ArticleBMJ global health2023
Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana and Tanzania: a controlled before and after study.
Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Women's perspectives on gestational diabetes mellitus screening services during antenatal care in Tanzania.BMC global and public health · 2026Article
- Guideline adherence to aspirin prophylaxis use for preeclampsia among healthcare providers in Northwest Ethiopia: an explanatory sequential mixed-methods study.AJOG global reports · 2026Article
- Addressing gender bias in sexual and reproductive health care: A scoping review of training tools and interventions.PloS one · 2026Article
- A systematic, standard-based, participatory assessment of a Continuous Quality Improvement project in Kyrgyzstan and Tajikistan: results for maternal care.Journal of global health · 2025Article
- Assessing the quality of childbirth care in Mexico: findings from the maternal eCohort.BMC pregnancy and childbirth · 2025Observational
- Measuring respectful maternal and newborn care in Nepal: Comparing linked observation and interview data- prospective cohort study.PLOS global public health · 2025Article
- Factors associated with respectful maternity care during hospital deliveries: A cross-sectional study in Bangladesh.PloS one · 2025Article
- Curriculum Resources for Integrating Respectful Maternity Care Into Health Professions Education: A Rapid Scoping Review.Journal of midwifery & women's healthArticle
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17 authors.
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Abstract
introductionMany women worldwide cannot access respectful maternity care (RMC). We assessed the effect of implementing maternal and newborn health (MNH) quality of care standards on RMC measures.
methodsWe used a facility-based controlled before and after design in 43 healthcare facilities in Bangladesh, Ghana and Tanzania. Interviews with women and health workers and observations of labour and childbirth were used for data collection. We estimated difference-in-differences to compare changes in RMC measures over time between groups.
results1827 women and 818 health workers were interviewed, and 1512 observations were performed. In Bangladesh, MNH quality of care standards reduced physical abuse (DiD -5.2;-9.0 to -1.4). The standards increased RMC training (DiD 59.0; 33.4 to 84.6) and the availability of policies and procedures for both addressing patient concerns (DiD 46.0; 4.7 to 87.4) and identifying/reporting abuse (DiD 45.9; 19.9 to 71.8). The control facilities showed greater improvements in communicating the delivery plan (DiD -33.8; -62.9 to -4.6). Other measures improved in both groups, except for satisfaction with hygiene. In Ghana, the intervention improved women's experiences. Providers allowed women to ask questions and express concerns (DiD 37.5; 5.9 to 69.0), considered concerns (DiD 14.9; 4.9 to 24.9), reduced verbal abuse (DiD -8.0; -12.1 to -3.8) and physical abuse (DiD -5.2; -11.4 to -0.9). More women reported they would choose the facility for another delivery (DiD 17.5; 5.5 to 29.4). In Tanzania, women in the intervention facilities reported improvements in privacy (DiD 24.2; 0.2 to 48.3). No other significant differences were observed due to improvements in both groups.
conclusionInstitutionalising care standards and creating an enabling environment for quality MNH care is feasible in low and middle-income countries and may facilitate the adoption of RMC.
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