Respectful Maternal Care – Need for educational interventions among Maternal health care providers

Respectful maternal care (RMC) during child birth has been recognized as a global health priority. RMC is not a choice of a parturient women, it is the universal human right that she deserves from every health care system around the world [1]. Worldwide every day about 830 women and 7,000 new-borns die as a result of pregnancy or childbirth problems. According to WHO Respectful maternity care is “to deliver service to all women a manner in which it maintains their dignity, privacy and confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labour [2]. Maternal health care providers (MHCP's) attitude and comportment have a direct impact on patient and client well-being, and in addition, poor infrastructure, lack of standardised guidelines, workload, patient-care relationships, poor attitudes can frustrate health care providers them in providing quality care and maternal care and efforts to promote infant health, in addition to considering women’s dignity and respect. Numerous evidences suggests that decent parental care programs and interventions can effectively change the way midwives manage care in developing countries to reduce abuse during intrapartum care services [3.5]. It has also been reported that midwifery care can prevent 80% of all maternal and infant mortality and can promote maternal and new-born health and family planning [6-10]. To ensure quality care, the evidence is strong that midwives must be educated and trained to work as independent workers to provide knowledgeable, competent, deferent and commiserative information to all. They bear specific tasks that include knowledge, understanding and skills in planning care such as good communication, and tailoring personalized care. The World Health Organization (WHO) in 2018 emphasized positive collaboration between women and their health care providers as a prerequisite for good maternal outcomes. In order to promote RMC, the Government of India under NRHM introduced various schemes such Janani Shishu Suraksha Karyakaram (JSSK) and the Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Mother's Absolute Affection (MAA) programme and the LaQshya program (Labour Room Quality Improvement Initiative) have strongly emphasized the role of nurses in promoting institutional delivery and providing comprehensive. The inclusion of global health access as mandated by the SDGs by all signatory states has increased multinational movement to enrich the care and performance of work by HCWs. Under performance of health workers requires strategic planning, education, deployment, retention and management of staff performance is necessitated [11-13]. New interventions that can improve respectful maternal care in the workplace should be identified and strengthened. Comprehensive Training can be an effective intervention in improving the quality of care for mothers and new-borns [14-17]. Globally there are no studies that share effective interventions to reduce D&A in maternal care. It is difficult to achieve sustainable development goals without promoting RMC and very few studies are conducted to evaluate educational interventions in the RMC among nurses in developed or developing countries. Else space is required to improve the quality of maternal care through preservice training or inservice training for MHCP to promote RMC [18-20].