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    Measuring experiences of facility-based care for pregnant women and newborns: a scoping review

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    Author
    Larson, E; Sharma, J; Nasiri, K; Bohren, MA; Tuncalp, O
    Date
    2020-01-01
    Source Title
    BMJ Global Health
    Publisher
    BMJ PUBLISHING GROUP
    University of Melbourne Author/s
    Bohren, Meghan
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Larson, E., Sharma, J., Nasiri, K., Bohren, M. A. & Tuncalp, O. (2020). Measuring experiences of facility-based care for pregnant women and newborns: a scoping review. BMJ GLOBAL HEALTH, 5 (11), https://doi.org/10.1136/bmjgh-2020-003368.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253057
    DOI
    10.1136/bmjgh-2020-003368
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682195
    Abstract
    BACKGROUND: Access to high-quality, person-centred care during pregnancy and childbirth is a global priority. Positive experience of care is key in particular, because it is both a fundamental right and can influence health outcomes and future healthcare utilisation. Despite its importance for accountability and action, systematic guidance on measuring experience of care is limited. METHODS: We conducted a scoping review of published literature to identify measures/instruments for experience of facility-based pregnancy and childbirth (abortion, antenatal, intrapartum, postnatal and newborn) care. We systematically searched five bibliographic databases from 1 January 2007 through 1 February 2019. Using a predefined evidence template, we extracted data on study design, data collection method, study population and care type as reported in primary quantitative articles. We report results narratively. RESULTS: We retrieved 16 528 unique citations, including 171 eligible articles representing, 157 unique instruments and 144 unique parent instruments across 56 countries. Half of the articles (90/171) did not use a validated instrument. While 82% (n=141) of articles reported on labour and childbirth care, only one reported on early pregnancy/abortion care. The most commonly reported sub-domains of user experience were communication (84%, 132/157) and respect and dignity (71%, 111/157). The primary purpose of most papers was measurement (70%, 119/171), largely through cross-sectional surveys. CONCLUSION: There are alarming gaps in measurement of user experience for abortion, antenatal, postnatal and newborn care, including lack of validated instruments to measure the effects of interventions and policies on user experience. PROTOCOL REGISTRATION DETAILS: This review was registered and published on PROSPERO (CRD42017070867). PROSPERO is an international database of prospectively registered systematic reviews in health and social care.

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