ArticleInternational journal of environmental research and public health2020
Health Care Workers' Perspectives of the Influences of Disrespectful Maternity Care in Rural Kenya.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing respectful perinatal care among healthcare professionals in low-and middle-resource countries: a systematic review.BMC pregnancy and childbirth · 2024Pooled it
- HIV Stigma and Self-Efficacy Caring for Women Living With HIV: A Mixed-Methods Study of Labour and Delivery Providers-Empirical Research Mixed Methods.Nursing open · 2025Article
- Ending preventable maternal deaths in Malawi: the stakeholders consensus approach to identify maternal health needs priorities.BMC health services research · 2025Article
- Content and design of respectful maternity care training packages for health workers in sub-Saharan Africa: Scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Holistic perinatal care during intimate examinations: An integrative review.Health SA = SA Gesondheid · 2025Review
- Midwifery service managers' readiness for prevention of obstetric violence in Nigeria: A community readiness model.Heliyon · 2024Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- Mistreatment of women during childbirth and its influencing factors in public maternity hospitals in Tehran, Iran: a multi-stakeholder qualitative study.Reproductive health · 2023Article
- A qualitative enquiry of health care workers' narratives on knowledge and sources of information on principles of Respectful Maternity Care (RMC).PLOS global public health · 2023Article
- Psychometric evaluation of PHQ-9 and GAD-7 among community health volunteers and nurses/midwives in Kenya following a nation-wide telephonic survey.Frontiers in psychiatry · 2023Article
- Intrapartum respectful maternity care practices and its barriers in Eastern India.Journal of family medicine and primary care · 2022Article
- Implementation Outcomes Assessment of a Digital Clinical Support Tool for Intrapartum Care in Rural Kenya: Observational Analysis.JMIR formative research · 2022Article
- Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives.BMJ open · 2021Article
- Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya.Family medicine and community health · 2021Article
- Male Involvement in Reproductive and Maternal and New Child Health: An Evaluative Qualitative Study on Facilitators and Barriers From Rural Kenya.Frontiers in public health · 2021Article
- A Qualitative Endline Evaluation Study of Male Engagement in Promoting Reproductive, Maternal, Newborn, and Child Health Services in Rural Kenya.Frontiers in public health · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While disrespectful treatment of pregnant women attending health care facilities occurs globally, it is more prevalent in low-resource countries. In Kenya, a large body of research studied disrespectful maternity care (DMC) from the perspective of the service users. This paper examines the perspective of health care workers (HCWs) on factors that influence DMC experienced by pregnant women at health care facilities in rural Kisii and Kilifi counties in Kenya. We conducted 24 in-depth interviews with health care workers (HCWs) in these two sites. Data were analyzed deductively and inductively using NVIVO 12. Findings from HCWs reflective narratives identified four areas connected to the delivery of disrespectful care, including poor infrastructure, understaffing, service users' sociocultural beliefs, and health care workers' attitudes toward marginalized women. Investments are needed to address health system influences on DMC, including poor health infrastructure and understaffing. Additionally, it is important to reduce cultural barriers through training on HCWs' interpersonal communication skills. Further, strategies are needed to affect positive behavior changes among HCWs directed at addressing the stigma and discrimination of pregnant women due to socioeconomic standing. To develop evidence-informed strategies to address DMC, a holistic understanding of the factors associated with pregnant women's poor experiences of facility-based maternity care is needed. This may best be achieved through an intersectional approach to address DMC by identifying systemic, cultural, and socioeconomic inequities, as well as the structural and policy features that contribute and determine peoples' behaviors and choices.
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