-05-03T16:16:00Z 2016-05-03T16:16:00Z 2015 2015-04 Article Kambala, C., Lohmann, J., Mazalale, J., Brenner, S., De Allegri, M., Muula, A. S., & Sarker, M. (2015). How do Malawian women rate the quality of maternal and newborn care? Experiences and perceptions of women in the central and southern regions. BMC Pregnancy & Childbirth, 15(1), 169. http://doi.org/10.1186/s12884-015-0560-x 1471-2393 14712393 http://hdl.handle.net/10361/5208 http://doi.org/10.1186/s12884-015-0560-x en http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0560-x BRAC University Journals are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. 19 lpages application/pdf © 2015 BMC Pregnancy & Childbirth |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
English |
| topic |
Perceived quality of care Maternal and newborn Women’s health |
| spellingShingle |
Perceived quality of care Maternal and newborn Women’s health Kambala, Christabel Lohmann, Julia Mazalale, Jacob Brenner, Stephan Allegri, Manuela De Muula, Adamson S. Sarker, Malabika How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| description |
Includes bibliographical references (page 18-19). |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Kambala, Christabel Lohmann, Julia Mazalale, Jacob Brenner, Stephan Allegri, Manuela De Muula, Adamson S. Sarker, Malabika |
| format |
Article |
| author |
Kambala, Christabel Lohmann, Julia Mazalale, Jacob Brenner, Stephan Allegri, Manuela De Muula, Adamson S. Sarker, Malabika |
| author_sort |
Kambala, Christabel |
| title |
How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| title_short |
How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| title_full |
How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| title_fullStr |
How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| title_full_unstemmed |
How do Malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| title_sort |
how do malawian women rate the quality of maternal and newborn care? : experiences and perceptions of women in the central and southern regions |
| publisher |
© 2015 BMC Pregnancy & Childbirth |
| publishDate |
2016 |
| url |
http://hdl.handle.net/10361/5208 http://doi.org/10.1186/s12884-015-0560-x |
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