Journal article

Methodological development of tools to measure how women are treated during facility-based childbirth in four countries: labor observation and community survey

Meghan A Bohren, Joshua P Vogel, Bukola Fawole, Ernest T Maya, Thae Maung Maung, Mamadou Dioulde Balde, Agnes A Oyeniran, Modupe Ogunlade, Kwame Adu-Bonsaffoh, Nwe Oo Mon, Boubacar Alpha Diallo, Abou Bangoura, Richard Adanu, Sihem Landoulsi, A Metin Gulmezoglu, Ozge Tuncalp



BACKGROUND: Efforts to improve maternal health are increasingly focused on improving the quality of care provided to women at health facilities, including the promotion of respectful care and eliminating mistreatment of women during childbirth. A WHO-led multi-country research project aims to develop and validate two tools (labor observation and community survey) to measure how women are treated during facility-based childbirth. This paper describes the development process for these measurement tools, and how they were implemented in a multi-country study (Ghana, Guinea, Myanmar and Nigeria). METHODS: An iterative mixed-methods approach was used to develop two measurement tools. Methodologic..

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Funding Acknowledgements

The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Funding for this project was received from the United States Agency for International Development (USAID). Funding for project activities in Guinea was received from a long-term institutional development (LID) grant to Cellule du recherche en la sante de la reproduction (CERREGUI) from the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization.