Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya

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dc.contributor.advisorCoetzee, Minette
dc.contributor.advisorClow, Sheila
dc.contributor.authorRotich, Everlyne Chepkemoi
dc.date.accessioned2021-02-26T08:23:48Z
dc.date.available2021-02-26T08:23:48Z
dc.date.issued2020
dc.date.updated2021-02-26T06:56:27Z
dc.description.abstractBackground: The concept woman-centred care is gaining currency in maternity care and is increasingly being used to guide provision of quality care. The midwifery philosophy supports woman-centred care and is associated with positive pregnancy and birth outcomes. Development of a woman-centred midwife-led model of care requires involvement of the users (women), service providers (midwives), and health administrators to ensure representativeness of the model. Purpose: The purpose of this study was to explore, through participatory methods, the views of women midwives and health service managers on current maternity care, and describe desired maternity care and develop a woman-centred maternity care model for Uasin Gishu County, Kenya. Methodology: Appreciative Inquiry 4-D cycle was used in the study. The Human Scale Development framework guided the study. Thirty two midwives, 85 women attending maternity and well-baby services at the facility, and four facility and three county health service managers participated in the study. Focus group discussions and interviews were carried out from May 2015 to April 2016 using the four phases of the Appreciative Inquiry cycle. Phase one “discovered” what best maternity care looks like, phase two “dreamt” what best maternity care would look like, phase three “designed” the model, and phase four “destiny” was used for development of implementation strategies. Data was analysed using thematic analysis augmented by thematic networks analysis and NVIVO 11 software. Ethical approval was obtained from the University of Cape Town and the Moi University and Moi Teaching and Referral Hospital Research Ethics Committees. Individual's participation was voluntary, informed consent was obtained and confidentiality maintained. There was no compensation for participation.
dc.identifier.apacitationRotich, E. C. (2020). <i>Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya</i>. (). ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. Retrieved from http://hdl.handle.net/11427/33002en_ZA
dc.identifier.chicagocitationRotich, Everlyne Chepkemoi. <i>"Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya."</i> ., ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2020. http://hdl.handle.net/11427/33002en_ZA
dc.identifier.citationRotich, E.C. 2020. Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya. . ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. http://hdl.handle.net/11427/33002en_ZA
dc.identifier.ris TY - Doctoral Thesis AU - Rotich, Everlyne Chepkemoi AB - Background: The concept woman-centred care is gaining currency in maternity care and is increasingly being used to guide provision of quality care. The midwifery philosophy supports woman-centred care and is associated with positive pregnancy and birth outcomes. Development of a woman-centred midwife-led model of care requires involvement of the users (women), service providers (midwives), and health administrators to ensure representativeness of the model. Purpose: The purpose of this study was to explore, through participatory methods, the views of women midwives and health service managers on current maternity care, and describe desired maternity care and develop a woman-centred maternity care model for Uasin Gishu County, Kenya. Methodology: Appreciative Inquiry 4-D cycle was used in the study. The Human Scale Development framework guided the study. Thirty two midwives, 85 women attending maternity and well-baby services at the facility, and four facility and three county health service managers participated in the study. Focus group discussions and interviews were carried out from May 2015 to April 2016 using the four phases of the Appreciative Inquiry cycle. Phase one “discovered” what best maternity care looks like, phase two “dreamt” what best maternity care would look like, phase three “designed” the model, and phase four “destiny” was used for development of implementation strategies. Data was analysed using thematic analysis augmented by thematic networks analysis and NVIVO 11 software. Ethical approval was obtained from the University of Cape Town and the Moi University and Moi Teaching and Referral Hospital Research Ethics Committees. Individual's participation was voluntary, informed consent was obtained and confidentiality maintained. There was no compensation for participation. DA - 2020_ DB - OpenUCT DP - University of Cape Town KW - Nursing LK - https://open.uct.ac.za PY - 2020 T1 - Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya TI - Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya UR - http://hdl.handle.net/11427/33002 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/33002
dc.identifier.vancouvercitationRotich EC. Development of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya. []. ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2020 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/33002en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Health and Rehabilitation Sciences
dc.publisher.facultyFaculty of Health Sciences
dc.subjectNursing
dc.titleDevelopment of Woman-Centred Midwife-led Model of Care through Participatory Methods for the Uasin Gishu County Hospital, Kenya
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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