wow-inequalities/02-data/intermediate/wos_sample/4f8c37949506f169a42604886d3250af-afulani-patience-a./info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Effective communication and respect for women''s autonomy are
critical components of person-centered care. Yet, there is limited
evidence in low-resource settings on providers'' perceptions of the
importance and extent of communication and women''s autonomy during
childbirth. Similarly, few studies have assessed the potential barriers
to effective communication and maintenance of women''s autonomy during
childbirth. We sought to bridge these gaps. Methods Data are from a
mixed-methods study in Migori County in Western Kenya with 49 maternity
providers (32 clinical and 17 non-clinical). Providers were asked
structured questions on various aspects of communication and autonomy
followed by open ended questions on why certain practices were performed
or not. We conducted descriptive analysis of the quantitative data and
thematic analysis of the qualitative data. Results Despite acknowledging
the importance of various aspects of communication and women''s autonomy,
providers reported incidences of poor communication and lack of respect
for women''s autonomy: 57\% of respondents reported that providers never
introduce themselves to women and 38\% reported that women are never
able to be in the birthing position of their choice. Also, 33\% of
providers reported that they did not always explain why they are doing
exams or procedures and 73\% reported that women were not always asked
for permission before exams or procedures. The reasons for lack of
communication and autonomy fall under three themes with several
sub-themes: (1) work environment-perceived lack of time, language
barriers, stress and burnout, and facility culture; (2) provider
knowledge, intentions, and assumptions-inadequate provider knowledge and
skill, forgetfulness and unconscious behaviors, self-protection and
comfort, and assumptions about women''s knowledge and expectations; and
(3) women''s ability to demand or command effective communication and
respect for their autonomy-women''s lack of participation, women''s
empowerment and provider bias. Conclusions Most providers recognize the
importance of various aspects of communication and women''s autonomy, but
they fail to provide it for various reasons. To improve communication
and autonomy, we need to address the different factors that negatively
affect providers'' interactions with women.'
affiliation: 'Afulani, PA (Corresponding Author), Univ Calif San Francisco UCSF, Sch
Med, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
Afulani, PA (Corresponding Author), UCSF Inst Global Hlth Sci, San Francisco, CA
USA.
Afulani, Patience A.; Cohen, Craig R., Univ Calif San Francisco UCSF, Sch Med, 550
16th St,3rd Floor, San Francisco, CA 94158 USA.
Afulani, Patience A.; Buback, Laura; Cohen, Craig R., UCSF Inst Global Hlth Sci,
San Francisco, CA USA.
Kelly, Ann Marie, Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA
19107 USA.
Kirumbi, Leah, Kenya Govt Med Res Ctr, Nairobi, Kenya.
Lyndon, Audrey, NYU, Rory Meyers Coll Nursing, New York, NY USA.'
article-number: '85'
author: Afulani, Patience A. and Buback, Laura and Kelly, Ann Marie and Kirumbi, Leah
and Cohen, Craig R. and Lyndon, Audrey
author-email: Patience.Afulani@ucsf.edu
author_list:
- family: Afulani
given: Patience A.
- family: Buback
given: Laura
- family: Kelly
given: Ann Marie
- family: Kirumbi
given: Leah
- family: Cohen
given: Craig R.
- family: Lyndon
given: Audrey
da: '2023-09-28'
doi: 10.1186/s12978-020-0909-0
eissn: 1742-4755
files: []
journal: REPRODUCTIVE HEALTH
keywords: 'Communication; Autonomy; Person-centered maternity care; Respectful
maternity; Quality of care; Person-centered care; Patient-provider
interactions'
keywords-plus: KNOW-DO GAP; MATERNITY CARE; LOW-INCOME; QUALITY
language: English
month: JUN 3
number: '1'
number-of-cited-references: '47'
orcid-numbers: Lyndon, Audrey/0000-0003-2215-4273
papis_id: 45fce74471acfebe9ea5993ea60dffa9
ref: Afulani2020providersperceptions
researcherid-numbers: 'Lyndon, Audrey/ABD-7493-2021
Lyndon, Audrey/GLS-0866-2022'
tags:
- review
times-cited: '15'
title: 'Providers'' perceptions of communication and women''s autonomy during childbirth:
a mixed methods study in Kenya'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000540248500001
usage-count-last-180-days: '1'
usage-count-since-2013: '3'
volume: '17'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2020'