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Table 3 Validation Results on Respectful Maternity Care Quality Indicators in Northern Ethiopia (N = 455)

From: Beyond health system contact: measuring and validating quality of childbirth care indicators in primary level facilities of northern Ethiopia

Indicators

Women’s reported Prev (%)

True prev (%)

Sensitivity of women’s self-report (95% CI)

Specificity of women’s self-report (95% CI)

Population survey estimate (Pr)

AUC (95% CI)

IF

Criteria Met

Women and companion were greeted respectfully

81.54

59.78

90.81(86.73–93.96)

31.69(25.03–38.97)

74.13

0.61(0.56–0.66)

1.24

Both

Provider actively listened to the women

82.20

70.33

91.56(89.60–94.11)

39.26(30.97–48.03)

82.42

0.66(0.61–0.70)

1.17

Both

Women allowed to have a companion of choice during labor

77.36

63.08

84.32(79.59–88.33)

32.14(25.16–39.77)

78.24

0.61(0.52–0.67)

1.24

Both

Women were encouraged to ambulate during labor

70.99

64.84

82.37(77.54–86.55)

49.38(41.39–57.38)

71.21

0.66(0.61–0.70)

1.10

Both

Women encouraged/assisted to drink liquids or eat during labor

86.59

75.82

91.30(87.8–94.06)

17.27(10.73–25.65)

89.23

0.63(0.58–0.69)

1.18

Both

Privacy provided during clinical care

78.24

64.84

82.71(77.90–86.85)

30.0(23.02–37.74)

78.24

0.64(0.58–0.68)

1.21

Both

Provider spent enough time with the mother

70.99

65.93

80.67(75.74–84.98)

44.52(36.54–52.70)

72.09

0.62(0.57–0.66)

1.09

Both

Provider introduced self to women

54.29

23.96

81.65(73.09–88.42)

54.34(48.92–59.67)

54.28

0.68(0.63–0.72)

2.27

AUC

What will happen to women in labor was explained at least once

54.95

30.33

71.74(63.45–79.07)

49.84(44.20–55.48)

56.71

0.61(0.56–0.65)

1.87

AUC

Women were encouraged to assume different positions during labor

56.04

36.26

74.55(67.19–81.01)

53.10(47.18–58.96)

56.93

0.63(0.58–0.68)

1.57

AUC

Providers responded professionally when women asked for help

94.95

88.13

97.26(95.14–98.62)

20.37(10.63–33.53)

95.17

0.58(0.53–0.63)

1.08

IF

Provider did not physically abuse the women

87.47

81.32

88.92(85.27–91.93)

18.82(11.16–28.76)

87.47

0.61(0.54–0.67)

1.08

IF

Provider did not abandon patient without care

61.32

81.76

61.83(56.68–66.79)

40.96(30.28–52.31)

61.32

0.52(0.47–0.56)

0.75

IF

Provider demonstrated good communication, collaboration with clients and colleagues

76.48

87.25

91.95(88.58–94.59)

23.36(15.72–32.53)

90.00

0.56(0.52–0.61)

1.03

IF

Women provided oral consent before examination

49.89

37.80

60.47(52.74–67.82)

55.83(49.83–61.70)

50.33

0.58(0.54–0.63)

1.33

No

Women allowed to have a companion during delivery

23.74

18.90

23.26(14.82–33.61)

76.15(71.47–80.41)

23.74

0.50(0.45–0.54)

1.26

No

Women were not verbally abused

94.73

73.41

94.91(91.98–97.01)

5.79(2.36–11.56)

94.72

0.51(0.46–0.55)

1.29

No

Treat clients equally without discrimination

93.85

71.43

97.85(95.61–99.13)

16.15(10.29–23.63)

93.85

0.57(0.53–0.62)

1.31

No

  1. Notes: True prevalence indicates observers’ prevalence
  2. Criteria Met - Indicator meets either both AUC and IF, AUC only or IF only after validation analysis done
  3. IF Inflation factor, AUC Area under receiver operating characteristic curve