Odiase Osamuedeme, Akinyi Beryl, Kinyua Joyceline, Afulani Patience
Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, United States.
Global Programs for Research and Training, Nairobi, Kenya.
Front Glob Womens Health. 2021 Oct 8;2:668405. doi: 10.3389/fgwh.2021.668405. eCollection 2021.
Community perceptions of quality of maternal healthcare services-including Person-centered maternity care (PCMC)-influences the health-seeking behavior of women. Yet few studies have examined this quantitatively. This study aims to examine community perceptions of PCMC and its associated factors. We used data from a survey on community perceptions of PCMC in Migori County, Kenya conducted in August 2016. Community members were relatives or friends of women aged 15 to 49 years who gave birth in the 9 wk preceding the survey ( = 198). PCMC was measured using a 30-item scale with three sub-scales for dignity and respect, communication and autonomy, and supportive care. PCMC scores were standardized to range from 0 to 100, with higher scores indicative of higher PCMC. Descriptive, bivariate, and multivariate analyses were performed in STATA (version 14). The average total PCMC score was 62 ( = 15.7), with scores of 74, 63, and 53 for dignity and respect, supportive care, and communication and autonomy, respectively. Controlling for other factors, respondents who were employed and literate had higher PCMC perception scores than those who were less literate and unemployed. Respondents who rated their health as very good had higher PCMC perception scores than those who rated their health as poor. Female respondents who previously gave birth at a health facility had lower perceptions of dignity and respect than those with no prior facility birth. The findings imply that community perceptions of PCMC, particularly related to communication and autonomy, are poor. Given the effects of these perceptions on use of maternal health services, there is a need to improve PCMC.
社区对孕产妇保健服务质量的认知,包括以人本位的孕产妇保健(PCMC),会影响女性的就医行为。然而,很少有研究对此进行定量分析。本研究旨在调查社区对PCMC的认知及其相关因素。我们使用了2016年8月在肯尼亚米戈里县进行的一项关于社区对PCMC认知的调查数据。社区成员是在调查前9周内分娩的15至49岁女性的亲属或朋友(n = 198)。PCMC使用一个包含30个条目的量表进行测量,该量表有尊严与尊重、沟通与自主权以及支持性护理三个子量表。PCMC得分标准化后范围为0至100,得分越高表明PCMC水平越高。在STATA(版本14)中进行了描述性、双变量和多变量分析。PCMC的平均总得分是62(标准差 = 15.7),尊严与尊重、支持性护理以及沟通与自主权的得分分别为74、63和53。在控制其他因素后,有工作且识字的受访者对PCMC的认知得分高于识字较少和失业的受访者。将自己的健康状况评为非常好的受访者对PCMC的认知得分高于将自己的健康状况评为差的受访者。之前在医疗机构分娩的女性受访者对尊严与尊重的认知低于没有在医疗机构分娩经历的女性。研究结果表明,社区对PCMC的认知,尤其是与沟通和自主权相关的认知较差。鉴于这些认知对孕产妇保健服务利用的影响,有必要改善PCMC。