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The "hot potato" topic: challenges and facilitators to promoting respectful maternal care within a broader health intervention in Tanzania

Journal Article
(Published September, 2018)
McMahon, S. (Author),
Mnzava, RJ (Author),
Tibaijuka, G. (Author),
Currie, S. (Author)
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Mistreatment in childbirth captures public health and maternal health consciousness as an affront to women's rights and a deterrent to facility-based childbirth to reduce maternal mortality. The challenge ahead is to determine what can be done to address this public health problem. A modest but growing body of research has demonstrated that interventions to foster Respectful Maternity Care (RMC) can enact change, albeit in the relatively controlled context of a trial or study. Herein we describe our experiences in weaving elements of RMC across tiers of an existing maternal and newborn health program. As a commentary, this document does not outline program results, but instead highlights challenges and facilitators to promoting RMC within a large-scale, multi-district health platform. We conclude with lessons learned during the process and urge that others share their program learning experiences in an effort to strengthen the knowledge base on what works and what does not work in terms of addressing this complex, context-sensitive issue.

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Citation: 
McMahon SA, Mnzava RJ, Tibaijuka G, Currie S. The "hot potato" topic: challenges and facilitators to promoting respectful maternal care within a broader health intervention in Tanzania. Reprod Health. 2018;15(1):153.