The Integration Of Support Persons Into Maternity Care And Quality Of Care In Kenya
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The Integration Of Support Persons Into Maternity Care And Quality Of Care In Kenya
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Author : Michelle Kao Nakphong
language : en
Publisher:
Release Date : 2022
The Integration Of Support Persons Into Maternity Care And Quality Of Care In Kenya written by Michelle Kao Nakphong and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.
Background: There is an urgent need to improve both the clinical and person-centered dimensions of quality during intrapartum care to reduce maternal mortality and morbidity and achieve health equity in Kenya. Substandard care has been identified in 9 of 10 maternal deaths in Kenya and evidence shows that women of lower social position (e.g., younger, less educated, unmarried) have poorer access to quality care. The World Health Organization (WHO) quality of care (QoC) framework for maternal and newborn health has identified women's access to their preferred social and emotional support as one essential component of the experience of care, but facilitating social support tends not to be prioritized by providers and facilities. Many support persons (SPs) encounter policies barring their presence, endure negative provider attitudes, and lack means to interact with women and providers. However, a gap in the literature includes an examination of how health care systems can better facilitate the support that women need and want during maternity care. Moreover, integrating SPs into maternity care and facilitating their supportive roles improves how providers' treatment and care for women. SPs can garner more respectful treatment and advocate on behalf of women, which is especially important in Kenya where women frequently encounter mistreatment and lack autonomy in their own health care. Although integration of SPs has been proposed to improve QoC, existing studies have narrowly focused on mistreatment and overlooked other elements of QoC (i.e., other experience of care measures, clinical quality), representing a major gap in literature. Theory: The theoretical framework for this study builds upon the World Health Organization (WHO) quality of care (QoC) framework for maternal and newborn health, incorporating concepts from the person-centered care framework for reproductive health equity. The framework uses a systems-approach by situating these concepts within the socioecological model. Purpose: This study aims to address these gaps and proposes a new concept in the support literature, the Person-Centered Integration of Support Persons (PC-ISP) into maternity care, which refers to the extent to which SPs are integrated into care that is respectful and responsive to women's needs and preferences. This includes communicating information to SPs, facilitating decision-making support, making them feel welcome, and engaging with their questions and concerns. Methods: The objective of this study was to examine how PC-ISP in maternity care is associated with women's and SPs' reports of QoC. This research used novel data from the Strengthening Person-Centered, Accessibility, Respectful Care, and Quality (SPARQ) study in Kenya, which surveyed both women and SPs at six facilities in Nairobi and Kiambu counties about their experiences of maternity care. I developed survey questions based on the PC-ISP concept that were administered to both women (n=1,138) and SPs (n=606) to better understand women's preferences for PC-ISP and women's and SPs' experiences of PC-ISP. I used multivariable regression models to examine PC-ISP by women's social status and SP types, assess how PC-ISP is associated with QoC outcomes specified by the WHO QoC framework, and assess how facility factors relating to capacity modify those associations. Results: This study provides detailed evidence regarding women's unmet need for support, showing that women wanted support from their SPs in different ways than previously measured: consulting on decisions, wanting SPs to know and understand their condition and care, and opportunities for SPs to engage with providers about their questions and concerns. But, in practice, a substantial proportion of women reported that their SPs were not integrated in these ways. I found disparities in SP integration; for example, women with low-income, low-prestige occupations were less likely to report that SPs were welcome to ask questions and male partners were less likely to report being given information about women's condition and care compared to mothers/mothers-in-law. Facility factors, such as number of providers assisting delivery and SPs' perception of crowding, were consistently positively associated with SP integration, while facility types (i.e., public hospital, private hospital, public health centre/dispensary) displayed inconsistent positive and negative associations with SP integration. Findings also highlighted how women's experiences of PC-ISP is associated with women's positive experiences of care, better clinical care experiences, higher satisfaction with care, and greater willingness to return to facilities for care, but mixed evidence of SPs' experiences associated with QoC, finding positive associations with increased key practices and women's satisfaction, but negative associations with willingness to return to the facility. Results also showed that associations between women's experiences of PC-ISP and QoC were modified by facilities' capacity: I found evidence of stronger positive associations between PC-ISP and Person-Centered Maternity Care (PCMC) and key practices at facilities with higher patient-volumes and higher patient:bed ratios (i.e., crowded). Conclusions: Findings from this study provide insight into how health systems can practically increase support for women, address disparities in who has access to SPs, and improve clinical and person-centered QoC. Particularly in crowded facilities with high-patient volumes, integrating SPs may help facilitate high quality care. Greater efforts are needed to integrate SPs in ways that keep women at the center of their own care, including developing methods to assess and respect women's preferences for support during care, educating SPs in how to constructively provide support in conjunction with providers, training providers on how to integrate SPs in equitable yet standardized ways, and creating accountability systems to ensure policies and practices are implemented equitably. Interventions to better integrate SPs can be a low-cost and person-centered approach to improve QoC in maternity care in Kenya.
Who Recommendations For Augmentation Of Labour
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2014
Who Recommendations For Augmentation Of Labour written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Health & Fitness categories.
Optimizing outcomes for women in labor at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, the World Health Organization (WHO) published recommendations for induction of labor in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labor and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programs, and public health policy-makers in all settings.
Crossing The Global Quality Chasm
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-01-27
Crossing The Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-27 with Medical categories.
