Understanding disparities in person-centred maternity care: the potential role of provider implicit and explicit bias.

ABSTRACT: Studies in low-resource settings have highlighted disparities in person-centred maternity care (PCMC)-respectful and responsive care during childbirth-based on women's socioeconomic status (SES) and other characteristics. Yet few studies have explored factors that may underlie these disparities. In this study, we examined implicit and explicit SES bias in providers' perceptions of women's expectations and behaviours, as well as providers' general views regarding factors influencing differential treatment of women. We conducted a convergent mixed-methods study with 101 maternity providers in western Kenya. Implicit SES bias was measured using an adaptation of the Implicit Association Test (IAT) and explicit SES bias assessed using situationally specific vignettes. Qualitative data provided

SUBMITTER: Afulani PA 

PROVIDER: S-EPMC8599771 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature