225 lines
7.3 KiB
YAML
225 lines
7.3 KiB
YAML
abstract: 'BackgroundQuality maternal and newborn care is essential for improving
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the health of mothers and babies. Low- and middle-income countries, such
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as Papua New Guinea (PNG), face many barriers to achieving quality care
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for all. Efforts to improve the quality of maternal and newborn care
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must involve community in the design, implementation, and evaluation of
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initiatives to ensure that interventions are appropriate and relevant
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for the target community. We aimed to describe community members''
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perspectives and experiences of maternal and newborn care, and their
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ideas for improvement in one province, East New Britain, in
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PNG.MethodsWe undertook a qualitative descriptive study in partnership
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with and alongside five local health facilities, health care workers and
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community members, using a Partnership Defined Quality Approach. We
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conducted ten focus group discussions with 68 community members
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(identified through church, market and other community-based groups) in
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East New Britain PNG to explore perspectives and experiences of maternal
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and newborn care, identify enablers and barriers to quality care and
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interventions to improve care. Discussions were transcribed verbatim. A
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mixed inductive and deductive analysis was conducted including
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application of the World Health Organisation (WHO) Quality Maternal and
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Newborn Care framework.ResultsUsing the WHO framework, we present the
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findings in accordance with the five experience of care domains. We
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found that the community reported multiple challenges in accessing care
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and facilities were described as under-staffed and under resourced.
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Community members emphasised the importance of good communication and
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competent, caring and respectful healthcare workers. Both women and men
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expressed a strong desire for companionship during labor and birth.
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Several changes were suggested by the community that could immediately
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improve the quality of care.ConclusionsCommunity perspectives and
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experiences are critical for informing effective and sustainable
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interventions to improve the quality of maternal and newborn care and
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increasing facility-based births in PNG. A greater understanding of the
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care experience as a key component of quality care is needed and any
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quality improvement initiatives must include the user experience as a
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key outcome measure.
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Plain English summaryImproving the care provided to, and experienced by,
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women and their families during pregnancy and childbirth is important
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for improving the health of mothers and babies. Community members should
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be involved in thinking about appropriate ways to improve care. Papua
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New Guinea (PNG) is a country in the Pacific which faces multiple
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challenges to improving care during pregnancy and birth. We aimed to
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understand what community members think about care provided and
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experienced during labour and birth in East New Britain, a rural
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province of PNG. We worked with five health facilities, health workers
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and community members in East New Britain to develop a qualitative
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research project. We carried out 10 focus group discussions with
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community members in East New Britain to understand what the provision
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and experience of care was like during labour and birth, and ways that
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it could be improved. We found that community members identified
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multiple challenges in getting to facilities and many facilities were
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found to have not enough supplies, equipment, or staff. Community
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members wanted staff that were good at their work but also caring and
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respectful. Women wanted to have support people present during labour
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and birth and many men wanted to be present too. Our results show that
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it is important to understand what the community thinks about the
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quality of care during labour and birth and this information is helpful
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to design effective activities to improve the care provided and
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experienced.'
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affiliation: 'Wilson, AN (Corresponding Author), Burnet Inst, Maternal Child \& Adolescent
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Hlth Program, Melbourne, Australia.
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Wilson, AN (Corresponding Author), Univ Melbourne, Nossal Inst Global Hlth, Sch
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Populat \& Global Hlth, Melbourne, Australia.
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Wilson, Alyce N.; Melepia, Pele; Suruka, Rose; Hezeri, Priscah; Kabiu, Dukduk; Vogel,
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Joshua P.; Beeson, James; Scoullar, Michelle J. L.; Kennedy, Elissa; Homer, Caroline
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S. E., Burnet Inst, Maternal Child \& Adolescent Hlth Program, Melbourne, Australia.
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Wilson, Alyce N., Univ Melbourne, Nossal Inst Global Hlth, Sch Populat \& Global
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Hlth, Melbourne, Australia.
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Melepia, Pele; Suruka, Rose; Hezeri, Priscah; Kabiu, Dukduk, Burnet Inst, Hlth Mothers,
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Hlth Babies, Kokopo, Papua N Guinea.
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Babona, Delly, St Marys Hosp, Kokopo, Papua N Guinea.
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Wapi, Pinip, Nonga Gen Hosp, Rabaul, Papua N Guinea.
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Morgan, Alison, World Bank, Global Financing Facil, Washington, DC USA.
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Beeson, James; Scoullar, Michelle J. L., Univ Melbourne, Dept Med, Melbourne, Australia.
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Morgan, Christopher, Johns Hopkins Univ, Immunizat Program, JHPIEGO, Baltimore,
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MD USA.
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Kelly-Hanku, Angela; Nosi, Somu; Vallely, Lisa M., Papua New Guinea Inst Med Res,
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Goroka, Papua N Guinea.
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Kelly-Hanku, Angela; Vallely, Lisa M., Univ New South Wales, Kirby Inst, Kensington,
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Australia.
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Bohren, Meghan A., Univ Melbourne, Ctr Hlth Equity, Sch Populat \& Global Hlth,
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Gender \& Womens Hlth Unit, Melbourne, Australia.'
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article-number: '780'
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author: Wilson, Alyce N. and Melepia, Pele and Suruka, Rose and Hezeri, Priscah and
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Kabiu, Dukduk and Babona, Delly and Wapi, Pinip and Morgan, Alison and Vogel, Joshua
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P. and Beeson, James and Morgan, Christopher and Kelly-Hanku, Angela and Scoullar,
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Michelle J. L. and Nosi, Somu and Vallely, Lisa M. and Kennedy, Elissa and Bohren,
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Meghan A. and Homer, Caroline S. E.
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author-email: alyce.wilson@burnet.edu.au
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author_list:
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- family: Wilson
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given: Alyce N.
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- family: Melepia
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given: Pele
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- family: Suruka
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given: Rose
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- family: Hezeri
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given: Priscah
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- family: Kabiu
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given: Dukduk
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- family: Babona
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given: Delly
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- family: Wapi
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given: Pinip
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- family: Morgan
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given: Alison
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- family: Vogel
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given: Joshua P.
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- family: Beeson
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given: James
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- family: Morgan
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given: Christopher
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- family: Kelly-Hanku
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given: Angela
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- family: Scoullar
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given: Michelle J. L.
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- family: Nosi
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given: Somu
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- family: Vallely
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given: Lisa M.
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- family: Kennedy
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given: Elissa
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- family: Bohren
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given: Meghan A.
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- family: Homer
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given: Caroline S. E.
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da: '2023-09-28'
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doi: 10.1186/s12913-023-09723-x
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: 'Quality Care; Maternal and Newborn Health; Papua New Guinea; Quality
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Improvement; Community'
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keywords-plus: 'CHILDBIRTH; HEALTH; PERCEPTIONS; WOMEN; MORTALITY; PATIENT; DEATHS;
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ACCESS'
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language: English
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month: JUL 20
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number: '1'
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number-of-cited-references: '83'
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orcid-numbers: 'Vogel, Joshua/0000-0002-3214-7096
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Beeson, James/0000-0002-1018-7898'
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papis_id: fc0b8ca5fc4d2be48689f6dbb90b0c87
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ref: Wilson2023communityperspective
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researcherid-numbers: 'Vogel, Joshua/K-7649-2019
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'
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times-cited: '0'
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title: Community perspectives and experiences of quality maternal and newborn care
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in East New Britain, Papua New Guinea
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type: Article
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unique-id: WOS:001032984300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '23'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2023'
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