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) | Xa | 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 |
↵a X denotes that it can be obtained from relevant potential data source.
Supplement 1 has full list of sources for each indicator.