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Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data

BACKGROUND: Research suggests that women’s experience of antenatal care is an important component of high-quality antenatal care. Person-centered antenatal care (PCANC) reflects care that is both respectful of, and responsive to, the preferences, needs, and values of pregnant women. Little is known...

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Autores principales: Miller, Phoebe, Afulani, Patience A., Musange, Sabine, Sayingoza, Felix, Walker, Dilys
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037834/
https://www.ncbi.nlm.nih.gov/pubmed/33838658
http://dx.doi.org/10.1186/s12884-021-03747-z
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author Miller, Phoebe
Afulani, Patience A.
Musange, Sabine
Sayingoza, Felix
Walker, Dilys
author_facet Miller, Phoebe
Afulani, Patience A.
Musange, Sabine
Sayingoza, Felix
Walker, Dilys
author_sort Miller, Phoebe
collection PubMed
description BACKGROUND: Research suggests that women’s experience of antenatal care is an important component of high-quality antenatal care. Person-centered antenatal care (PCANC) reflects care that is both respectful of, and responsive to, the preferences, needs, and values of pregnant women. Little is known in Rwanda about either the extent to which PCANC is practiced or the factors that might determine its use. This is the first study to quantitatively examine the extent of and the factors associated with PCANC in Rwanda. METHODS: We used quantitative data from a randomized control trial in Rwanda. A total of 2150 surveys were collected and analyzed from 36 health centers across five districts. We excluded women who were less than 16 years old, were referred to higher levels of antenatal care or had incomplete survey responses. Both bivariate and multivariate logistic regression analyses were used to test the hypothesis that certain participant characteristics would predict high PCANC. RESULTS: PCANC level was found to be sub-optimal with one third of women leaving antenatal care (ANC) with questions or confused and one fourth feeling disrespected. In bivariate analysis, social support, greater parity, being in the traditional care (control group), and being from Burera district significantly predict high PCANC. Additionally, in the multivariate analysis, being in the traditional care group and the district in which women received care were significantly associated with PCANC. CONCLUSIONS: This quantitative analysis indicates sub-optimal levels of PCANC amongst our study population in Rwanda. We find lower levels of PCANC to be regional and defined by the patient characteristics parity and social support. Given the benefits of PCANC, improvements in PCANC through provider training in Rwanda might promote an institutional culture shift towards a more person-centered model of care.
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spelling pubmed-80378342021-04-12 Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data Miller, Phoebe Afulani, Patience A. Musange, Sabine Sayingoza, Felix Walker, Dilys BMC Pregnancy Childbirth Research Article BACKGROUND: Research suggests that women’s experience of antenatal care is an important component of high-quality antenatal care. Person-centered antenatal care (PCANC) reflects care that is both respectful of, and responsive to, the preferences, needs, and values of pregnant women. Little is known in Rwanda about either the extent to which PCANC is practiced or the factors that might determine its use. This is the first study to quantitatively examine the extent of and the factors associated with PCANC in Rwanda. METHODS: We used quantitative data from a randomized control trial in Rwanda. A total of 2150 surveys were collected and analyzed from 36 health centers across five districts. We excluded women who were less than 16 years old, were referred to higher levels of antenatal care or had incomplete survey responses. Both bivariate and multivariate logistic regression analyses were used to test the hypothesis that certain participant characteristics would predict high PCANC. RESULTS: PCANC level was found to be sub-optimal with one third of women leaving antenatal care (ANC) with questions or confused and one fourth feeling disrespected. In bivariate analysis, social support, greater parity, being in the traditional care (control group), and being from Burera district significantly predict high PCANC. Additionally, in the multivariate analysis, being in the traditional care group and the district in which women received care were significantly associated with PCANC. CONCLUSIONS: This quantitative analysis indicates sub-optimal levels of PCANC amongst our study population in Rwanda. We find lower levels of PCANC to be regional and defined by the patient characteristics parity and social support. Given the benefits of PCANC, improvements in PCANC through provider training in Rwanda might promote an institutional culture shift towards a more person-centered model of care. BioMed Central 2021-04-10 /pmc/articles/PMC8037834/ /pubmed/33838658 http://dx.doi.org/10.1186/s12884-021-03747-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Miller, Phoebe
Afulani, Patience A.
Musange, Sabine
Sayingoza, Felix
Walker, Dilys
Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title_full Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title_fullStr Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title_full_unstemmed Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title_short Person-centered antenatal care and associated factors in Rwanda: a secondary analysis of program data
title_sort person-centered antenatal care and associated factors in rwanda: a secondary analysis of program data
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037834/
https://www.ncbi.nlm.nih.gov/pubmed/33838658
http://dx.doi.org/10.1186/s12884-021-03747-z
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