From Global Rights to Local Relationships
Exploring Disconnects in Respectful Maternity Care in Malawi
Bibliographic Data
| ID | 4690781 |
|---|---|
| Authors | Bregje Christina De Kok (0000-0002-1294-2092, University of Amsterdam, Amsterdam, the Netherlands, corresponding author), Isabelle Uny (0000-0002-9548-5332, University of Stirling, Stirling, United Kingdom), Mari Immamura (University of Aberdeen, Aberdeen, United Kingdom), Jacqueline Bell (0000-0003-1784-0180, NHS Grampian, Aberdeen, United Kingdom), Jane Geddes (0000-0002-5281-5960, Edinburgh Napier University, Edinburgh, United Kingdom), Ann Phoya (The Association of Malawian Midwives, Lilongwe, Malawi) |
| Year | 2020 |
| Volume | 30 |
| Issue | 3 |
| Pages | 341-355 |
| Publication date | 2020-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732319880538 |
| PMID | 31642387 |
| OpenAlex | W2981711382 |
| Language | EN |
| Citations received | 6 |
| References cited | 48 |
Widespread reports of "disrespect and abuse" in maternity wards in low- and middle-income countries have triggered the development of rights-based respectful maternity care (RMC) standards and initiatives. To explore how international standards translate into local realities, we conducted a team ethnography, involving observations in labor wards in government facilities in central Malawi, and interviews and focus groups with midwives, women, and guardians. We identified a dual disconnect between, first, universal RMC principles and local notions of good care and, second, between midwives and women and guardians. The latter disconnect pertains to fraught relationships, reproduced by and manifested in mechanistic care, mutual responsibilization for trouble, and misunderstandings and distrust. RMC initiatives should be tailored to local contexts and midwife-client relationships. In a hierarchical, resource-strapped context like Malawi, promoting mutual love, understanding, and collaboration may be a more productive way to stimulate "respectful" care than the current emphasis on formal rights and respect
Health care · Human rights · Maternity care · Political science · Public relations · Qualitative research · Sociology · Global Maternal and Child Health · Grief, Bereavement, and Mental Health · Law · Maternal and Perinatal Health Interventions · Medicine · Nursing
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| Unique citing works | 6 |
|---|---|
| Citations per year | 1.2 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |