Defining quality of care during childbirth from the perspectives of Nigerian and Ugandan women: A qualitative study

Objective To explore what “quality of care” means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. Methods Qualitative methods, with a purposive samp...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2017-12, Vol.139 (S1), p.4-16
Main Authors: Bohren, Meghan A., Titiloye, Musibau A., Kyaddondo, David, Hunter, Erin C., Oladapo, Olufemi T., Tunçalp, Özge, Byamugisha, Josaphat, Olutayo, Akinpelu O., Vogel, Joshua P., Gülmezoglu, A. Metin, Fawole, Bukola, Mugerwa, Kidza
Format: Article
Language:English
Subjects:
Adult
Childbirth
Delivery, Obstetric - psychology
Female
Focus Groups
Humans
Interpersonal Relations
Maternal health
Maternal Health Services - standards
Nigeria
Parturition - psychology
Patient Acceptance of Health Care - psychology
Pregnancy
Qualitative Research
Quality of care
Quality of Health Care
Uganda
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Summary:Objective To explore what “quality of care” means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. Methods Qualitative methods, with a purposive sample of women in Nigeria and Uganda. Participants were asked to define quality of care and to provide examples of when it was and was not provided. Thematic analysis was used to synthesize findings based on an a priori framework (the WHO quality of care framework). Results 132 in‐depth interviews and 21 focus group discussions are included. Participants spontaneously discussed each of the WHO framework domains of quality of care. Data were richest across the domains of effective communication, respect and dignity, emotional support, competent and motivated human resources, and essential physical resources. Women believed that good quality of care ensured optimal psychological and physiological outcomes for the woman and her baby. Positive interpersonal relationships between women and health providers were important. These included supportive care, building rapport, and using positive and clear language. Conclusion To provide good quality of care, maternity services should consider and act on the expectations and experiences of women and their families. Positive interpersonal relationships between women and providers during childbirth are critical components of good quality care. This includes providing supportive care, building rapport, and using positive and clear language.
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.12378