ArticleBMJ global health2021
Respectful care an added extra: a grounded theory study exploring intrapartum experiences in Zambia and Tanzania.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Analysis of Perinatal Care in Zambia in the Context of WHO Recommendations.Healthcare (Basel, Switzerland) · 2026Review
- Experiences of mothers in the context of a staffing intervention in select newborn units in Kenyan public hospitals.International journal of nursing studies · 2025Article
- PANDA e-health system as a tool to increase antenatal contacts and improve perinatal outcomes in Tanzania: adaptation and feasibility study.BMC pregnancy and childbirth · 2025Article
- Protocol for the development of a core outcome set for respectful maternal and newborn care in a low-middle income setting.PloS one · 2025Article
- Cross sectional survey of maternal and newborn quality of care in Niger: Selected findings, lessons learned and recommendations.PLOS global public health · 2024Article
- Supply-side factors influencing demand for facility-based delivery in Tanzania: a multilevel analysis.Health economics review · 2023Article
- Quality intrapartum care expectations and experiences of women in sub-Saharan African Low and Low Middle-Income Countries: a qualitative meta-synthesis.BMC pregnancy and childbirth · 2023Review
- Promoting respectful maternal and newborn care using the Dignity game: A quasi-experimental study.Nurse education in practice · 2023Article
- Antibiotic use in children under 5 years of age in Northern Tanzania: a qualitative study exploring the experiences of the caring mothers.Antimicrobial resistance and infection control · 2022Article
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Authors and funding
12 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality of maternal and newborn care is integral to positive clinical, social and psychological outcomes. Respectful care is an important component of this but is suboptimum in many low-income settings. A renewed energy among health professionals and academics is driving an international agenda to eradicate disrespectful health facility care around the globe. However, few studies have explored respectful care from different vantage points.
methodsWe used Strauss and Corbin's grounded theory methodology to explore intrapartum experiences in Tanzania and Zambia. In-depth interviews were conducted with 98 participants (48 women, 18 partners, 21 health-providers and 11 key stakeholders), resulting in data saturation. Analysis involved constant comparison, comprising three stages of coding: open, axial and selective. The process involved application of memos, reflexivity and positionality.
resultsFindings demonstrated that direct and indirect
conclusionBoth quality of care and respectful care were valued but were not viewed as mutually inclusive. Good quality treatment (transactional care) was often juxtaposed with disrespectful care; with relational care having a lower status among women and healthcare providers. To readdress the balance, respectful care should be a predominant theme in training programmes, policies and audits. Women's and health-provider voices are pivotal to the development of such interventions.
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