ArticleBMC pregnancy and childbirth2017
Quality of perinatal care services from the user's perspective: a Dutch study applies the World Health Organization's responsiveness concept.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- A mixed-methods evaluation of outreach service provision by the "Strengthening Migrant Access to Reproductive Health in Thailand" Initiative, 2020-2024.Frontiers in global women's health · 2026Article
- Migrant women's experience of antenatal care in an urban and rural setting in north and North-West Thailand: A cross sectional survey.Journal of migration and health · 2025Article
- Article
- Exploring how non-clinical factors in childbirth care shape users' experiences in public health facilities in rural Chiapas, Mexico: a qualitative study using the WHO health systems responsiveness framework.BMC pregnancy and childbirth · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- A critical review: developing a birth integrity framework for epidemiological studies through meta-ethnography.BMC women's health · 2023Review
- Article
- Intrauterine growth restriction, prematurity, and low birth weight: risk phenotypes of neonatal death, Rio de Janeiro State, Brazil.Cadernos de saude publica · 2023Article
- Assessment of the level and distribution of health system responsiveness in Oyo State, Nigeria.BMC health services research · 2022Article
- Lived Experiences and Perceptions of Childbirth among Pastoralist Women in North-Eastern Ethiopia: A Multimethod Qualitative Analysis to the WHO Health Systems Responsiveness Framework.International journal of environmental research and public health · 2021Article
- Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.PloS one · 2021Article
- Potential of Standard Perinatal Data for Measuring Violation of Birth Integrity.Frontiers in global women's health · 2020Article
- Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe concept of responsiveness was introduced by the World Health Organization (WHO) to address non-clinical aspects of service quality in an internationally comparable way. Responsiveness is defined as aspects of the way individuals are treated and the environment in which they are treated during health system interactions. The aim of this study is to assess responsiveness outcomes, their importance and factors influencing responsiveness outcomes during the antenatal and delivery phases of perinatal care.
methodThe Responsiveness in Perinatal and Obstetric Health Care Questionnaire was developed in 2009/10 based on the eight-domain WHO concept and the World Health Survey questionnaire. After ethical approval, a total of 171 women, who were 2 weeks postpartum, were recruited from three primary care midwifery practices in Rotterdam, the Netherlands, using face-to-face interviews. We dichotomized the original five ordinal response categories for responsiveness attainment as 'poor' and good responsiveness and analyzed the ranking of the domain performance and importance according to frequency scores. We used a series of independent variables related to health services and users' personal background characteristics in multiple logistic regression analyses to explain responsiveness.
resultsPoor responsiveness outcomes ranged from 5.9% to 31.7% for the antenatal phase and from 9.7% to 27.1% for the delivery phase. Overall for both phases, 'respect for persons' (Autonomy, Dignity, Communication and Confidentiality) domains performed better and were judged to be more important than 'client orientation' domains (Choice and Continuity, Prompt Attention, Quality of Basic Amenities, Social Consideration). On the whole, responsiveness was explained more by health-care and health related issues than personal characteristics.
conclusionTo improve responsiveness outcomes caregivers should focus on domains in the category 'client orientation'.
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