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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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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. |
format | Online Article Text |
id | pubmed-7737155 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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