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Disease Control Priorities Third Edition Volume 2
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Author : Robert Black
language : en
Publisher: World Bank Publications
Release Date : 2016-04-11
Disease Control Priorities Third Edition Volume 2 written by Robert Black and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-11 with Medical categories.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Who Recommendations On Antenatal Care For A Positive Pregnancy Experience
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Author : World Health Organization
language : en
Publisher:
Release Date : 2016
Who Recommendations On Antenatal Care For A Positive Pregnancy Experience written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with Medical categories.
Within the continuum of reproductive health care, antenatal care provides a platform for important health-care functions, including health promotion, screening and diagnosis, and disease prevention. It has been established that, by implementing timely and appropriate evidence-based practices, antenatal care can save lives. Endorsed by the United Nations Secretary-General, this is a comprehensive WHO guideline on routine antenatal care for pregnant women and adolescent girls. It aims to complement existing WHO guidelines on the management of specific pregnancy-related complications. The guidance captures the complex nature of the antenatal care issues surrounding healthcare practices and delivery, and prioritizes person-centered health and well-being --- not only the prevention of death and morbidity --- in accordance with a human rights-based approach.
Global Perspectives On Women S Sexual And Reproductive Health Across The Lifecourse
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Author : Shonali Choudhury
language : en
Publisher: Springer
Release Date : 2017-09-19
Global Perspectives On Women S Sexual And Reproductive Health Across The Lifecourse written by Shonali Choudhury and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-19 with Medical categories.
This expansive survey spotlights pervasive issues affecting girls’ and women’s sexual and reproductive health across the lifecourse. Research from diverse countries around the world analyzes the complex relationships among biological, psychological, sociocultural, and economic issues—particularly in terms of inequities—as they shape women’s lives. Major challenges and possibilities for intervention are examined in their national context and with their global implications, including child marriage/motherhood, reproductive care and access, fertility, childbearing, contraception, abortion, HIV/STIs, gender-based violence, sexual pleasure, and menopause. In these forceful dispatches, a consistent human rights perspective emphasizes women’s control, autonomy, and agency in all stages of their lives. A sampling of topics covered: Girl child marriage: a persistent global women’s health and human rights violation Investigating challenges and resilience among women living with obstetric fistula in Kenya A qualitative exploration of mainstream and social media reflections on abortion A continuum of severity of sexual intimate partner violence among black women in the United States Economic empowerment to improve sexual and reproductive health among women and girls Summarizing an interdisciplinary field on research and practical levels, Global Perspectives on Women's Sexual and Reproductive Health Across the Lifecourse will be an invaluable text for undergraduate and graduate courses in a wide range of fields, including public health, global health, women’s studies, sociology, anthropology, gender studies, and human rights.
Global Health Informatics
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Author : Leo Anthony G. Celi
language : en
Publisher: MIT Press
Release Date : 2017-04-21
Global Health Informatics written by Leo Anthony G. Celi and has been published by MIT Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-21 with Medical categories.
Key concepts, frameworks, examples, and lessons learned in designing and implementing health information and communication technology systems in the developing world. The widespread usage of mobile phones that bring computational power and data to our fingertips has enabled new models for tracking and battling disease. The developing world in particular has become a proving ground for innovation in eHealth (using communication and technology tools in healthcare) and mHealth (using the affordances of mobile technology in eHealth systems). In this book, experts from a variety of disciplines—among them computer science, medicine, public health, policy, and business—discuss key concepts, frameworks, examples, and lessons learned in designing and implementing digital health systems in the developing world. The contributors consider such topics as global health disparities and quality of care; aligning eHealth strategies with government policy; the role of monitoring and evaluation in improving care; databases, patient registries, and electronic health records; the lifecycle of a digital health system project; software project management; privacy and security; and evaluating health technology systems.
Handbook Of Stress And Burnout In Health Care
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Author : Jonathon R. B. Halbesleben
language : en
Publisher: Nova Science Pub Incorporated
Release Date : 2008-01-01
Handbook Of Stress And Burnout In Health Care written by Jonathon R. B. Halbesleben and has been published by Nova Science Pub Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-01-01 with Health & Fitness categories.
The purpose of this book is to summarise the state of the science in the study of stress and burnout among health care professionals. Moreover, this book seeks to set the agenda for future research in the areas of stress and burnout. Despite the popularity of these topics as subjects for empirical study, particularly among health professionals, there has been no attempt to build a comprehensive summary of the literature concerning stress and burnout in health care. This book fills the void by bringing together leaders in the academic study of stress and burnout and by summarising the research on the measurement of stress and burnout, the unique causes of this condition for health care professionals as well as the consequences of stress and burnout and the patients they serve. It covers evidence-based mechanisms for the prevention and reduction of stress and burnout. Each chapter provides a synthesis of the critical stress and burnout literature as well as ideas for what research is needed to fill current voids in the literature. Final chapter of the book provides a research agenda to promote research concerning this phenomenon in health professions.
Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 1991
Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Medicine categories.
Priorities In Health
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Author :
language : en
Publisher: World Bank Publications
Release Date : 2006-01-01
Priorities In Health written by and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-01-01 with Medical categories.
"This companion guide to Disease Control Priorities in Developing Countries, 2nd edition speeds the diffusion of life-saving knowledge by distilling the contents of the larger volume into an easily read format. Policy makers, practitioners, academics, and other interested readers will get an overview of the messages and analysis in Disease Control Priorities in Developing Countries, 2nd edition; be alerted to the scope of major diseases; learn strategies to improve policies and choices to implement cost-effective interventions; and locate chapters of immediate interest."