Table 3 Summary of RMC methodologies and frameworks
From: Overview of literature on RMC and applications to Tanzania
Type of RMC Research Question | Quantitative | Theoretical Framework |
|---|---|---|
| Â | Methodology | |
Do health education interventions improve facility utilization? | Quasi experimental before-and-after | Community-based participatory framework |
Does disrespect and abuse correlate with facility utilization? | Correlational | Not usually stated |
What is the incidence and prevalence of disrespectful care and abuse? What types of abuse occur? What are the perinatal outcomes/indicators in the facilities where disrespect and abuse occur? | National health surveys Institutional surveys National household surveys Demographic health surveys Facility statistics Population surveys/epidemiological surveys | RMC Medical models Public health models |
Describe the elements of disrespect and abuse | Case control studies Prospective closed cohort | Critical human rights, reproductive rights |
Do RMC-related community interventions improve perinatal outcomes? (deploying Lady Health or Community Health Workers) | Clustered RCT | Medical model WHO and MDG focus |
Does strengthening one or more domains of RMC affect perinatal outcomes? | Correlational Retrospective descriptive Self-administered surveys | Medical model Public health models |
| Â | Qualitative | |
What do providers and families identify as important to quality, satisfying maternity care and desirable healthcare work environment? | Exploratory | Critical Human Rights, reproductive rights |
Compare client’s lived experience of respectful versus disrespectful care | Phenomenological hermeneutics with semi-structured interviews | Human rights Childbirth Rights Critical Social Theory |
Describe the work-life experience of the healthcare workers when disrespect and abuse are occurring. Describe the lived experience of vulnerable groups when disrespect, abuse or RMC occurs. | Focus groups | Resilience theory |
What are the barriers to provision of RMC and what are the recommendations of midwives for improving care quality? | Individual and focus group interviews | RMC Feminist version of post-structural interactionism |
| Â | Mixed Methods | |
What types of abuse occur? Which providers perpetrate abuse? (MD, RN, RM, resident, staff MD, student midwife) What are their number of years of professional training, years of practice, amount of RMC training? | Institutional/rapid Assessment (including 2-person expert observations, surveys, focus groups, semi-structured individual interviews of staff and patients, facility check-lists based upon national professional standards and WHO standards, facility statistics MMR, IMR) | RMC Human rights Childbirth rights |