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CONFERENCE PROCEEDING
Health workers training related to respectful maternal care: preliminary results of IMAgiNE EURO project in 12 countries
1
Health University of Applied Sciences, Innsbruck, Austria
2
NGO Baby Steps, Sarajevo, Bosnia-Herzegovina
3
Roda – Parents in Action, Zagreb, Croatia
4
Faculty of Health Studies, University of Rijeka, Rijeka, Croatia
5
Sexual and Reproductive Health and Rights Research Unit, Institut National d’Études Démographiques, Paris, France
6
Baby-friendly Hospital Initiative, France
7
Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany
8
University of West Attica, Athens, Greece
9
Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy
10
Medical School and Midwifery School, Genoa University, Genoa, Italy
11
University of Milano Bicocca, Milano, Italy
12
School of Nursing, Ohio University, Ohio, USA
13
Department of Nursing, Ruppin Academic Center, Emek Hefer, Israel
14
Department of Obstetrics and Gynaecology, Riga Stradins University, Rīga, Latvia
15
Riga Maternity Hospital, Riga, Latvia
16
Faculty of Medicine, Riga Stradins University, Rīga, Latvia
17
Faculty of Public Health and Social Welfare, Riga Stradins University, Riga, Latvia
18
Department of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Kaunas, Lithuania
19
Kaunas University of Applied Sciences, Kaunas, Lithuania
20
Kaunas Hospital of the Lithuanian University of Health Sciences, Kaunas, Lithuania
21
Professional association of the Lactation Consultants in Luxembourg, Luxembourg, Luxembourg
22
Neonatal intensive care unit, KannerKlinik, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
23
Department of health and care sciences, UiT The Arctic University of Norway, Tromsø, Norway
24
Department of health and caring sciences, Western Norway University of Applied Sciences, Bergen, Norway
25
Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland
26
EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
27
Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional, Porto, Portugal
28
Human-Environment Interaction Laboratory, Universidade Lusófona, Lisbon, Portugal
29
Instituto de Ciências Sociais, Universidade de Lisboa, Lisbon, Portugal
30
Universidade Europeia, Lisbon, Portugal
31
Plataforma CatólicaMed/Centro de Investigação Interdisciplinar em Saúde da Universidade Católica Portuguesa, Lisbon, Portugal
32
Regional Health Administration of the Algarve, IP, Faro, Portugal
33
Education and Sports, Faculty of Psychology, Lusófona University, Porto, Portugal
34
University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
35
SAMAS Association, Bucharest, Romania
36
Centar za mame, Belgrade, Serbia
37
National Institute of Public Health, Ljubljana, Slovenia
38
Department of Anthropology, Philosophy and Social Work, Medical Anthropology Research Center, Rovira i Virgili University, Tarragona, Spain
39
Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain
40
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
41
Department of Obstetrics and Gynecology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
42
Obstetrics and Gynaecology, Department of Obstetrics and Gynecology, Institution of Clinical Sciences Lund, Lund University, Lund and Skåne University Hospital, Malmö, Sweden
43
School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland
44
Institute of Midwifery, School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
Publication date: 2023-10-24
Corresponding author
Eur J Midwifery 2023;7(Supplement 1):A198
KEYWORDS
ABSTRACT
Introduction:
The IMAgiNE EURO project is currently ongoing in 23 countries. It documents the perspective of both mothers and health workers (HWs) on the quality of maternal and newborn care around the time of childbirth, during and beyond the COVID-19 pandemic. Within the IMAgiNE Euro Project this study aimed at investigating training on respectful care, across HWs from 12 countries of the WHO European Region.
Material and Methods:
HW providing care to women and newborns in facilities for at least 1 year between March 1st 2020 to March 1st 2023, were invited to answer an anonymous, validated, online survey based on WHO Standards Quality Measures. We performed a descriptive analysis on indicators related to respectful maternity care training courses and subgroup analyses to look at differences by facility type (private vs public) and by health profession (midwife vs other HWs).
Results:
Among 4143 HWs more than a half were midwives (2500, 60.3%), with the larger sample was from Italy (589, 14.2%). There was a large variation of frequencies across countries for all Quality Measures and no country was free from gaps. More than one third of HWs reported “need of significant improvement” on training events on counselling and communication (1406, 34.2%; country range: 20.1%-64.3%), pain relief practices (1496, 36.4%; 36.1%-58.0%), emotional support (1595, 38.8%; 29.1%-60.7%), informed consent practices (1757, 42.7%; 33.1%-71.3%), and rights of women/newborns (2050, 49.8%; 47.9%-82.6%). HWs in public facilities reported significantly higher “need of significant improvement” for all Quality Measures on respectful care training. Midwives perceived higher need of significant improvement for counselling and communication (p=0.001) and rights of women/newborns (p=0.002).
Conclusions:
HWs from both maternal and newborn area in 12 countries of the WHO European region call for improvements on training to strengthen their respectful care skills. Training delivery and HWs competences should be routinely monitored to ensure high quality care for all women.
The IMAgiNE EURO project is currently ongoing in 23 countries. It documents the perspective of both mothers and health workers (HWs) on the quality of maternal and newborn care around the time of childbirth, during and beyond the COVID-19 pandemic. Within the IMAgiNE Euro Project this study aimed at investigating training on respectful care, across HWs from 12 countries of the WHO European Region.
Material and Methods:
HW providing care to women and newborns in facilities for at least 1 year between March 1st 2020 to March 1st 2023, were invited to answer an anonymous, validated, online survey based on WHO Standards Quality Measures. We performed a descriptive analysis on indicators related to respectful maternity care training courses and subgroup analyses to look at differences by facility type (private vs public) and by health profession (midwife vs other HWs).
Results:
Among 4143 HWs more than a half were midwives (2500, 60.3%), with the larger sample was from Italy (589, 14.2%). There was a large variation of frequencies across countries for all Quality Measures and no country was free from gaps. More than one third of HWs reported “need of significant improvement” on training events on counselling and communication (1406, 34.2%; country range: 20.1%-64.3%), pain relief practices (1496, 36.4%; 36.1%-58.0%), emotional support (1595, 38.8%; 29.1%-60.7%), informed consent practices (1757, 42.7%; 33.1%-71.3%), and rights of women/newborns (2050, 49.8%; 47.9%-82.6%). HWs in public facilities reported significantly higher “need of significant improvement” for all Quality Measures on respectful care training. Midwives perceived higher need of significant improvement for counselling and communication (p=0.001) and rights of women/newborns (p=0.002).
Conclusions:
HWs from both maternal and newborn area in 12 countries of the WHO European region call for improvements on training to strengthen their respectful care skills. Training delivery and HWs competences should be routinely monitored to ensure high quality care for all women.
ACKNOWLEDGEMENTS
We gratefully acknowledge all health workers from all countries who have answered the online survey.
CONFLICTS OF INTEREST
The authors have no conflicts of interest to disclose.
FUNDING
This study was supported by the Ministry of Health, Rome, Italy, in collaboration with the Institute for Maternal and Child Health, IRCCS “Burlo Garofolo,” Trieste, Italy.
| eISSN: | 2585-2906 |
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