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Table 3 Characteristics of included studies

From: Midwives’ perspectives on (dis)respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis

Study

First author, year

Country

Study aims

Participantsa, setting

Study design, data collectionb and analysis

Quality

1.

Adolphson et al., 2016 [35]

Mozambique

• Explore midwives’ perspectives of working conditions, professional role and attitudes towards women

• 9 midwives (6 x medium, 3 x basic level)

• Urban, suburban, village and remote areas in 3 southern provinces

• Qualitative methods

• SSI

• Content analysis

M

2.

Burrowes et al., 2017 [36]

Ethiopia

• Explore midwives’ understandings of patient rights and patient-centred care

• Describe midwives’ experiences of D&A during labour and delivery and identify recommendations for improvement

• 4 midwives, 15 x BSc student midwives

• Debre Markos health centres and university

• Cross-sectional qualitative

• IDI

• Thematic content analysis

M/H

3.

Fujita et al., 2012 [37]

Benin

• Determine how the practice of humanised care affects midwives; implementation, understanding and factors influencing change in practice.

• 6 midwives

• Tertiary hospital in the capital city, Porto-Novo

• Qualitative, descriptive

• IDI

• Grounded theory

M

4.

Jeng, 2008 [38]

The Gambia

• Assess the practices and quality of delivery care during childbirth

• 5 midwives, 3 student midwives

• Delivery ward, Royal Victoria Teaching Hospital

• Qualitative methods

• IDI

• Content analysis

L

5.

Kruger & Schoombee, 2010 [39]

Schoombee et al., 2005 [40]

South Africa

• Explore nurses’ experiences of abuse in a maternity ward

• Explore maternity nurses’ psychological and emotional experiences

• 8 ‘Coloured’c, middle-class, Afrikaans speaking females

• Maternity ward of the local state hospital

• Social constructionist grounded theory

• SSI

M/H

M/H

6.

Lambert et al., 2018 [41]

South Africa

• Explore providers’ lived experiences of care during labour and birth

• Inform recommendations to improve and monitor quality of care

• 30 midwives

• 11 public health facilities

• One urban (Guateng) and one rural (Limpopo) province

• Descriptive, phenomenological

• IDI and FGD

• Thematic framework analysis

M

7.

Maputle & Hiss, 2010 [42]

South Africa

• Explore and describe the experiences of midwives managing women during labour

• Inform development of a woman- centered care model to be integrated into the Batho-Pele Principles

• 12 midwives

• Tertiary care hospital in the Limpopo Province

• Exploratory, descriptive, contextual and inductive

• IDI

• Open coding (Tesch)

M

8.

Pettersson et al., 2006 [43]

Mozambique

• Explore midwives’ perception of factors obstructing or facilitating their ability to provide quality perinatal care

• 16 midwives

• Labour ward, Maputo Central Hospital

• Qualitative

• IDI

• Grounded theory

M/H

9.

Rominski et al., 2017 [44]

Ghana

• Examine disrespectful and abusive treatment towards labouring women

• 83 final year midwifery students

• 15 public midwifery training colleges in all 10 of Ghana’s regions

• Not stated

• FGD

• Thematic analysis

M/H

10.

Yakubu et al., 2014 [45]

Ghana

• Explore attitudes, beliefs, and self-reported behaviours of midwives to improve understanding of maltreatment during facility delivery

• 7 midwives

• Small rural hospital

• Central region

• Cross sectional, qualitative

• SSI

• Thematic analysis

M

  1. aMidwifery participants only are recorded here and include midwives, nurse-midwives, advanced and student midwives
  2. bInterviews – IDI in-depth, SSI semi-structured, FGD focus group discussion
  3. cThis is a problematic and contested term, but was used by the authors to describe participants