What price a welcome? Understanding structure-agency in the delivery of respectful midwifery care in Uganda

Ackers, HL, Webster, H, Mugahi, R and Namiro, R 2017, 'What price a welcome? Understanding structure-agency in the delivery of respectful midwifery care in Uganda' , International Journal of Health Governance . (In Press)

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Abstract

Maternal mortality in Uganda is very high and shows remarkable resistance to change. Recent research suggests that promoting access to quality, midwifery lead, care has greatest potential to improve maternal health in Low and Middle Income Settings (LMICs). Furthermore, the key to encouraging access lies in providing respectful care. But, what does respectful care mean to mothers in Uganda? This is one of two linked papers presenting the initial findings of research in Kabarole District, Uganda. The study is funded by the Wellbeing of Women5 and operationalised through a British Charity, Knowledge for Change6. The first paper focuses on one dimension of respect; namely communication. Communication arguably falls at the ‘agency’ end of the ‘structure-agency’ continuum to the extent that, in principle at least, respectful communication is not resource-dependent. In trying to understand the reasons behind high levels of verbal abuse in public facilities the paper considers the role that governance could play in shaping health worker behaviour and improving communication.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: International Journal of Health Governance
Publisher: Emerald
ISSN: 2059-4631
Funders: Welfare of Women
Depositing User: A Johnson
Date Deposited: 02 Jan 2018 09:20
Last Modified: 02 Jan 2018 16:01
URI: http://usir.salford.ac.uk/id/eprint/44881

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