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Table 3 Health providers’ attitudes about RMNH care and quality disaggregated by sex

From: The relationship between inequitable gender norms and provider attitudes and quality of care in maternal health services in Rwanda: a mixed methods study

 

Male Providers

Female Providers

TOTAL

p-value for difference between male and female providers

Agree or strongly agree

Agree or strongly agree

Agree or strongly agree

%

n = 61

%

n = 90

%

n

 

1. When health providers listen to their clients’/patients’ questions and concerns, it results in better service provision. #&

100.0

59

100.0

88

100.0

147

p = 0.910

2. Health providers should show sympathy and care to women during childbirth. #&

100.0

60

100.0

90

100.0

150

p = 0.779

3. A woman should be allowed to have a companion present at delivery, if she chooses, and without any further explanation. #&

98.3

58

96.6

86

97.3

144

p = 0.822

4. It is easier to work with women when they come to ANC with their partners.

95.0

57

97.8

88

96.7

145

p = 0.342

5. A woman should be able to get help from a skilled birth attendant when she needs it, even without her husband’s permission. #&

88.1

52

90.8

79

89.7

131

p = 0.523

6. Sometimes you have to yell or shout at a woman while she is giving birth to get her to push. #

37.3

22

24.7

22

29.7

44

p = 0.191

7. A good client never questions a health provider’s decisions, even if s/he disagrees with them. #

21.7

13

27.8

25

25.3

38

p = 0.495

8. It is important for health providers to assert their power over their clients in order to be respected. #

25.4

15

21.8

19

23.3

34

p = 0.940

9. A good woman keeps quiet during delivery, even when she is in pain. #

16.9

10

24.7

22

21.6

32

p = 0.170

10. It is better for a health provider to be decisive than to explain everything to a client/patient. #

13.3

8

18.0

16

16.1

24

p = 0.681

11. Male health providers have more power and are more respected than female health providers.

16.7

10

4.4

4

9.3

14

p = 0.006

12. Men should not be present when women are giving birth. #

6.8

4

9.1

8

8.2

12

p = 0.050

13. If a woman is unable to pay for the services she has received, she should be detained in the facility until payment is made. #

8.5

5

3.4

3

5.4

8

p = 0.292

14. Sometimes women need a little push or slap to motivate them during childbirth. #

3.4

2

4.5

4

4.0

6

p = 0.561

  1. Note: % agree reported out of all responses to each particular item; missing responses ranged from 1 to 5 out of 151. Chi-squared tests were used to assess differences in full response distributions between male and female providers
  2. #: item included in the ‘RMNH QOC scale’
  3. &: item was reverse coded for analysis