The "Blessing" of Pregnancy? Barriers to accessing adequate maternal care in Poland : a mixed-method study among women, healthcare providers, and decision-makers

2023
journal article
article
9
cris.lastimport.wos2024-04-10T03:04:38Z
dc.abstract.enObjective: All women should have access to adequate and respectful maternal care to maximise health outcomes. In Poland, there is a mismatch between good maternal health indicators and poor care experiences. This study examined stakeholder views on access to adequate maternal care in Poland in terms of availability, appropriateness, affordability, approachability, and acceptability. Design: A mixed-methods study. Setting: Online survey and online semi-structured interviews conducted between March 2021 and May 2021. Participants: Five-hundred fifty-seven (557) women who recently gave birth in Poland, maternal care providers and decision-makers active in the field of maternal health. Findings: The main barriers to adequate care were inappropriate communication of maternal care providers, insufficient compliance with standards of care, over-medicalisation of childbirth and suboptimal engagement of women in care provision, and high levels of out-of-pocket spending on maternal care services. Other barriers included limited availability of maternal care providers, particularly midwives, and low reproductive health literacy in women. Key conclusions: Provision of adequate and women-centred maternal care remains erratic, despite substantial care provision advancements in recent years. Addressing the barriers could substantially improve the experience of and access to adequate maternal care in Poland. Implications for practice: Barriers identified in the survey with women largely converged with those highlighted in the interviews. In addition, maternal care providers and decision-makers provided context-specific information and explanation of the current state of maternal care system. Consequently, this study provides direction-setting information for policy and practice in Poland and other Central and Eastern European countries, which share similar shortcomings related to adequate maternal care provision.
dc.affiliationWydział Nauk o Zdrowiu : Instytut Zdrowia Publicznegopl
dc.cm.date2022-12-20T23:18:40Z
dc.cm.id110662pl
dc.cm.idOmegaUJCM2ba17d2168474a32ba8e5257466b726cpl
dc.contributor.authorMastylak, Alicjapl
dc.contributor.authorMiteniece, Elinapl
dc.contributor.authorCzabanowska, Katarzyna - 200786 pl
dc.contributor.authorPavlova, Milenapl
dc.contributor.authorGroot, Wimpl
dc.date.accession2022-12-20pl
dc.date.accessioned2022-12-20T23:18:40Z
dc.date.available2022-12-20T23:18:40Z
dc.date.issued2023pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.versionostateczna wersja wydawcy
dc.description.volume116pl
dc.identifier.articleid103554pl
dc.identifier.doi10.1016/j.midw.2022.103554pl
dc.identifier.eissn1532-3099pl
dc.identifier.issn0266-6138pl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/305079
dc.identifier.weblinkhttps://www.sciencedirect.com/science/article/pii/S0266613822003023pl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.pbn.affiliationDziedzina nauk społecznych : nauki socjologiczne
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.typeinne
dc.source.integratorfalse
dc.subject.enmaternal care
dc.subject.enquality
dc.subject.encost
dc.subject.enaccess
dc.subject.enPoland
dc.subject.enCentral and Eastern Europe
dc.subtypeArticlepl
dc.titleThe "Blessing" of Pregnancy? Barriers to accessing adequate maternal care in Poland : a mixed-method study among women, healthcare providers, and decision-makerspl
dc.title.journalMidwiferypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T03:04:38Z
dc.abstract.en
Objective: All women should have access to adequate and respectful maternal care to maximise health outcomes. In Poland, there is a mismatch between good maternal health indicators and poor care experiences. This study examined stakeholder views on access to adequate maternal care in Poland in terms of availability, appropriateness, affordability, approachability, and acceptability. Design: A mixed-methods study. Setting: Online survey and online semi-structured interviews conducted between March 2021 and May 2021. Participants: Five-hundred fifty-seven (557) women who recently gave birth in Poland, maternal care providers and decision-makers active in the field of maternal health. Findings: The main barriers to adequate care were inappropriate communication of maternal care providers, insufficient compliance with standards of care, over-medicalisation of childbirth and suboptimal engagement of women in care provision, and high levels of out-of-pocket spending on maternal care services. Other barriers included limited availability of maternal care providers, particularly midwives, and low reproductive health literacy in women. Key conclusions: Provision of adequate and women-centred maternal care remains erratic, despite substantial care provision advancements in recent years. Addressing the barriers could substantially improve the experience of and access to adequate maternal care in Poland. Implications for practice: Barriers identified in the survey with women largely converged with those highlighted in the interviews. In addition, maternal care providers and decision-makers provided context-specific information and explanation of the current state of maternal care system. Consequently, this study provides direction-setting information for policy and practice in Poland and other Central and Eastern European countries, which share similar shortcomings related to adequate maternal care provision.
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Zdrowia Publicznego
dc.cm.date
2022-12-20T23:18:40Z
dc.cm.idpl
110662
dc.cm.idOmegapl
UJCM2ba17d2168474a32ba8e5257466b726c
dc.contributor.authorpl
Mastylak, Alicja
dc.contributor.authorpl
Miteniece, Elina
dc.contributor.authorpl
Czabanowska, Katarzyna - 200786
dc.contributor.authorpl
Pavlova, Milena
dc.contributor.authorpl
Groot, Wim
dc.date.accessionpl
2022-12-20
dc.date.accessioned
2022-12-20T23:18:40Z
dc.date.available
2022-12-20T23:18:40Z
dc.date.issuedpl
2023
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
116
dc.identifier.articleidpl
103554
dc.identifier.doipl
10.1016/j.midw.2022.103554
dc.identifier.eissnpl
1532-3099
dc.identifier.issnpl
0266-6138
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/305079
dc.identifier.weblinkpl
https://www.sciencedirect.com/science/article/pii/S0266613822003023
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.pbn.affiliation
Dziedzina nauk społecznych : nauki socjologiczne
dc.rights
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
inne
dc.source.integrator
false
dc.subject.en
maternal care
dc.subject.en
quality
dc.subject.en
cost
dc.subject.en
access
dc.subject.en
Poland
dc.subject.en
Central and Eastern Europe
dc.subtypepl
Article
dc.titlepl
The "Blessing" of Pregnancy? Barriers to accessing adequate maternal care in Poland : a mixed-method study among women, healthcare providers, and decision-makers
dc.title.journalpl
Midwifery
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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