Obstetrics and Gynaecology Wards- 07 and 08, Castle Street Hospital for Women, Colombo, Sri Lanka.
Faculty of Medicine and Allied Sciences, Department of Community Medicine, Rajarata University of Sri Lanka, Mihintale, Sri Lanka.
PLoS One. 2021 May 5;16(5):e0250920. doi: 10.1371/journal.pone.0250920. eCollection 2021.
Over the past few decades, interest in providing and measuring Respectful Maternity Care (RMC) has increased markedly. Sri Lanka is reportedly shown to have better maternal health statistics and studies on quality improvement are lacking in this unique population. We aim to describe healthcare providers' perceptions and women's expectations, perceptions and their gaps in service provision regarding RMC in Sri Lanka.
A descriptive cross-sectional study with a mixed-methods approach comprising of qualitative component followed by a quantitative component will be conducted in Castle Street Hospital for Women (CSHW) and De Soysa Hospital for Women (DSHW), Colombo, Sri Lanka. Healthcare providers (HCP- doctors, nurses and midwives) and vaginally delivered postnatal women (in postnatal wards and postnatal well-baby clinics) will be recruited through convenience sampling. In-depth interviews will be conducted with each of the four categories. Thematic analysis will be adopted to analyze qualitative data and the findings will further be used to improve the quantitative phase questionnaires. Self-administered questionnaire will be administered to a 378 vaginally delivered postnatal women [quota sampling across ten wards], exploring demographic details, and maternal opinion on various aspects of RMC. Locally validated Women's Perceptions of RMC tool (WP-RMC) will also be used to measure the level of RMC among these postnatal women along with the questionnaire 01. Qualitative findings will be used for cognitive validation of the WP-RMC into the Sri Lankan setting.
This study will explore HCP's and women's expectations, perceptions and their gaps in service provision regarding RMC in two maternity hospitals in Sri Lanka. Assessment of the quality of care with regards to RMC have not been reported previously in this setting.
在过去的几十年中，人们对提供和衡量尊重产妇护理（RMC）的兴趣显著增加。据报道，斯里兰卡的产妇健康统计数据较好，但在这一独特人群中，缺乏关于质量改进的研究。我们旨在描述斯里兰卡医疗保健提供者对 RMC 的看法以及妇女对 RMC 的期望、看法及其服务提供方面的差距。
一项描述性的横断面研究，采用混合方法，包括定性部分和定量部分，将在斯里兰卡科伦坡的城堡街妇女医院（CSHW）和德索萨妇女医院（DSHW）进行。医疗保健提供者（HCP-医生、护士和助产士）和阴道分娩的产后妇女（在产后病房和产后婴儿诊所）将通过便利抽样招募。将对每四个类别中的每一个类别进行深入访谈。将采用主题分析来分析定性数据，研究结果将进一步用于改进定量阶段的问卷。将对 378 名阴道分娩的产后妇女进行自我管理问卷（在十个病房中按配额抽样），以探讨人口统计细节以及产妇对 RMC 各个方面的意见。还将使用经过当地验证的妇女对 RMC 的看法工具（WP-RMC）来衡量这些产后妇女的 RMC 水平，以及问卷 01。定性研究结果将用于 WP-RMC 在斯里兰卡背景下的认知验证。
这项研究将探讨斯里兰卡两家妇产医院的医疗保健提供者和妇女对 RMC 的期望、看法及其服务提供方面的差距。在这种情况下，尚未报道过关于 RMC 的护理质量评估。
