Table 1 Provider/Facility level interventions
From: Exploring provider perspectives on respectful maternity care in Kenya: “Work with what you have”
Goal: To promote Respectful Maternity Care | ||||||
|---|---|---|---|---|---|---|
Expected out comes; Reduce incidents of D & A; improve provers attitude and work environment | ||||||
Intervention areas | Priority focus on forms of D&A | Proportion or number of participants reacheda | Duration | Periodicity during the intervention | Indicator/measurements (baseline and endline results) | |
b. | Training of providers on strategies that improve provider attitude -Training of providers using value clarifications and attitude transformation change approach (VCAT) | All forms of D&A | 90% (n = 132) managers trained on RMC across all project sites 62% (n = 146) providers trained in project 13 sites ranging from 7 to 45 of providers in maternity units | 2 days 3 days | One provider and one manager workshop per county Quarterly - Two to three on site mentorship sessions per sites | -% of providers who report improved attitude as a result of the intervention |
c. | Psycho-social support for health care providers -Providing groups and individual counselling session for providers -establish psycho-social support structures between facilities and communities | All forms of D&A | 49% (n = 113) providers (8–12 per site) 77% (n = 10) facilities with functional referral mechanisms for psycho-social support structures in project sites | 45 min- 1 h | Quarterly | -% of facilities that have continuous counselling sessions for providers |
d. | Maternity Open Days | All forms of D&A | 100–300 persons (depends on facility size and location) | 24 (total) for 1 day All study sites conducted at least one session Ranged from 1 to 4 session per facility and reached | Quarterly | -% of facilities that conduct maternity open days at least once every quarter - % of provider reporting improved client provider interaction -% of clients who have correct knowledge on birthing process and procedures |
e | Establishment of multi-disciplinary peer support groups/ watch dogs | All forms of D&A | 53% (n = 13) of facilities with functional peer support groups in facility catchment sites -Instances where any cases of D & A are discussed and amicably resolved | 7 out of 13 facilities established multi-disciplinary peer support groups/watch dogs | Quarterly | -% of D&A cases reported and amicably resolved |