Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30619
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dc.contributor.authorde Kok, Bregje Christinaen_UK
dc.contributor.authorUny, Isabelleen_UK
dc.contributor.authorImmamura, Marien_UK
dc.contributor.authorBell, Jacquelineen_UK
dc.contributor.authorGeddes, Janeen_UK
dc.contributor.authorPhoya, Annen_UK
dc.date.accessioned2020-01-14T01:03:48Z-
dc.date.available2020-01-14T01:03:48Z-
dc.date.issued2020-02en_UK
dc.identifier.urihttp://hdl.handle.net/1893/30619-
dc.description.abstractWidespread 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.en_UK
dc.language.isoenen_UK
dc.publisherSAGE Publicationsen_UK
dc.relationde 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/10.1177/1049732319880538en_UK
dc.rightsde 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/10.1177/1049732319880538en_UK
dc.rights.urihttps://storre.stir.ac.uk/STORREEndUserLicence.pdfen_UK
dc.subjectrespectful maternity careen_UK
dc.subjecthuman rightsen_UK
dc.subjectprovider-client interactionen_UK
dc.subjectMalawien_UK
dc.subjectqualitativeen_UK
dc.subjectteam-ethnographyen_UK
dc.titleFrom Global Rights to Local Relationships: Exploring Disconnects in Respectful Maternity Care in Malawien_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1177/1049732319880538en_UK
dc.identifier.pmid31642387en_UK
dc.citation.jtitleQualitative Health Researchen_UK
dc.citation.issn1552-7557en_UK
dc.citation.issn1049-7323en_UK
dc.citation.volume30en_UK
dc.citation.issue3en_UK
dc.citation.spage341en_UK
dc.citation.epage355en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.contributor.funderBurdett Trust for Nursingen_UK
dc.citation.date23/10/2019en_UK
dc.contributor.affiliationUniversity of Amsterdamen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationNHS Grampianen_UK
dc.contributor.affiliationEdinburgh Napier Universityen_UK
dc.contributor.affiliationThe Association of Malawian Midwives (AMAMI)en_UK
dc.identifier.isiWOS:000492128600001en_UK
dc.identifier.scopusid2-s2.0-85074408807en_UK
dc.identifier.wtid1475556en_UK
dc.contributor.orcid0000-0002-1294-2092en_UK
dc.contributor.orcid0000-0002-9548-5332en_UK
dc.date.accepted2019-07-24en_UK
dc.date.filedepositdate2020-01-13en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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