Changing the Culture of Disrespect and Abuse in Maternity Care in Kumasi, Ghana

NCT04288947 | Completed

• 1 other identifier: 1K43TWO1122--01
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

Using a public health facility Komfo Anokye Teaching Hospital in Ghana the overall goal of the research is to examine: 1) the feasibility of implementing respectful care modules (RMC-M) in Kumasi, Ghana; 2) whether exposure to RMC-M increases participants perception of respectful maternity care in a public hospital setting in Ghana; and 3) the efficacy of RMC-M in changing midwives' attitudes, behaviors and clinical practice patterns. To achieve Aim 1, qualitative and quantitative study designs will be used to assess for reliability of implementation, usefulness, and patient responsiveness. Based on data collected, feasibility will be examined and the RMC-M will be further modified as needed prior to beginning Aim 2. To achieve Aim 2, a two group study design will be used, with one group of midwives receiving training on the RMC- M and the other not receiving any training. Participants receiving care from these two groups of midwives will be followed through intrapartum and surveyed postpartum to examine their perceptions of the care they received. To achieve Aim 3, a pre-post study design will examine whether expose to a RMC-M changes midwives' attitudes, behaviors, and clinical care of participants during labor and delivery.

Conditions

Behavior Problem

Keywords

Disrespect and Abuse; Childbirth; Maternity Care

Outcome Measures

Primary Outcomes (1)

• Respectful maternal care to women during childbirth as assessed by post natal women during a survey and interview.

  Women are respected during maternal care and childbirth

  Up to 42 months

Study Arms (1)

Usual Care

OTHER

Training of midwives on 4 respectful maternal care modules.

Other: Disrespect and Abuse in Maternity Care

Interventions

Disrespect and Abuse in Maternity Care OTHER

Changing the culture of disrespect and abuse in maternity care

Usual Care

Eligibility Criteria

• Age: 18 Years - 48 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Midwives providing childbirth care in the various units of Komfo Anokye Teaching Hospital (KATH)
• Patients receiving maternity care from Midwives Trained or untrained on Respectful Maternity care modules at KATH

You may not qualify if:

• Midwives working in other Hospitals apart from KATH
• Patients receiving care from other units apart from the maternity unit of KATH

Sponsors & Collaborators

• Kwame Nkrumah University of Science and Technology: lead
• University of Michigan: collaborator

Study Sites (1)

Komfo Anokye Teaching Hospital

Kumasi, 0000, Ghana

Location

MeSH Terms

Conditions

Mental Disorders

Interventions

Prenatal Care

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Maternal Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Peter Donkor

  Kwame Nkrumah University of Science and Technology

  STUDY DIRECTOR

• Jody Lori, PhD

  University of Michigan

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Training of midwives on 4 respectful maternal care modules.

Study Record Dates

• First Submitted: February 18, 2020
• First Posted: February 28, 2020
• Study Start: January 14, 2019
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2022
• Last Updated: March 17, 2023

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

GH (1)