IDEAS home Printed from https://ideas.repec.org/a/plo/pgph00/0001134.html
   My bibliography  Save this article

A scoping review of the impact of organisational factors on providers and related interventions in LMICs: Implications for respectful maternity care

Author

Listed:
  • Bhavya Reddy
  • Sophia Thomas
  • Baneen Karachiwala
  • Ravi Sadhu
  • Aditi Iyer
  • Gita Sen
  • Hedieh Mehrtash
  • Özge Tunçalp

Abstract

We have limited understanding of the organisational issues at the health facility-level that impact providers and care as it relates to mistreatment in childbirth, especially in low- and middle-income countries (LMICs). By extension, it is not clear what types of facility-level organisational changes or changes in working environments in LMICs could support and enable respectful maternity care (RMC). While there has been relatively more attention to health system pressures related to shortages of staff and other resources as key barriers, other organisational challenges may be less explored in the context of RMC. This scoping review aims to consolidate evidence to address these gaps. We searched literature published in English between 2000–2021 within Scopus, PubMed, Google Scholar and ScienceDirect databases. Study selection was two-fold. Maternal health articles articulating an organisational issue at the facility- level and impact on providers and/or care in an LMIC setting were included. We also searched for literature on interventions but due to the limited number of related intervention studies in maternity care specifically, we expanded intervention study criteria to include all medical disciplines. Organisational issues captured from the non-intervention, maternal health studies, and solutions offered by intervention studies across disciplines were organised thematically and to establish linkages between problems and solutions. Of 5677 hits, 54 articles were included: 41 non-intervention maternal healthcare studies and 13 intervention studies across all medical disciplines. Key organisational challenges relate to high workload, unbalanced division of work, lack of professional autonomy, low pay, inadequate training, poor feedback and supervision, and workplace violence, and these were differentially influenced by resource shortages. Interventions that respond to these challenges focus on leadership, supportive supervision, peer support, mitigating workplace violence, and planning for shortages. While many of these issues were worsened by resource shortages, medical and professional hierarchies also strongly underpinned a number of organisational problems. Frontline providers, particularly midwives and nurses, suffer disproportionately and need greater attention. Transforming institutional leadership and approaches to supervision may be particularly useful to tackle existing power hierarchies that could in turn support a culture of respectful care.

Suggested Citation

  • Bhavya Reddy & Sophia Thomas & Baneen Karachiwala & Ravi Sadhu & Aditi Iyer & Gita Sen & Hedieh Mehrtash & Özge Tunçalp, 2022. "A scoping review of the impact of organisational factors on providers and related interventions in LMICs: Implications for respectful maternity care," PLOS Global Public Health, Public Library of Science, vol. 2(10), pages 1-29, October.
  • Handle: RePEc:plo:pgph00:0001134
    DOI: 10.1371/journal.pgph.0001134
    as

    Download full text from publisher

    File URL: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001134
    Download Restriction: no

