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REVIEW
Open Access

A Rapid Review of Available Evidence to Inform Indicators for Routine Monitoring and Evaluation of Respectful Maternity Care

Patience A. Afulani, Laura Buback, Brienne McNally, Selemani Mbuyita, Mary Mwanyika-Sando and Emily Peca
Global Health: Science and Practice March 2020, 8(1):125-135; https://doi.org/10.9745/GHSP-D-19-00323
Patience A. Afulani
aInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
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  • For correspondence: patience.afulani@ucsf.edu
Laura Buback
aInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
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Brienne McNally
aInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
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Selemani Mbuyita
bIndependent consultant.
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Mary Mwanyika-Sando
cAfrica Academy for Public Health, Dar es Salaam, Tanzania.
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Emily Peca
dUniversity Research Co., LLC, Chevy Chase, MD, USA.
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    Table.

    Potential Respectful Maternity Care Indicators for Quality Improvement and Community Score Cards, by Domain

    Potential Information Source
    Community-Based/Exit Surveys With WomenFacility Assessments/Observations
    Dignified care
    1. Women treated with respect (subject to women's/local interpretation)XaX
    2. Providers introduce themselves to womenXX
    3. Women treated in a friendly manner (subject to women's/local interpretation)XX
    4. Women called by nameXX
    Privacy and confidentiality
    5. Physical privacy ensured (e.g., examined behind screens or curtains and other physical visual barriers)XX
    6. Auditory privacy ensured (Private patient health information not heard by others)XX
    7. Patient records and medical files are kept confidential (not accessible to people not involved in care provision)XX
    No abuse
    8. No verbal abuse (insults, intimidation, shouting, scolding, threatening)XX
    9. No physical abuse (slapping, hitting, pushing, pinching, restraining, or otherwise beating the patient)XX
    10. No episiotomy given or sutured without anesthesiaXX
    Autonomy
    11. Providers explain to women what to expect and any medications administered, or procedures performedXX
    12. Women give informed consent prior to procedures and examinationsXX
    13. Women and family involved in care (e.g., decision making on treatment and procedures)XX
    14. Women allowed to assume position of choice during labor and deliveryXX
    Communication
    15. Women encouraged to and able to ask questionsXX
    16. Providers speaks to women in a language and at a language-level that they understandXX
    Supportive care
    17. Women allowed to have choice of companion during labor and deliveryXX
    18. Not denying women care (e.g., refusing care for any reason)XX
    19. Not abandoning women during labor and delivery (e.g., not responding to woman's call for help)XX
    20. Providers ask about emotional feelings and concerns of womenXX
    21. Women trust staff (subject to women's interpretation)X—
    Facility environment
    22. Cleanliness of facilityXX
    23. Facility is perceived safeXX
    24. Facility not overcrowded/woman has own bedXX
    25. Facility has electricityXX
    26. Facility has waterXX
    27. Enough providers
    Responsiveness
    28. Perception of wait timeX—
    29. Actual wait timesXX
    30. Payment/equity/cost
    31. No discrimination or poor treatment based on ethnicity, race, economic status, HIV status, birth outcomes, age, number of childrenXX
    32. Not requesting bribes or informal paymentsXX
    33. Women not detained at facilities due to lack of paymentXX
    34. Health care services affordable for allXX
    • ↵a X denotes that it can be obtained from relevant potential data source.

    • Supplement 1 has full list of sources for each indicator.

Additional Files

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Global Health: Science and Practice: 8 (1)
Global Health: Science and Practice
Vol. 8, No. 1
March 30, 2020
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A Rapid Review of Available Evidence to Inform Indicators for Routine Monitoring and Evaluation of Respectful Maternity Care
Patience A. Afulani, Laura Buback, Brienne McNally, Selemani Mbuyita, Mary Mwanyika-Sando, Emily Peca
Global Health: Science and Practice Mar 2020, 8 (1) 125-135; DOI: 10.9745/GHSP-D-19-00323

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A Rapid Review of Available Evidence to Inform Indicators for Routine Monitoring and Evaluation of Respectful Maternity Care
Patience A. Afulani, Laura Buback, Brienne McNally, Selemani Mbuyita, Mary Mwanyika-Sando, Emily Peca
Global Health: Science and Practice Mar 2020, 8 (1) 125-135; DOI: 10.9745/GHSP-D-19-00323
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