Variation in competent and respectful delivery care in Kenya and Malawi: a retrospective analysis of national facility surveys.

ABSTRACT:

Objective

Although substantial progress has been made in increasing access to care during childbirth, reductions in maternal and neonatal mortality have been slower. Poor-quality care may be to blame. In this study, we measure the quality of labour and delivery services in Kenya and Malawi using data from observations of deliveries and explore factors associated with levels of competent and respectful care.

Methods

We used data from nationally representative health facility assessment surveys. A total of 1100 deliveries in 392 facilities across Kenya and Malawi were observed and quality was assessed using two indices: the quality of the process of intrapartum and immediate postpartum care (QoPIIPC) index and a previously validated index of respectful maternity care. Data fro

SUBMITTER: Arsenault C 

PROVIDER: S-EPMC7217001 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature