Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.

<h4>Introduction</h4>Peri-urban settings have high maternal mortality and the quality of care received in different types of health facilities is varied. Yet few studies have explored the construct of person-centered maternity care (PCMC) within peri-urban settings. Understanding women&#...

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Autores principales:	Jackline Oluoch-Aridi, Patience Afulani, Cindy Makanga, Danice Guzman, Laura Miller-Graff
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/35a4b6e57fad42e3a5cab644517aa9d3
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spelling	oai:doaj.org-article:35a4b6e57fad42e3a5cab644517aa9d32021-12-02T20:17:06ZExamining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.1932-620310.1371/journal.pone.0257542https://doaj.org/article/35a4b6e57fad42e3a5cab644517aa9d32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257542https://doaj.org/toc/1932-6203<h4>Introduction</h4>Peri-urban settings have high maternal mortality and the quality of care received in different types of health facilities is varied. Yet few studies have explored the construct of person-centered maternity care (PCMC) within peri-urban settings. Understanding women's experience of maternity care in peri-urban settings will allow health facility managers and policy makers to improve services in these settings. This study examines factors associated with PCMC in a peri-urban setting in Kenya.<h4>Methods and materials</h4>We analyzed data from a cross-sectional study with 307 women aged 18-49 years who had delivered a baby within the preceding six weeks. Women were recruited from public (n = 118), private (n = 76), and faith based (n = 113) health facilities. We measured PCMC using the 30-item validated PCMC scale which evaluates women's experiences of dignified and respectful care, supportive care, and communication and autonomy. Factors associated with PCMC were evaluated using multilevel models, with women nested within facilities.<h4>Results</h4>The average PCMC score was 58.2 (SD = 13.66) out of 90. Controlling for other factors, literate women had, on average, about 6-point higher PCMC scores than women who were not literate (β = 5.758, p = 0.006). Women whose first antenatal care (ANC) visit was in the second (β = -5.030, p = 0.006) and third trimester (β = -7.288, p = 0.003) had lower PCMC scores than those whose first ANC were in the first trimester. Women who were assisted by an unskilled attendant or an auxiliary nurse/midwife at birth had lower PCMC than those assisted by a nurse, midwife or clinical officer (β = -8.962, p = 0.016). Women who were interviewed by phone (β = -7.535, p = 0.006) had lower PCMC scores than those interviewed in person.<h4>Conclusions</h4>Factors associated with PCMC include literacy, ANC timing and duration, and delivery provider. There is a need to improve PCMC in these settings as part of broader quality improvement activities to improve maternal and neonatal health.Jackline Oluoch-AridiPatience AfulaniCindy MakangaDanice GuzmanLaura Miller-GraffPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257542 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jackline Oluoch-Aridi Patience Afulani Cindy Makanga Danice Guzman Laura Miller-Graff Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
description	<h4>Introduction</h4>Peri-urban settings have high maternal mortality and the quality of care received in different types of health facilities is varied. Yet few studies have explored the construct of person-centered maternity care (PCMC) within peri-urban settings. Understanding women's experience of maternity care in peri-urban settings will allow health facility managers and policy makers to improve services in these settings. This study examines factors associated with PCMC in a peri-urban setting in Kenya.<h4>Methods and materials</h4>We analyzed data from a cross-sectional study with 307 women aged 18-49 years who had delivered a baby within the preceding six weeks. Women were recruited from public (n = 118), private (n = 76), and faith based (n = 113) health facilities. We measured PCMC using the 30-item validated PCMC scale which evaluates women's experiences of dignified and respectful care, supportive care, and communication and autonomy. Factors associated with PCMC were evaluated using multilevel models, with women nested within facilities.<h4>Results</h4>The average PCMC score was 58.2 (SD = 13.66) out of 90. Controlling for other factors, literate women had, on average, about 6-point higher PCMC scores than women who were not literate (β = 5.758, p = 0.006). Women whose first antenatal care (ANC) visit was in the second (β = -5.030, p = 0.006) and third trimester (β = -7.288, p = 0.003) had lower PCMC scores than those whose first ANC were in the first trimester. Women who were assisted by an unskilled attendant or an auxiliary nurse/midwife at birth had lower PCMC than those assisted by a nurse, midwife or clinical officer (β = -8.962, p = 0.016). Women who were interviewed by phone (β = -7.535, p = 0.006) had lower PCMC scores than those interviewed in person.<h4>Conclusions</h4>Factors associated with PCMC include literacy, ANC timing and duration, and delivery provider. There is a need to improve PCMC in these settings as part of broader quality improvement activities to improve maternal and neonatal health.
format	article
author	Jackline Oluoch-Aridi Patience Afulani Cindy Makanga Danice Guzman Laura Miller-Graff
author_facet	Jackline Oluoch-Aridi Patience Afulani Cindy Makanga Danice Guzman Laura Miller-Graff
author_sort	Jackline Oluoch-Aridi
title	Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
title_short	Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
title_full	Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
title_fullStr	Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
title_full_unstemmed	Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.
title_sort	examining person-centered maternity care in a peri-urban setting in embakasi, nairobi, kenya.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/35a4b6e57fad42e3a5cab644517aa9d3
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Examining person-centered maternity care in a peri-urban setting in Embakasi, Nairobi, Kenya.

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