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Testing the feasibility of a translated and culturally adapted person-centred training programme in maternal and newborn healthcare in Democratic Republic of Congo: A process evaluation
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Centre for Person‐centred Care (GPCC) University of Gothenburg, Arvid Wallgrens backe, House 1, 413 46 Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens backe, House 1, 413 46 Gothenburg, Sweden.
Centre for Person‐centred Care (GPCC) University of Gothenburg, Arvid Wallgrens backe, House 1, 413 46 Gothenburg, Sweden; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens backe, House 1, 413 46 Gothenburg, Sweden; Faculty of Medicine and Community Health, Evangelical University in Africa, Bukavu, The Democratic Republic of Congo.ORCID iD: 0000-0001-8358-6075
Faculty of Medicine and Community Health, Evangelical University in Africa, Bukavu, The Democratic Republic of Congo; Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 3, 41390 Gothenburg, Sweden.
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2024 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 40, article id 100979Article in journal (Refereed) Published
Sustainable development
According to the author(s), the content of this publication falls within the area of sustainable development.
Abstract [en]

Objective

Ensuring quality of maternal and newborn healthcare is challenging in the Democratic Republic of Congo (DRC) as the maternal and newborn mortality and morbidity rate is high. Essential for quality care is a person-centred approach. One model of person-centred care (PCC) has been developed at Gothenburg University. To support its implementation a training programme, “Mutual Meetings”, has been developed. This study aims to test the feasibility of a translated and culturally adapted version of this PCC training programme for healthcare providers in the maternal and newborn healthcare context of DRC.

Methods

The PCC programme was translated into French and tested in a workshop with 31 maternal and newborn healthcare providers in eastern DRC. The feasibility of the programme was evaluated through focus group interviews and individual interviews. The interview transcripts were analysed deductively using key components in a process evaluation framework including fidelity, dose, reach, adaptation, acceptability, and application.

Results

The French PCC programme exceeded the participants’ expectations and was found being applicable in both teaching and clinical setting with some suggested contextual modifications. Its pedagogic structure including a participatory reflective approach, was perceived innovative and inspirational, mediated a sense of comfort, and enabled the participants to use a person-centred approach towards each other.

Conclusion

The results show that the French on-site version of the PCC training programme was valid in terms of feasibility and how it was received by the participants. The study demonstrates the importance of contextual adaptation of complex interventions in new settings.

Place, publisher, year, edition, pages
2024. Vol. 40, article id 100979
Keywords [en]
Person-centred care, Implementation science, Qualitative research, Sub-Saharan Africa
National Category
Public Health, Global Health and Social Medicine Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-32644DOI: 10.1016/j.srhc.2024.100979OAI: oai:DiVA.org:hb-32644DiVA, id: diva2:1902810
Available from: 2024-10-02 Created: 2024-10-02 Last updated: 2025-09-24Bibliographically approved

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Carlsson-Lalloo, Ewa

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