    File URL: https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001134&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pgph.0001134?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sarkar, Nandini D.P. & Bunders-Aelen, Joske & Criel, Bart, 2018. "The complex challenge of providing patient-centred perinatal healthcare in rural Uganda: A qualitative enquiry," Social Science & Medicine, Elsevier, vol. 205(C), pages 82-89.
    2. McKnight, Jacob & Nzinga, Jacinta & Jepkosgei, Joyline & English, Mike, 2020. "Collective strategies to cope with work related stress among nurses in resource constrained settings: An ethnography of neonatal nursing in Kenya," Social Science & Medicine, Elsevier, vol. 245(C).
    3. Winter, Vera & Schreyögg, Jonas & Thiel, Andrea, 2020. "Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction," Health Policy, Elsevier, vol. 124(4), pages 380-388.
    4. Alex Filby & Fran McConville & Anayda Portela, 2016. "What Prevents Quality Midwifery Care? A Systematic Mapping of Barriers in Low and Middle Income Countries from the Provider Perspective," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-20, May.
    5. Meghan A Bohren & Joshua P Vogel & Erin C Hunter & Olha Lutsiv & Suprita K Makh & João Paulo Souza & Carolina Aguiar & Fernando Saraiva Coneglian & Alex Luíz Araújo Diniz & Özge Tunçalp & Dena Javadi , 2015. "The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review," PLOS Medicine, Public Library of Science, vol. 12(6), pages 1-32, June.
    6. repec:plo:pmed00:1002341 is not listed on IDEAS
    7. Turan, Janet Molzan & Bulut, Aysen & Nalbant, Hacer & OrtaylI, Nuriye & Erbaydar, Tugrul, 2006. "Challenges for the adoption of evidence-based maternity care in Turkey," Social Science & Medicine, Elsevier, vol. 62(9), pages 2196-2204, May.
    8. Pitchforth, Emma & Lilford, Richard J. & Kebede, Yigzaw & Asres, Getahun & Stanford, Charlotte & Frost, Jodie, 2010. "Assessing and understanding quality of care in a labour ward: A pilot study combining clinical and social science perspectives in Gondar, Ethiopia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1739-1748, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rena Bakker & Ephrem D Sheferaw & Jelle Stekelenburg & Tegbar Yigzaw & Marlou L A de Kroon, 2020. "Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-15, January.
    2. Rena Bakker & Ephrem D. Sheferaw & Tegbar Yigzaw & Jelle Stekelenburg & Marlou L. A. de Kroon, 2020. "Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students," IJERPH, MDPI, vol. 17(8), pages 1-9, April.
    3. Arnold, Rachel & van Teijlingen, Edwin & Ryan, Kath & Holloway, Immy, 2018. "Parallel worlds: An ethnography of care in an Afghan maternity hospital," Social Science & Medicine, Elsevier, vol. 216(C), pages 33-40.
    4. Gili Hrusa & Mark Spigt & Tariku Dejene & Solomon Shiferaw, 2020. "Quality of Family Planning Counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018)," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-18, February.
    5. Narayani Paudel Ghimire & Sunil Kumar Joshi & Pranab Dahal & Katarina Swahnberg, 2021. "Women’s Experience of Disrespect and Abuse during Institutional Delivery in Biratnagar, Nepal," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    6. Katarina Swahnberg & Anke Zbikowski & Kumudu Wijewardene & Agneta Josephson & Prembarsha Khadka & Dinesh Jeyakumaran & Udari Mambulage & Jennifer J. Infanti, 2019. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    7. Emanuelle Pessa Valente & Ilaria Mariani & Benedetta Covi & Marzia Lazzerini, 2022. "Quality of Informed Consent Practices around the Time of Childbirth: A Cross-Sectional Study in Italy," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    8. Kölling, Arnd, 2023. "Does skill shortage pay off for nursing staff in Germany? Wage premiums for hiring problems, industrial relations, and profitability," MPRA Paper 116205, University Library of Munich, Germany.
    9. Baji, Petra & Rubashkin, Nicholas & Szebik, Imre & Stoll, Kathrin & Vedam, Saraswathi, 2017. "Informal cash payments for birth in Hungary: Are women paying to secure a known provider, respect, or quality of care?," Social Science & Medicine, Elsevier, vol. 189(C), pages 86-95.
    10. Manuela Bombana & Michel Wensing & Lisa Wittenborn & Charlotte Ullrich, 2022. "Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany," IJERPH, MDPI, vol. 19(18), pages 1-18, September.
    11. O'Brien, Cheryl & Newport, Morgan, 2023. "Prioritizing women's choices, consent, and bodily autonomy: From a continuum of violence to women-centric reproductive care," Social Science & Medicine, Elsevier, vol. 333(C).
    12. Dinusha Perera & Muzrif Munas & Katarina Swahnberg & Kumudu Wijewardene & Jennifer J. Infanti & on behalf of the ADVANCE Study Group, 2022. "Obstetric Violence Is Prevalent in Routine Maternity Care: A Cross-Sectional Study of Obstetric Violence and Its Associated Factors among Pregnant Women in Sri Lanka’s Colombo District," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    13. Torrisi, Orsola & Svallfors, Signe & Gargiulo, Maria, 2024. "Obstetric violence in the context of community violence: The case of Mexico," Social Science & Medicine, Elsevier, vol. 360(C).
    14. Vestering, Asra & de Kok, Bregje C. & Browne, Joyce L. & Adu-Bonsaffoh, Kwame, 2021. "Navigating with logics: Care for women with hypertensive disorders of pregnancy in a tertiary hospital in Ghana," Social Science & Medicine, Elsevier, vol. 289(C).
    15. Perge,Emilie Bernadette & Llopis Abella,Jimena & Fruttero,Anna, 2023. "Structural and Behavioral Barriers to Improving Development Outcomes : The Case ofMaternal Care in Haiti," Policy Research Working Paper Series 10421, The World Bank.
    16. Catarina Barata, 2022. "“Mix of Races, Bad Uterus”: Obstetric Violence in the Experiences of Afro-Brazilian Migrants in Portugal," Societies, MDPI, vol. 12(3), pages 1-15, May.
    17. Smit, Anri & Coetzee, Bronwynè Jo’sean & Roomaney, Rizwana & Bradshaw, Melissa & Swartz, Leslie, 2019. "Women's stories of living with breast cancer: A systematic review and meta-synthesis of qualitative evidence," Social Science & Medicine, Elsevier, vol. 222(C), pages 231-245.
    18. Lange, Isabelle L. & Kanhonou, Lydie & Goufodji, Sourou & Ronsmans, Carine & Filippi, Véronique, 2016. "The costs of ‘free’: Experiences of facility-based childbirth after Benin's caesarean section exemption policy," Social Science & Medicine, Elsevier, vol. 168(C), pages 53-62.
    19. Zhao, Yingxi & Nzekwu, Stephanie & Boga, Mwanamvua & Mbuthia, Daniel & Nzinga, Jacinta & English, Mike & Molyneux, Sassy & McGivern, Gerry, 2024. "Examining liminality in professional practice, relational identities, and career prospects in resource-constrained health systems: Findings from an empirical study of medical and nurse interns in Keny," Social Science & Medicine, Elsevier, vol. 357(C).
    20. Soo Downe & Rebecca Nowland & Andrew Clegg & Naseerah Akooji & Cath Harris & Alan Farrier & Lisa Tanyaradzwa Gondo & Kenny Finlayson & Gill Thomson & Carol Kingdon & Hedieh Mehrtash & Rebekah McCrimmo, 2023. "Theories for interventions to reduce physical and verbal abuse: A mixed methods review of the health and social care literature to inform future maternity care," PLOS Global Public Health, Public Library of Science, vol. 3(4), pages 1-49, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pgph00:0001134. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: globalpubhealth (email available below). General contact details of provider: https://journals.plos.org/globalpublichealth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.