Content and Design of Educational Interventions/ training on Respectful Maternity Care for Maternal Healthcare Providers in South Asia: A scoping review protocol

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Scoping Review Protocol Background: Respectful Maternity Care (RMC), has received global recognition almost a decade ago when an eye opening analysis of literature[1] presented seven disrespectful behaviours, commonly shown by maternal health care providers to birthing mothers under their care including Physical and verbal abuse, non consent care, lack of privacy, discriminating and detention of women within the facility based on their ethnic or socio demographic attributes and nonaffordibilty of paying bills respectively and Denial of care and / or ignoring requests for pain relief. In correspondance to these categories of mistreatment, Respectful Maternity Care Charter [2] was passed with seven rights of childbearing women resulting in recent WHO [3]definition of RMC to be a “care organized for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labour and childbirth.” unfortunately, compromised RMC practices and normalization of disrespect and abuse within maternal health facilities still prevails undermining quality of care and eroding women's trust in the health system [4,5] Empirical studies [6,7] reveal varied but promising results of effectiveness of intervention in decreasing mistreatment and enhancing knowledge and attitude. There lies a contextual gap for content and design of such educational intervention exclusively targeting maternal healthcare providers for improved RMC practices in local context of Asia. The scoping review attempts to contribute to fulfil the gap. Aim To explore content and design of Educational/ training Interventions on Respectful Maternity Care for Maternal Healthcare Providers in South Asia through a scoping review of litrature. Objectives 1. To identify the content of RMC educational intervention/ training packages for maternal health providers 2. To identify the design of the RMC educational intervention/training packages for maternal health care providers 3. To explore if there are variation in educational intervntion/ training based upon cadre of maternbal health workforce 4. To determine types of evaluations conducted and tools used to measure impact of the educational intervention/training conducted on RMC practices. The scoping review will be guided by 6 steps of Joanna Briggs Institute (JBI) framework (JBI 2015) for scoping review. References 1.Bowser, D., & Hill, K. (2010). Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis. USAID-Traction project. 2. Alliance, W. R. (2011). Respectful maternity care: the universal rights of childbearing women. White Ribbon Alliance, 1-6. 3. World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. 2018. Geneva: World Health Organization. 4. Al-Maharma, D. Y., Safadi, R. R., Durham, R., Halasa, S. N., & Nassar, O. S. (2021).Mothers’ and midwives’ and nurses’ perception of caring Behaviors during childbirth: A comparative study. Sage Open, 11(2), 21582440211024555. 5. Amathullah, A. S., Rishard, M., & Walpita, Y. (2023). Impacts of disrespectful care and abusive care practices in maternity units and potential interventions to improve the quality of care in low‐and middle‐income countries: A narrative review. International Journal of Gynecology & Obstetrics, 162(3), 847-859. 6. Dhakal, P., Creedy, D. K., Gamble, J., Newnham, E., & McInnes, R. (2022). Educational interventions to promote respectful maternity care: A mixed-methods systematic review. Nurse education in practice, 60, 103317. 7. Avan, B. I., Hameed, W., Khan, B., Asim, M., Saleem, S., & Siddiqi, S. (2023). Promoting supportive and respectful maternity care in public health facilities in Sindh, Pakistan: a theory-informed health system intervention. Global Health: Science and Practice, 11(3). 8. Tricco, A.C., E. Lillie, W. Zarin, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med 2018;169(7):467-73.

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