
Person-Centered Care during Antenatal, Intrapartum, and Postnatal Care: analysis of data from Ghana and Kenya [PCC030] Har passerat
Tisdag 5 maj 2026 16:30 - 16:45 G2
Moderator: Lina EmmesjöRapportör: Patience Afulani
Spår: Orals Health Equity/Women Health
Background: Person-centered maternal health care (PCMHC)—responsive, respectful, and supportive care across the pregnancy, childbirth, and postpartum continuum—is essential to achieving maternal and neonatal outcomes. We sought to examine the extent of PCMHC and associated factors using recently validated tools for person-centered antenatal care (PCANC) and person-centered postnatal care (PCPNC), in addition to the well-established person-centered maternity care (PCMC) scale for intrapartum care Methods: Data are from cross-sectional surveys with 2000 women within 12 weeks postpartum in Kenya and Ghana (1000 each). Outcome measures are summative scores generated from a 36-item PCANC scale, a 30-item PCMC scale, and a 38-item PCPNC scale, each with three sub-scales for dignity and respect, communication and autonomy, and responsive and supportive care. Each score is standardized to range from 0-100, where zero is the worst, and 100 is the most person-centered care. Results: The average standardized scores were 68.8(SD=15.78) for Kenya and 74.2(SD=16.48) for Ghana for PCANC; 71.6(SD=14.80) for Kenya and 71.8(SD=15.61) for Ghana for PCMC; and 69.4(SD=14.19) for Kenya and 72.3(SD=17.32) for Ghana for PCPNC. The lowest subscale scores across all outcomes were in communication and autonomy, with scores ranging from 54.9 for communication and autonomy during childbirth in Kenya to 70.1 for communication and autonomy during ANC in Ghana. The highest scores were for dignity and respect, with responsive and supportive and supportive care scores in between. On average, women of higher socioeconomic status have higher PCMHC scores at each phase. PCMHC is also higher in health centers and private facilities than in public hospitals. Conclusion: Person-centered care is sub-optimal at various stages of the pregnancy, childbirth, and postnatal continuum, with communication and autonomy as the lowest-scoring domain. The most vulnerable women receive the worst care. Interventions are needed to improve person-centered care during the maternal health continuum and to address the inequities.
Konferens
GCPCC
GCPCC Seminarietyp
Orals
GCPCC Kod
PCC030
Föreläsare
Lina Emmesjö Moderator
University Lecturer
Centre for Person-centred Care
Lina Emmesjö is a registered nurse with a specialist in geriatrics. She has her clinical background in municipality health care. Her research includes person-centered care on the governance level, person-centered quality indicators, sexual health, digitalization and older persons.
During the conference, she is part of the conference organizing group, holds an oral presentation on person-centered quality indicators, holds a workshop on research methods to reach consensus (Delphi-method), participates in a panel on implementation research, and moderates a session on women's health and one on governance.
Patience Afulani Rapportör
Associate Professor
University of California, San Francisco
Patience Afulani