Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30619
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: From Global Rights to Local Relationships: Exploring Disconnects in Respectful Maternity Care in Malawi
Author(s): de Kok, Bregje Christina
Uny, Isabelle
Immamura, Mari
Bell, Jacqueline
Geddes, Jane
Phoya, Ann
Keywords: respectful maternity care
human rights
provider-client interaction
Malawi
qualitative
team-ethnography
Issue Date: Feb-2020
Citation: de Kok BC, Uny I, Immamura M, Bell J, Geddes J & Phoya A (2020) From Global Rights to Local Relationships: Exploring Disconnects in Respectful Maternity Care in Malawi. Qualitative Health Research, 30 (3), pp. 341-355. https://doi.org/10.1177/1049732319880538
Abstract: Widespread reports of “disrespect and abuse” in maternity wards in low- and middle-income countries have triggered the development of rights-based respectful maternity care (RMC) standards and initiatives. To explore how international standards translate into local realities, we conducted a team ethnography, involving observations in labor wards in government facilities in central Malawi, and interviews and focus groups with midwives, women, and guardians. We identified a dual disconnect between, first, universal RMC principles and local notions of good care and, second, between midwives and women and guardians. The latter disconnect pertains to fraught relationships, reproduced by and manifested in mechanistic care, mutual responsibilization for trouble, and misunderstandings and distrust. RMC initiatives should be tailored to local contexts and midwife-client relationships. In a hierarchical, resource-strapped context like Malawi, promoting mutual love, understanding, and collaboration may be a more productive way to stimulate “respectful” care than the current emphasis on formal rights and respect.
DOI Link: 10.1177/1049732319880538
Rights: de Kok BC, Uny I, Immamura M, Bell J, Geddes J & Phoya A, From Global Rights to Local Relationships: Exploring Disconnects in Respectful Maternity Care in Malawi, Qualitative Health Research, 30 (3), pp. 341-355. Copyright © The Authors 2019. Reprinted by permission of SAGE Publications. DOI: https://doi.org/10.1177/1049732319880538
Licence URL(s): https://storre.stir.ac.uk/STORREEndUserLicence.pdf

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