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

doi:10.9745/GHSP-D-19-00323

Figures & Tables

Tables

Additional Files

View popup

Table.

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

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