Evidence map›Paper›PMID 37474934›Full record

ArticleBMC health services research2023

Community perspectives and experiences of quality maternal and newborn care in East New Britain, Papua New Guinea.

Alyce N Wilson, Pele Melepia, Rose Suruka, Priscah Hezeri, Dukduk Kabiu, Delly Babona, Pinip Wapi, Alison Morgan, Joshua P Vogel, James Beeson and 8 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 86% 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

2 citing papers in PubMed, 0 citations in OpenAlex.

  1. Article
  2. Article
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

18 authors at 7 institutions in 3 countries.

Alyce N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia. alyce.wilson@burnet.edu.au.
Pele MelepiaMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Rose SurukaMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Priscah HezeriMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Dukduk KabiuMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Delly BabonaSt Mary's Hospital, Kokopo, Papua New Guinea.
Pinip WapiNonga General Hospital, Rabaul, Papua New Guinea.
Alison MorganGlobal Financing Facility, World Bank, Washington, DC, USA.
Joshua P VogelMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
James BeesonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Christopher MorganImmunization Program, JHPIEGO, Johns Hopkins University, Baltimore, USA.
Angela Kelly-HankuPapua New Guinea Institute for Medical Research, Goroka, Papua New Guinea.
Michelle J L ScoullarMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Somu NosiPapua New Guinea Institute for Medical Research, Goroka, Papua New Guinea.
Lisa M VallelyPapua New Guinea Institute for Medical Research, Goroka, Papua New Guinea.
Elissa KennedyMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Meghan A BohrenGender and Women's Health Unit, School of Population and Global Health, Centre for Health Equity, University of Melbourne, Melbourne, Australia.
Caroline S E HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Burnet Institute · AUUNSW Sydney · AUJohns Hopkins University · USPapua New Guinea Institute of Medical Research · PGPapua New Guinea University of Natural Resources and Environment · PGThe University of Melbourne · AUWorld Bank · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality maternal and newborn care is essential for improving the health of mothers and babies. Low- and middle-income countries, such as Papua New Guinea (PNG), face many barriers to achieving quality care for all. Efforts to improve the quality of maternal and newborn care must involve community in the design, implementation, and evaluation of initiatives to ensure that interventions are appropriate and relevant for the target community. We aimed to describe community members' perspectives and experiences of maternal and newborn care, and their ideas for improvement in one province, East New Britain, in PNG.

methodsWe undertook a qualitative descriptive study in partnership with and alongside five local health facilities, health care workers and community members, using a Partnership Defined Quality Approach. We conducted ten focus group discussions with 68 community members (identified through church, market and other community-based groups) in East New Britain PNG to explore perspectives and experiences of maternal and newborn care, identify enablers and barriers to quality care and interventions to improve care. Discussions were transcribed verbatim. A mixed inductive and deductive analysis was conducted including application of the World Health Organisation (WHO) Quality Maternal and Newborn Care framework.

resultsUsing the WHO framework, we present the findings in accordance with the five experience of care domains. We found that the community reported multiple challenges in accessing care and facilities were described as under-staffed and under resourced. Community members emphasised the importance of good communication and competent, caring and respectful healthcare workers. Both women and men expressed a strong desire for companionship during labor and birth. Several changes were suggested by the community that could immediately improve the quality of care.

conclusionsCommunity perspectives and experiences are critical for informing effective and sustainable interventions to improve the quality of maternal and newborn care and increasing facility-based births in PNG. A greater understanding of the care experience as a key component of quality care is needed and any quality improvement initiatives must include the user experience as a key outcome measure.

Indexed as

Labor, ObstetricParturitionFemaleHumansInfantInfant, NewbornMaleMothersPapua New GuineaPregnancyUnited KingdomCommunityMaternal and Newborn HealthPapua New GuineaQuality CareQuality Improvement

Identifiers

PMID37474934
PMCPMC10360243
OpenAlexW4384924607

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.