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Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya

OBJECTIVE: To understand perspectives and experiences related to participation in a quality improvement collaborative (QIC) to improve person-centered care (PCC) for maternal health and family planning (FP) in Kenya. DESIGN AND SETTING: Semi-structured qualitative interviews were conducted with memb...

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Autores principales: Giessler, Katie, Seefeld, Avery, Montagu, Dominic, Phillips, Beth, Mwangi, James, Munson, Meghan, Green, Cathy, Opot, James, Golub, Ginger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737155/
https://www.ncbi.nlm.nih.gov/pubmed/33057658
http://dx.doi.org/10.1093/intqhc/mzaa130
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author Giessler, Katie
Seefeld, Avery
Montagu, Dominic
Phillips, Beth
Mwangi, James
Munson, Meghan
Green, Cathy
Opot, James
Golub, Ginger
author_facet Giessler, Katie
Seefeld, Avery
Montagu, Dominic
Phillips, Beth
Mwangi, James
Munson, Meghan
Green, Cathy
Opot, James
Golub, Ginger
author_sort Giessler, Katie
collection PubMed
description OBJECTIVE: To understand perspectives and experiences related to participation in a quality improvement collaborative (QIC) to improve person-centered care (PCC) for maternal health and family planning (FP) in Kenya. DESIGN AND SETTING: Semi-structured qualitative interviews were conducted with members of the QIC in four public health facilities in Kenya. PARTICIPANTS: Clinical and nonclinical public health facility staff who had participated in the QIC were purposively sampled to participate in the semi-structured interviews. INTERVENTION: A QIC was implemented across four public health facilities in Nairobi and Kiambu Counties in Kenya to improve PCC experiences for women seeking maternity or FP services. MAIN OUTCOME MEASURE: Semi-structured interviews with participants of the QIC to understand perspectives and experiences associated with sensitization to and implementation of PCC behaviors in maternity and FP services. RESULTS: Respondents reported that sensitization to PCC principles resulted in multiple perceived benefits for staff and patients alike, including improved interactions with patients and clients, deeper awareness of patient and client preferences, and improved interpersonal skills and greater job satisfaction. Respondents also highlighted system-level challenges that impeded their ability to consistently provide high-quality PCC to women, namely staff shortages and frequent turnover, high patient volumes and lack of space in their respective health facilities. CONCLUSION: Respondents were easily able to articulate perceived benefits derived from participation in this QIC, although they were equally able to identify challenges that hindered their ability to consistently provide high-quality PCC to women seeking maternity or FP services.
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spelling pubmed-77371552020-12-17 Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya Giessler, Katie Seefeld, Avery Montagu, Dominic Phillips, Beth Mwangi, James Munson, Meghan Green, Cathy Opot, James Golub, Ginger Int J Qual Health Care Original Research Article OBJECTIVE: To understand perspectives and experiences related to participation in a quality improvement collaborative (QIC) to improve person-centered care (PCC) for maternal health and family planning (FP) in Kenya. DESIGN AND SETTING: Semi-structured qualitative interviews were conducted with members of the QIC in four public health facilities in Kenya. PARTICIPANTS: Clinical and nonclinical public health facility staff who had participated in the QIC were purposively sampled to participate in the semi-structured interviews. INTERVENTION: A QIC was implemented across four public health facilities in Nairobi and Kiambu Counties in Kenya to improve PCC experiences for women seeking maternity or FP services. MAIN OUTCOME MEASURE: Semi-structured interviews with participants of the QIC to understand perspectives and experiences associated with sensitization to and implementation of PCC behaviors in maternity and FP services. RESULTS: Respondents reported that sensitization to PCC principles resulted in multiple perceived benefits for staff and patients alike, including improved interactions with patients and clients, deeper awareness of patient and client preferences, and improved interpersonal skills and greater job satisfaction. Respondents also highlighted system-level challenges that impeded their ability to consistently provide high-quality PCC to women, namely staff shortages and frequent turnover, high patient volumes and lack of space in their respective health facilities. CONCLUSION: Respondents were easily able to articulate perceived benefits derived from participation in this QIC, although they were equally able to identify challenges that hindered their ability to consistently provide high-quality PCC to women seeking maternity or FP services. Oxford University Press 2020-10-15 /pmc/articles/PMC7737155/ /pubmed/33057658 http://dx.doi.org/10.1093/intqhc/mzaa130 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of International Society for Quality in Health Care. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Article
Giessler, Katie
Seefeld, Avery
Montagu, Dominic
Phillips, Beth
Mwangi, James
Munson, Meghan
Green, Cathy
Opot, James
Golub, Ginger
Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title_full Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title_fullStr Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title_full_unstemmed Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title_short Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
title_sort perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in kenya
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737155/
https://www.ncbi.nlm.nih.gov/pubmed/33057658
http://dx.doi.org/10.1093/intqhc/mzaa130
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