|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|
|Keywords:||respectful maternity care|
|Citation:||de Kok BC, Uny I, Immamura M, Bell J, Geddes J & Phoya A (2019) From Global Rights to Local Relationships: Exploring Disconnects in Respectful Maternity Care in Malawi. Qualitative Health Research. 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.|
|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 (Forthcoming). Copyright © The Authors 2019. Reprinted by permission of SAGE Publications. DOI: https://doi.org/10.1177/1049732319880538|
|Notes:||Output Status: Forthcoming/Available Online|
|From global rights to local relationships_for submission_minor revisions _finalSeptember.pdf||Fulltext - Accepted Version||970.05 kB||Adobe PDF||View/Open|
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