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ORIGINAL ARTICLE
Open Access

Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review

Leanne Dougherty, Sanyukta Mathur, Xaher Gul, Kathryn Spielman, Vandana Tripathi, Christina Wakefield and Martha Silva
Global Health: Science and Practice November 2023, 11(Supplement 1):e2200407; https://doi.org/10.9745/GHSP-D-22-00407
Leanne Dougherty
aPopulation Council, Washington, DC, USA.
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  • For correspondence: ldougherty{at}popcouncil.org
Sanyukta Mathur
aPopulation Council, Washington, DC, USA.
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Xaher Gul
bPathfinder International, Karachi, Pakistan.
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Kathryn Spielman
cPopulation Council, Baltimore, MD, USA.
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Vandana Tripathi
dEngenderHealth, New York, NY, USA.
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Christina Wakefield
eManoff Group, Seattle, WA, USA.
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Martha Silva
fTulane University, New Orleans, LA, USA.
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  • FIGURE 1
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    FIGURE 1

    Schematic of Search Strategy and Results on Assessing Health Provider Behaviors

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    FIGURE 2

    Proportion of Articles That Measured Provider Behavioral Determinants by Type of Measure (N=89)

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    TABLE 1.

    Illustrative Examples of Behaviors and Behavioral Determinants by Domain Used for Data Extraction16

    DomainExamples
    Provider behavior/client-provider interaction
    • Client reception and admission

    • Clinical management (e.g., diagnostics, care/treatment, and referral)

    • Person-centered care (e.g., respectful care, ensuring privacy, and confidentiality)

    • Recordkeeping and stock management

    Ability
    • Assesses provider knowledge and awareness

    • Assesses provider skills

    • Exposure to training

    Predisposing
    • Attitudes toward certain products, services, or workplace

    • Provider attitudes and biases toward clients

    • Perceptions of control, self-efficacy, and agency for delivering services

    Reinforcing
    • Supervision, including supervision frequency, feedback, and appreciation

    • Financial incentives

    • Professional growth opportunities

    • Peer support and facility-level norms

    Enabling
    • Quality of physical infrastructure (e.g., water and electrical source and overall cleanliness)

    • Management of staff (e.g., number of staff and management meetings)

    • Commodities and services (e.g., availability of contraceptives and examination room equipment)

    • Space (e.g., whether exams occurred in a separate room or behind a curtain)

    • Counseling materials (e.g., number of counseling aids and counseling protocols available)

    • Health information systems and client records

    • View popup
    TABLE 2.

    Characteristics of Studies on Health Care Provider Behaviors in Reproductive, Maternal, Newborn, and Child Health, 2010–2021

    No. (%)
    (N=89)
    Health area
        Child health1 (1.1)
        Family planning/reproductive health53 (59.6)
        Maternal health17 (19.1)
        Multiple areas18 (20.2)
    World Health Organization region
        Africa53 (59.6)
        Americas5 (5.6)
        Eastern Mediterranean5 (5.6)
        European4 (4.5)
        South East Asia14 (15.7)
        Western Pacific4 (4.5)
        Multiple4 (4.5)
    Type of provider1
        Health professionals29 (32.6)
        Health associate professionals10 (11.2)
        Multiple40 (44.9)
        Not specified/other10 (11.2)
    • View popup
    TABLE 3.

    Methods Used in Studies on Health Care Provider Behaviors in Reproductive, Maternal, Newborn, and Child Health, 2010–2021

    No. (%)
    (N=89)
    Study design
        Cross-sectional37 (41.6)
        Mixed methods20 (22.5)
        Qualitative24 (27.0)
        Pre-post no control4 (4.5)
        Other quantitative design4 (4.5)
    Study type
        Descriptive/formative76 (84.4)
        Evaluation12 (13.3)
        Measurement development2 (2.2)
    Intervention
        None74 (82.2)
        Training8 (8.9)
        Multiple5 (5.6)
        Other3 (3.3)

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Global Health: Science and Practice: 11 (Supplement 1)
Global Health: Science and Practice
Vol. 11, No. Supplement 1
November 30, 2023
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Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review
Leanne Dougherty, Sanyukta Mathur, Xaher Gul, Kathryn Spielman, Vandana Tripathi, Christina Wakefield, Martha Silva
Global Health: Science and Practice Nov 2023, 11 (Supplement 1) e2200407; DOI: 10.9745/GHSP-D-22-00407

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Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review
Leanne Dougherty, Sanyukta Mathur, Xaher Gul, Kathryn Spielman, Vandana Tripathi, Christina Wakefield, Martha Silva
Global Health: Science and Practice Nov 2023, 11 (Supplement 1) e2200407; DOI: 10.9745/GHSP-D-22-00407
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