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Applying a participatory approach to the promotion of a culture of respect during childbirth

Overview of attention for article published in Reproductive Health, July 2016
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (54th percentile)

Mentioned by

2 tweeters
2 Facebook pages


14 Dimensions

Readers on

178 Mendeley
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Applying a participatory approach to the promotion of a culture of respect during childbirth
Published in
Reproductive Health, July 2016
DOI 10.1186/s12978-016-0186-0
Pubmed ID

Hannah L. Ratcliffe, David Sando, Mary Mwanyika-Sando, Guerino Chalamilla, Ana Langer, Kathleen P. McDonald


Disrespect and abuse (D&A) during facility-based childbirth is a topic of growing concern and attention globally. Several recent studies have sought to quantify the prevalence of D&A, however little evidence exists about effective interventions to mitigate disrespect and abuse, and promote respectful maternity care. In an accompanying article, we describe the process of selecting, implementing, and evaluating a package of interventions designed to prevent and reduce disrespect and abuse in a large urban hospital in Tanzania. Though that study was not powered to detect a definitive impact on reducing D&A, the results showed important changes in intermediate outcomes associated with this goal. In this commentary, we describe the factors that enabled this effect, especially the participatory approach we adopted to engage key stakeholders throughout the planning and implementation of the program. Based on our experience and findings, we conclude that a visible, sustained, and participatory intervention process; committed facility leadership; management support; and staff engagement throughout the project contributed to a marked change in the culture of the hospital to one that values and promotes respectful maternity care. For these changes to translate into dignified care during childbirth for all women in a sustainable fashion, institutional commitment to providing the necessary resources and staff will be needed.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 178 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Netherlands 1 <1%
Brazil 1 <1%
Sweden 1 <1%
Congo, The Democratic Republic of the 1 <1%
Unknown 173 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 37 21%
Researcher 25 14%
Student > Ph. D. Student 25 14%
Student > Doctoral Student 17 10%
Student > Postgraduate 14 8%
Other 33 19%
Unknown 27 15%
Readers by discipline Count As %
Medicine and Dentistry 45 25%
Nursing and Health Professions 35 20%
Social Sciences 29 16%
Psychology 8 4%
Unspecified 7 4%
Other 19 11%
Unknown 35 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 April 2017.
All research outputs
of 9,424,035 outputs
Outputs from Reproductive Health
of 627 outputs
Outputs of similar age
of 265,048 outputs
Outputs of similar age from Reproductive Health
of 31 outputs
Altmetric has tracked 9,424,035 research outputs across all sources so far. This one has received more attention than most of these and is in the 51st percentile.
So far Altmetric has tracked 627 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,048 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.
We're also able to compare this research output to 31 others from the same source and published within six weeks on either side of this one. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.