136 lines
4.5 KiB
YAML
136 lines
4.5 KiB
YAML
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abstract: 'Background Effective communication and respect for women''s autonomy are
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critical components of person-centered care. Yet, there is limited
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evidence in low-resource settings on providers'' perceptions of the
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importance and extent of communication and women''s autonomy during
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childbirth. Similarly, few studies have assessed the potential barriers
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to effective communication and maintenance of women''s autonomy during
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childbirth. We sought to bridge these gaps. Methods Data are from a
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mixed-methods study in Migori County in Western Kenya with 49 maternity
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providers (32 clinical and 17 non-clinical). Providers were asked
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structured questions on various aspects of communication and autonomy
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followed by open ended questions on why certain practices were performed
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or not. We conducted descriptive analysis of the quantitative data and
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thematic analysis of the qualitative data. Results Despite acknowledging
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the importance of various aspects of communication and women''s autonomy,
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providers reported incidences of poor communication and lack of respect
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for women''s autonomy: 57\% of respondents reported that providers never
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introduce themselves to women and 38\% reported that women are never
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able to be in the birthing position of their choice. Also, 33\% of
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providers reported that they did not always explain why they are doing
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exams or procedures and 73\% reported that women were not always asked
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for permission before exams or procedures. The reasons for lack of
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communication and autonomy fall under three themes with several
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sub-themes: (1) work environment-perceived lack of time, language
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barriers, stress and burnout, and facility culture; (2) provider
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knowledge, intentions, and assumptions-inadequate provider knowledge and
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skill, forgetfulness and unconscious behaviors, self-protection and
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comfort, and assumptions about women''s knowledge and expectations; and
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(3) women''s ability to demand or command effective communication and
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respect for their autonomy-women''s lack of participation, women''s
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empowerment and provider bias. Conclusions Most providers recognize the
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importance of various aspects of communication and women''s autonomy, but
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they fail to provide it for various reasons. To improve communication
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and autonomy, we need to address the different factors that negatively
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affect providers'' interactions with women.'
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affiliation: 'Afulani, PA (Corresponding Author), Univ Calif San Francisco UCSF, Sch
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Med, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
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Afulani, PA (Corresponding Author), UCSF Inst Global Hlth Sci, San Francisco, CA
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USA.
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Afulani, Patience A.; Cohen, Craig R., Univ Calif San Francisco UCSF, Sch Med, 550
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16th St,3rd Floor, San Francisco, CA 94158 USA.
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Afulani, Patience A.; Buback, Laura; Cohen, Craig R., UCSF Inst Global Hlth Sci,
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San Francisco, CA USA.
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Kelly, Ann Marie, Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA
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19107 USA.
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Kirumbi, Leah, Kenya Govt Med Res Ctr, Nairobi, Kenya.
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Lyndon, Audrey, NYU, Rory Meyers Coll Nursing, New York, NY USA.'
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article-number: '85'
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author: Afulani, Patience A. and Buback, Laura and Kelly, Ann Marie and Kirumbi, Leah
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and Cohen, Craig R. and Lyndon, Audrey
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author-email: Patience.Afulani@ucsf.edu
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author_list:
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- family: Afulani
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given: Patience A.
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- family: Buback
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given: Laura
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- family: Kelly
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given: Ann Marie
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- family: Kirumbi
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given: Leah
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- family: Cohen
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given: Craig R.
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- family: Lyndon
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given: Audrey
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da: '2023-09-28'
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doi: 10.1186/s12978-020-0909-0
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eissn: 1742-4755
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files: []
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journal: REPRODUCTIVE HEALTH
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keywords: 'Communication; Autonomy; Person-centered maternity care; Respectful
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maternity; Quality of care; Person-centered care; Patient-provider
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interactions'
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keywords-plus: KNOW-DO GAP; MATERNITY CARE; LOW-INCOME; QUALITY
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language: English
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month: JUN 3
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number: '1'
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number-of-cited-references: '47'
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orcid-numbers: Lyndon, Audrey/0000-0003-2215-4273
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papis_id: 45fce74471acfebe9ea5993ea60dffa9
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ref: Afulani2020providersperceptions
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researcherid-numbers: 'Lyndon, Audrey/ABD-7493-2021
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Lyndon, Audrey/GLS-0866-2022'
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tags:
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- review
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times-cited: '15'
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title: 'Providers'' perceptions of communication and women''s autonomy during childbirth:
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a mixed methods study in Kenya'
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type: Review
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unique-id: WOS:000540248500001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '3'
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volume: '17'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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