Evidence map›Paper›PMID 38615515›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2024

Perceptions of quality of care in Midwife-led Birth Centres (MLBCs) in Uganda: Why do women choose MLBCs over other options?

Rose Chalo Nabirye, Scovia Nalugo Mbalinda, Joshua Epuitai, Faith Nawagi, Sarah Namyalo, Andrea Nove, Oliva Bazirete, Kirsty Hughes, Sofia Castro Lopes, Sabera Turkmani and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Women and birth : journal of the Australian College of Midwives, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 3% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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

12 authors at 7 institutions in 6 countries.

Rose Chalo NabiryeBusitema University, Tororo, Uganda.
Scovia Nalugo MbalindaMakerere University, Kampala, Uganda.
Joshua EpuitaiBusitema University, Tororo, Uganda. Electronic address: joshuaepuitai@gmail.com.
Faith NawagiMakerere University, Kampala, Uganda.
Sarah NamyaloUganda Private Midwives Association, Kampala, Uganda.
Andrea NoveNovametrics Ltd, Duffield, United Kingdom.
Oliva BazireteNovametrics Ltd, Duffield, United Kingdom; University of Rwanda, Kigali, Rwanda.
Kirsty HughesNovametrics Ltd, Duffield, United Kingdom.
Sofia Castro LopesIndependent Consultant, Cape Town, South Africa.
Sabera TurkmaniFaculty of Health, University of Technology Sydney, Sydney, Australia; Burnet Institute, Melbourne, Australia.
Mandy ForresterInternational Confederation of Midwives, The Hague, Netherlands.
Caroline S E HomerFaculty of Health, University of Technology Sydney, Sydney, Australia; Burnet Institute, Melbourne, Australia.
Busitema University · UGMakerere University · UGNovametrics (United Kingdom) · GBUniversity of Technology Sydney · AUInternational Confederation of Midwives · NLResearch ICT Africa · ZAUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMidwife-led birth centres (MLBCs) are associated with reduced childbirth interventions, higher satisfaction rates, and improved birth outcomes. The evidence on quality of care in MLBCs from low and middle-income countries (LMIC) is limited.

aimThis study aimed to explore the perceptions of women and midwives regarding the quality of care in four MLBCs in Uganda.

methodsA qualitative study was conducted in four MLBCs in Uganda. We conducted interviews with women and midwives in the MLBCs to explore their perceptions and experiences related to care in the MLBCs. The study obtained ethical approval. Deductive thematic analysis was used for data analysis.

resultsThree key themes were identified regarding the perceptions of women and midwives about the quality of care in the MLBCs: providing respectful, and dignified care; a focus on woman-centred care; and reasons for choosing care in the MLBC. Women valued the respectful and humane care characterised by dignified and non-discriminatory care, non-abandonment, privacy, and consented care. The woman-centred care in the MLBC involved individualised holistic care, providing autonomy and empowerment, continuity of care, promoting positive birth experience, confidence in the woman's own abilities, and responsive providers. Women chose MLBCs because the services were perceived to be available, accessible, affordable, with comprehensive and effective referral mechanisms.

conclusionWomen perceived care to be respectful, woman-centred, and of good quality. Global attention should be directed to scaling up the establishment of MLBCs, especially in LMIC, to improve the positive childbirth experience and increase access to care.

Indexed as

Birthing CentersMidwiferyPatient SatisfactionQualitative ResearchQuality of Health CareAdultAttitude of Health PersonnelDelivery, ObstetricFemaleHumansInterviews as TopicMaternal Health ServicesNurse MidwivesPerceptionPregnancyUgandaChildbirth careMidwifeMidwife-led Birthing CentresMidwife-led careMidwifery model of careUganda

Identifiers

PMID38615515
PMCPMC11266915
OpenAlexW4394789312

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.