CLEVER maternity care : a before-and-after study of women's experience of childbirth in Tshwane, South Africa

dc.contributor.authorOosthuizen, Sarie J.
dc.contributor.authorBergh, Anne-Marie
dc.contributor.authorGrimbeek, Jackie
dc.contributor.authorPattinson, Robert Clive
dc.date.accessioned2021-02-12T14:03:48Z
dc.date.available2021-02-12T14:03:48Z
dc.date.issued2020-10
dc.description.abstractBACKGROUND: Birthing care matters to women and some women experience mistreatment during childbirth. AIM: To determine the effect the ‘CLEVER Maternity Care’ package, a multi-faceted intervention to improve respectful, quality obstetric care. SETTING: Ten midwife-led obstetric units in Tshwane health district, South Africa; five intervention and five control units. METHODS: We conducted an anonymous baseline and end-line survey to measure the change in women’s perceptions and experiences of childbirth care after the implementation of the CLEVER package. A convenience sample of women returning for a postnatal follow-up visit was obtained at baseline (n = 653) and after implementation of CLEVER (n = 679). RESULTS: Six survey items were selected as proxies for respectful clinical care. There was no significant change in proportions of responses regarding one question, and with regard to patients receiving attention within 15 min of arrival, both the intervention and control group units showed a significant increase in positive responses (odds ratios of 8.4 and 6.1, respectively, and p values of 0.0001 and 0.0007). For the remaining four items (asking permission before doing an examination, positive communication, respectful treatment and overall satisfaction), only the intervention group showed a significant positive change (odds ratios ranging from 2.4 to 4.3; p ≤ 0.0018), with no significant change for the control group (odds ratios between 1.0 and 1.8; p ≥ 0.0736). CONCLUSION: After the implementation of CLEVER Maternity Care, women reported a more positive experience of childbirth. The CLEVER intervention is a potential strategy for addressing respectful, quality obstetric care that warrants further investigation.en_ZA
dc.description.departmentFamily Medicineen_ZA
dc.description.departmentObstetrics and Gynaecologyen_ZA
dc.description.librarianpm2021en_ZA
dc.description.sponsorshipSouth African National Department of Health; South African Medical Research Council Unit for Maternal and Infant Health Care Strategies; Department of Family Medicine, University of Pretoria.en_ZA
dc.description.urihttp://www.phcfm.orgen_ZA
dc.identifier.citationOosthuizen SJ, Bergh A-M, Grimbeek J, Pattinson RC. CLEVER maternity care: a before-and-after study of women’s experience of childbirth in Tshwane, South Africa. African Journal of Primary Health Care and Family Medicine 2020;12(1), a2560. https://doi.org/10.4102/phcfm.v12i1.2560.en_ZA
dc.identifier.issn2071-2928 (print)
dc.identifier.issn2071-2936 (online)
dc.identifier.other10.4102/phcfm.v12i1.2560
dc.identifier.urihttp://hdl.handle.net/2263/78546
dc.language.isoenen_ZA
dc.publisherAOSISen_ZA
dc.rights© 2020. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.en_ZA
dc.subjectRespectful maternal careen_ZA
dc.subjectObstetric careen_ZA
dc.subjectChildbirthen_ZA
dc.subjectQuality improvementen_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleCLEVER maternity care : a before-and-after study of women's experience of childbirth in Tshwane, South Africaen_ZA
dc.typeArticleen_ZA

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Oosthuizen_CLEVER_2020.pdf
Size:
734.69 KB
Format:
Adobe Portable Document Format
Description:
Article

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.75 KB
Format:
Item-specific license agreed upon to submission
Description: