Health workers training related to respectful maternal care: preliminary results of IMAgiNE EURO project in 12 countries
Résumé
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.
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