ArticleAfrican journal of primary health care & family medicine2020
CLEVER maternity care: A before-and-after study of women's experience of childbirth in Tshwane, South Africa.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Respectful maternity care interventions to address women mistreatment in childbirth: What has been done?BMC pregnancy and childbirth · 2024Pooled it
- The roles of multi-component interventions in reducing mistreatment of women and enhancing respectful maternity care: a systematic review.BMC pregnancy and childbirth · 2023Pooled it
- Impact of the Strengthening Teamwork and Respect (STAR) intervention on organisational learning culture and person-centred maternity care in rural South Africa: an uncontrolled before-and-after implementation study.The Lancet regional health. Africa · 2026Article
- Quality midwifery care during childbirth at a midwife obstetric unit: A qualitative study.Curationis · 2025Article
- Promoting respectful maternity care: a quasi-experimental study on the effectiveness of an educational intervention in Iranian hospitals.Reproductive health · 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
- Effectiveness of person-centered intervention on obstetric violence during facility-based childbirth among women who delivered in public hospitals in Southwest Ethiopia.Frontiers in public health · 2025Article
- Addressing obstetric violence: a scoping review of interventions in healthcare and their impact on maternal care quality.Frontiers in public health · 2024Article
- Article
- Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review.PLOS global public health · 2023Article
- Health care providers' perceptions of barriers to perinatal mental healthcare in South Africa.BMC public health · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBirthing care matters to women and some women experience mistreatment during childbirth.
aimTo determine the effect the 'CLEVER Maternity Care' package, a multi-faceted intervention to improve respectful, quality obstetric care.
settingTen midwife-led obstetric units in Tshwane health district, South Africa; five intervention and five control units.
methodsWe conducted an anonymous baseline and end-line survey to measure the change in women's perceptions and experiences of childbirth care after the implementation of the CLEVER package. A convenience sample of women returning for a postnatal follow-up visit was obtained at baseline (n = 653) and after implementation of CLEVER (n = 679).
resultsSix survey items were selected as proxies for respectful clinical care. There was no significant change in proportions of responses regarding one question, and with regard to patients receiving attention within 15 min of arrival, both the intervention and control group units showed a significant increase in positive responses (odds ratios of 8.4 and 6.1, respectively, and p values of 0.0001 and 0.0007). For the remaining four items (asking permission before doing an examination, positive communication, respectful treatment and overall satisfaction), only the intervention group showed a significant positive change (odds ratios ranging from 2.4 to 4.3; p ≤ 0.0018), with no significant change for the control group (odds ratios between 1.0 and 1.8; p ≥ 0.0736).
conclusionAfter the implementation of CLEVER Maternity Care, women reported a more positive experience of childbirth. The CLEVER intervention is a potential strategy for addressing respectful, quality obstetric care that warrants further investigation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.