Can a quality improvement intervention improve person-centred maternity care in Kenya?
Few evidence-based interventions exist to improve person-centred maternity care in low-resource settings. This study aimed to understand whether a quality improvement (QI) intervention could improve person-centred maternity care (PCMC) experiences for women delivering in public health facilities in...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
|
| Series: | Sexual and Reproductive Health Matters |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/26410397.2023.2175448 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849432755727761408 |
|---|---|
| author | May Sudhinaraset Katie M. Giessler Michelle Kao Nakphong Meghan M. Munson Ginger M. Golub Nadia G. Diamond-Smith James Opot Cathy E. Green |
| author_facet | May Sudhinaraset Katie M. Giessler Michelle Kao Nakphong Meghan M. Munson Ginger M. Golub Nadia G. Diamond-Smith James Opot Cathy E. Green |
| author_sort | May Sudhinaraset |
| collection | DOAJ |
| description | Few evidence-based interventions exist to improve person-centred maternity care in low-resource settings. This study aimed to understand whether a quality improvement (QI) intervention could improve person-centred maternity care (PCMC) experiences for women delivering in public health facilities in Kenya. A pre–post design was used to examine changes in PCMC scores across three intervention and matched control facilities at baseline (n = 491) and endline (n = 677). A QI intervention, using the Model for Improvement, was implemented in three public health facilities in Nairobi and Kiambu Counties in Kenya. Difference-in-difference analyses using models that included main effects of both treatment group and survey round was conducted to understand the impact of the intervention on PCMC scores. Findings suggest that intervention facilities’ average total PCMC score decreased by 5.3 points post-intervention compared to baseline (95% CI: −8.8, −1.9) and relative to control facilities, holding socio-demographic and facility variables constant. Additionally, the intervention was significantly associated with a 1.8-point decrease in clinical quality index pre–post-intervention (95% CI: −2.9, −0.7), decreased odds of provider visits, and less likelihood to plan to use postpartum family planning. While improving the quality of women’s experiences during childbirth is a critical component to ensure comprehensive, high-quality maternity care experiences and outcomes, further research is required to understand which intervention methods may be most appropriate to improve PCMC in resource-constrained settings. |
| format | Article |
| id | doaj-art-dfa5f9966ac54d7e9da5b062113667ac |
| institution | Kabale University |
| issn | 2641-0397 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Sexual and Reproductive Health Matters |
| spelling | doaj-art-dfa5f9966ac54d7e9da5b062113667ac2025-08-20T03:27:17ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972023-12-0131110.1080/26410397.2023.2175448Can a quality improvement intervention improve person-centred maternity care in Kenya?May Sudhinaraset0Katie M. Giessler1Michelle Kao Nakphong2Meghan M. Munson3Ginger M. Golub4Nadia G. Diamond-Smith5James Opot6Cathy E. Green7Associate Professor, Community Health Sciences, Los Angeles (UCLA), University of California, Los Angeles, CA, USA.Senior Research Analyst, Institute for Global Health Sciences, San Francisco (UCSF), University of California, San Francisco, CA, USADoctoral Student, Community Health Sciences, Los Angeles (UCLA), University of California, Los Angeles, CA, USAProgram Manager, Jacaranda Health, Nairobi, KenyaSenior Research and Business Development Manager, Innovations for Poverty Action, Nairobi, KenyaAssistant Professor, Epidemiology and Biostatistics, University of California, San Francisco, CA, USASenior Research Associate, Innovations for Poverty Action, Nairobi, KenyaSenior Improvement Advisor, Jacaranda Health, Nairobi, KenyaFew evidence-based interventions exist to improve person-centred maternity care in low-resource settings. This study aimed to understand whether a quality improvement (QI) intervention could improve person-centred maternity care (PCMC) experiences for women delivering in public health facilities in Kenya. A pre–post design was used to examine changes in PCMC scores across three intervention and matched control facilities at baseline (n = 491) and endline (n = 677). A QI intervention, using the Model for Improvement, was implemented in three public health facilities in Nairobi and Kiambu Counties in Kenya. Difference-in-difference analyses using models that included main effects of both treatment group and survey round was conducted to understand the impact of the intervention on PCMC scores. Findings suggest that intervention facilities’ average total PCMC score decreased by 5.3 points post-intervention compared to baseline (95% CI: −8.8, −1.9) and relative to control facilities, holding socio-demographic and facility variables constant. Additionally, the intervention was significantly associated with a 1.8-point decrease in clinical quality index pre–post-intervention (95% CI: −2.9, −0.7), decreased odds of provider visits, and less likelihood to plan to use postpartum family planning. While improving the quality of women’s experiences during childbirth is a critical component to ensure comprehensive, high-quality maternity care experiences and outcomes, further research is required to understand which intervention methods may be most appropriate to improve PCMC in resource-constrained settings.https://www.tandfonline.com/doi/10.1080/26410397.2023.2175448Maternal healthwomen’s experiences of careperson-centred maternity carematernity carequality of carerespectful maternity care |
| spellingShingle | May Sudhinaraset Katie M. Giessler Michelle Kao Nakphong Meghan M. Munson Ginger M. Golub Nadia G. Diamond-Smith James Opot Cathy E. Green Can a quality improvement intervention improve person-centred maternity care in Kenya? Sexual and Reproductive Health Matters Maternal health women’s experiences of care person-centred maternity care maternity care quality of care respectful maternity care |
| title | Can a quality improvement intervention improve person-centred maternity care in Kenya? |
| title_full | Can a quality improvement intervention improve person-centred maternity care in Kenya? |
| title_fullStr | Can a quality improvement intervention improve person-centred maternity care in Kenya? |
| title_full_unstemmed | Can a quality improvement intervention improve person-centred maternity care in Kenya? |
| title_short | Can a quality improvement intervention improve person-centred maternity care in Kenya? |
| title_sort | can a quality improvement intervention improve person centred maternity care in kenya |
| topic | Maternal health women’s experiences of care person-centred maternity care maternity care quality of care respectful maternity care |
| url | https://www.tandfonline.com/doi/10.1080/26410397.2023.2175448 |
| work_keys_str_mv | AT maysudhinaraset canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT katiemgiessler canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT michellekaonakphong canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT meghanmmunson canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT gingermgolub canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT nadiagdiamondsmith canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT jamesopot canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya AT cathyegreen canaqualityimprovementinterventionimprovepersoncentredmaternitycareinkenya |