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Table 6 Individual composite score items assessing knowledge and attitudes on clients rights of providers participating in baseline (2012) and endline (2014) surveys of the Heshima project in 13 facilities in Kenya, N = 142

From: Exploring provider perspectives on respectful maternity care in Kenya: “Work with what you have”

 

Baseline (n = 67)

% (n)

End line (n = 75) % (n)

p – value

Client Rights (14 items)

 Informing/orienting the clients of her where about in the facility/ward/unit

41.8 (28)

56.5 (39)

0.086

 Explaining clients when and how procedures will be performed and the out comes

38.8 (26)

63.2 (43)

0.005

 Obtaining consent for all procedures to be done

50.8 (34)

65.2 (45)

0.087

 Informing client of danger signs during labour and delivery and after birth

29.9 (20)

24.6 (17)

0.495

 Informing her of the labour progress and expected possible duration of labour

32.8 (22)

43.5 (30)

0.202

 Allowing her to choose her birthing position

27.3 (18)

18.8 (13)

0.244

 Allowing her to choose a birth partner/companion during labour and delivery

17.9 (12)

24.6 (17)

0.338

 Respecting her privacy

62.7 (42)

81.2 (56)

0.016

 Keeping her information confidential

37.3 (25)

65.2 (45)

0.001

 Ensuring privacy and confidentiality at all time while attending to client during labour and delivery

40.3 (27)

52.2 (36)

0.165

 Respecting her as an individual with her own rights despite her background

25.4 (17)

44.9 (31)

0.017

 Ensuring that the procedures are promptly done within the required guidelines

29.9(20)

37.7 (26)

0.335

 Ensuring that the mothers labour is monitored using a partograph

25.4 (17)

37.7 (26)

0.123

 Taking client to theatre for caesarean section when is not really necessary

3.0 (2)

7.3 (5)

0.261