Toward improving respectful maternity care: a discrete choice experiment with rural women in northeast Nigeria.
health economics
health policy
health services research
health systems
maternal health
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
2020
2020
Historique:
received:
02
11
2019
revised:
20
01
2020
accepted:
04
02
2020
entrez:
24
3
2020
pubmed:
24
3
2020
medline:
24
3
2020
Statut:
epublish
Résumé
There is a limited understanding of the importance of respectful maternity care on utilisation of maternal and newborn health services. This study aimed to determine how specific hypothetical facility birth experience of care attributes influenced rural Nigerian women's stated preferences for hypothetical place of delivery. Attributes were identified through a comprehensive review of the literature. These attributes and their respective levels were further investigated in a qualitative study. We then developed and implemented a cross-sectional discrete choice experiment with a random sample of 426 women who had facility-based childbirth to elicit their stated preferences for facility birth experience of care attributes. Women were asked to choose between two hypothetical health facilities or home birth for future delivery. Choice data were analysed using multinomial logit and mixed multinomial logit models. Complete data for the discrete choice experiment were available for 425 of 426 women. The majority belonged to Fulani ethnic group (60%) and were married (95%). Almost half (45%) had no formal education. Parameter estimates were all of expected signs suggesting internal validity. The most important influence on choice of place of delivery was good health system condition, followed by absence of sexual abuse, then absence of physical and verbal abuse. Poor facility culture, including an unclean birth environment with no privacy and unclear user fee, was associated with the most disutility and had the most negative impact on preferences for facility-based childbirth. The likelihood of poor facility birth experiences had a significant impact on stated preferences for place of delivery among rural women in northeast Nigeria. The study findings further underline the important relationship between facility birth experience and utilisation. Achieving universal health coverage would require efforts toward addressing poor facility birth experiences and promoting respectful maternity care, to ensure women want to access the services available.
Identifiants
pubmed: 32201626
doi: 10.1136/bmjgh-2019-002135
pii: bmjgh-2019-002135
pmc: PMC7059545
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e002135Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Birth. 2019 Sep;46(3):523-532
pubmed: 30680785
BMJ Open. 2017 Jul 2;7(6):e014888
pubmed: 28674138
J Epidemiol Community Health. 2010 Nov;64(11):984-8
pubmed: 19822558
Midwifery. 2014 Jul;30(7):862-8
pubmed: 24456659
Lancet. 2016 Oct 29;388(10056):2193-2208
pubmed: 27642023
Patient. 2015 Oct;8(5):373-84
pubmed: 25726010
Soc Sci Med. 2004 Nov;59(10):2003-12
pubmed: 15351468
Eur J Health Econ. 2018 Nov;19(8):1053-1066
pubmed: 29380229
Lancet Glob Health. 2018 Nov;6(11):e1196-e1252
pubmed: 30196093
BMC Health Serv Res. 2016 Sep 30;16(1):535
pubmed: 27716190
BMJ Open. 2013 Jan 03;3(1):
pubmed: 23293244
Soc Sci Med. 2000 Jul;51(1):103-13
pubmed: 10817473
Reprod Health. 2014 Sep 19;11(1):71
pubmed: 25238684
Health Policy Plan. 2009 Mar;24(2):151-8
pubmed: 19112071
Value Health. 2018 Oct;21(10):1192-1197
pubmed: 30314620
Health Policy. 2008 Jan;85(1):124-32
pubmed: 17728004
Pharmacoeconomics. 2017 Jul;35(7):697-716
pubmed: 28374325
Pharmacoeconomics. 2014 Sep;32(9):883-902
pubmed: 25005924
Reprod Health. 2019 Dec 2;16(1):174
pubmed: 31791374
Acta Obstet Gynecol Scand. 2002 Apr;81(4):277-83
pubmed: 11952455
BMJ. 2004 Feb 14;328(7436):360-1
pubmed: 14962852
Lancet Glob Health. 2018 Feb;6(2):e169-e179
pubmed: 29248367
Lancet. 2014 Jul 26;384(9940):347-70
pubmed: 24853604
Urban Health Newsl. 1995 Jun;(25):38-52
pubmed: 12178500
Qual Health Care. 2001 Sep;10 Suppl 1:i55-60
pubmed: 11533440
J Glob Health. 2019 Dec;9(2):020411
pubmed: 31360449
Pharmacoeconomics. 2008;26(8):661-77
pubmed: 18620460
Patient Prefer Adherence. 2012;6:187-94
pubmed: 22536054
BMC Med Res Methodol. 2018 Nov 15;18(1):132
pubmed: 30442102
PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847
pubmed: 26126110
BMC Health Serv Res. 2017 Jul 11;17(1):476
pubmed: 28697796
Reprod Health. 2018 Sep 12;15(1):153
pubmed: 30208916
BMC Pregnancy Childbirth. 2014 Aug 12;14:268
pubmed: 25112432
J Clin Epidemiol. 2008 Apr;61(4):344-9
pubmed: 18313558
Reprod Health Matters. 2003 May;11(21):16-26
pubmed: 12800700
Expert Rev Pharmacoecon Outcomes Res. 2017 Dec;17(6):531-542
pubmed: 29058478
Int J Equity Health. 2014 Nov 25;13:110
pubmed: 25421142
Health Econ. 2011 Sep;20 Suppl 1:35-52
pubmed: 21809412
Health Policy Plan. 2009 Jul;24(4):279-88
pubmed: 19304785