Evidence map›Paper›PMID 33436494›Full record

ArticleBMJ global health2021

Women's experiences of mistreatment during childbirth and their satisfaction with care: findings from a multicountry community-based study in four countries.

Thae Maung Maung, Nwe Oo Mon, Hedieh Mehrtash, Kwame Adu Bonsaffoh, Joshua P Vogel, Adeniyi Kolade Aderoba, Theresa Azonima Irinyenikan, Mamadou Dioulde Balde, Porjai Pattanittum, Özge Tuncalp and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 8 countries.

Thae Maung MaungDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar themgmg.dr@gmail.com.ORCID 0000-0002-1265-3813
Nwe Oo MonDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Hedieh MehrtashUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Kwame Adu BonsaffohDepartment of Obstetrics and Gynaecology, School of Medicine and Dentistry, University of Ghana, Accra, Ghana.
Joshua P VogelMaternal and Child Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Adeniyi Kolade AderobaNational Perinatal Epidemiology Unit, University of Oxford, Oxford, Oxfordshire, UK.
Theresa Azonima IrinyenikanDepartment of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Medical Sciences, Ondo, Ondo State, Nigeria.
Mamadou Dioulde BaldeCellule de Recherche en Santé de la Reproduction en Guinée (CERREGUI), University National Hospital-Donka, Conakry, Guinea.
Porjai PattanittumEpidemiology and Biostatistics Department, Khon Kaen University, Khon Kaen, Thailand.
Özge TuncalpUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Meghan A BohrenGender and Women's Health Unit, Centre for Health Equity, University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.ORCID 0000-0002-4179-4682
Khon Kaen University · THWorld Health Organization · CHBurnet Institute · AUDonka Hospital · GNMinistry of Health and Sports · MMThe University of Melbourne · AUUniversity of Ghana · GHUniversity of Medical Sciences, OndoUniversity of Oxford · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionExperiences of care and satisfaction are intrinsically linked, as user's experiences of care may directly impact satisfaction, or indirectly impact user's expectations and values. Both experiences of care and satisfaction are important to measure so that quality can be monitored and improved. Globally, women experience mistreatment during childbirth at facilities; however, there is limited evidence exploring the mistreatment and women's satisfaction with care during childbirth.

methodsThis is a secondary analysis of a cross-sectional survey within the WHO study 'How women are treated during facility-based childbirth' exploring the mistreatment of women during childbirth in Ghana, Guinea, Myanmar and Nigeria. Women's experiences of mistreatment and satisfaction with care during childbirth was explored. Multivariable logistic regression modelling was conducted to evaluate the association between mistreatment, women's overall satisfaction with the care they received, and whether they would recommend the facility to others.

results2672 women were included in this analysis. Despite over one-third of women reporting experience of mistreatment (35.4%), overall satisfaction for services received and recommendation of the facility to others was high, 88.4% and 90%, respectively. Women who reported experiences of mistreatment were more likely to report lower satisfaction with care: women were more likely to be satisfied if they did not experience verbal abuse (adjusted OR (AOR) 4.52, 95% CI 3.50 to 5.85), or had short waiting times (AOR 5.12, 95% CI 3.94 to 6.65). Women who did not experience any physical or verbal abuse or discrimination were more likely to recommend the facility to others (AOR 3.89, 95% CI 2.98 to 5.06).

conclusionMeasuring both women's experiences and their satisfaction with care are critical to assess quality and provide actionable evidence for quality improvement. These measures can enable health systems to identify and respond to root causes contributing to measures of satisfaction.

Indexed as

COVID-19Personal SatisfactionAdultAttitude of Health PersonnelBetacoronavirusChildCommunity-Based Participatory ResearchCross-Sectional StudiesDelivery, ObstetricFemaleGhanaGuineaHumansMaternal HealthMyanmarNigeriamaternal healthobstetrics

Identifiers

PMID33436494
PMCPMC7816916
OpenAlexW3120405508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.