RMC is an approach centered on the individual, based on principles of ethics and respect for human rights, and promotes practices that recognize women’s preferences and women’s and newborns’ needs.

1. 11/16/2017 Respectful Maternity Care

2. Today, we will be discussing respect
issues.
What does it mean to be
respectful?
11/16/2017 Respectful Maternity Care

3. We have all the same
• Human Beings
• Feelings/emotions
• We all feel pain, we all bleed in we are cut
• Work to provide for ourselves and our families
• We expect to be treated with respect
• At work,
• In public places,
• In Family,
• In the community too.
11/16/2017 Respectful Maternity Care

4. “Respect for ourselves guides our morals,
respect for others guides our manners.”
-Laurence Sterne
“We don't need to share the same opinions as others,
but we need to be respectful.”
-Taylor Swift
11/16/2017 Respectful Maternity Care

5. What is RESPECT
“To take notice of,
to regard as worthy,
to honor,
to esteem for a personal quality or ability”
11/16/2017 Respectful Maternity Care

6. Start with “I”
11/16/2017 Respectful Maternity Care

7. Honor
Reverence
Courtesy
RecognitionDignity
Esteem
Regard ConsiderationRespect
Elements Of Respectful Approach
11/16/2017 Respectful Maternity Care

8. CULTURE OF RESPECT
We agree to show respect for all with our words and
actions that reflect that we recognize other people as
human beings.
11/16/2017 Respectful Maternity Care

9. “Compassion, kindness and respect are the very
essence of dignified care. We must make sure
that these principles are at the heart of
everything we do.”
Anonymous
11/16/2017 Respectful Maternity Care

10. 11/16/2017 Respectful Maternity Care

11. • Both respectful and disrespectful behaviors exist.
• Common acts of disrespectful care are reported by both the clients
and the Providers.
• Appropriate maternity care must be respectful and rights-based in
order to enhance access to skilled care at birth.
• Care Providers can make a difference by promoting women’s
rights and empowering women to give birth with dignity.
Behavior…….
11/16/2017 Respectful Maternity Care

12. CARE refers to
C – Effective Communication
A – Positive Attitude
R – Respect for patients, carers and staff
E – Environment conducive to care and recovery
11/16/2017 Respectful Maternity Care

13. CARE
Common respectful care:
• Freedom from discrimination
• Explanation of procedures/
answer to questions
• Consent Seeking
Common non-respectful care:
• Lack of information about the
progress of labour,
• Lack of privacy,
• Verbal abuse.
11/16/2017 Respectful Maternity Care

14. Types of Disrespect
• Discrimination
• Stereotyping
• Harassment
• Bullying
11/16/2017 Respectful Maternity Care

15. Discrimination
• Discrimination – with our words or actions we treat certain
individuals or groups differently
• Routine Care.
• Emergency Care.
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16. Stereotypes
• We give everyone in a certain
group the same attributes.
• The attributes do not have to be
negative.
• We are all different, even within
groups
• We put others in boxes
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17. Harassment
• Harassment – with our words or actions we make the workplace
uncomfortable and hostile for individuals or groups
11/16/2017 Respectful Maternity Care

18. Lets have a Clear Vision filled
with values……..
11/16/2017 Respectful Maternity Care

19. Vision & Values
Value Human Rights Standard WE need to promise…..
Accessible
We will provide a range of services that reach
out into the community and meet individual
need where everyone counts; celebrating
diversity and valuing difference
Equity
• I will greet you with a smile
• I will introduce who I am
• will ask you by what name you
would like to be referred to
• I will listen to you carefully
• I will treat you as an individual
11/16/2017 Respectful Maternity Care

20. Vision & Values
Value
Human Rights
Standard
WE need to promise…..
Responsive
To listen and work with clients
to meet needs and improve
health and wellbeing.
Inclusion
• I will respect your rights and choices
• I will be sensitive and discreet in how I give you
information and handle your information
• I will keep my language jargon free
• Having listened carefully, I will respond to your
query in a helpful way, taking responsibility for
resolving it for you
11/16/2017 Respectful Maternity Care

21. Vision & Values
Value
Human Rights
Standard
WE need to promise…..
Quality
We will provide safe effective
personalised care to the highest
standard, providing information to
support service users and their carers
to make informed choices.
Fairness
• I will be supportive and be non-
judgemental in my approach
• I will ensure you have the relevant
information to allow you to make a
decision
• I will work to best practice where
possible and strive to improve
standards
11/16/2017 Respectful Maternity Care

22. Vision & Values
Value
Human Rights
Standard
WE need to promise…..
Caring
We will deliver our services with respect,
compassion and understanding where
people are values and we will act in their
best interest.
Respect
• I will respect your views and build
your trust through honesty,
openness, reliability and
consistency.
• I will give you my time and
attention
• I will treat you as an individual
11/16/2017 Respectful Maternity Care

23. Vision & Values
Value Human Rights Standard WE need to promise…..
Ethical
Promoting a culture of dignity and respect we
will make morally sound, fair and honest
decisions and be openly accountable. We
will commit to investing wisely whilst being
socially and environmentally responsible
Dignity
• I will work in a respectful and
dignified manner at all times
• I will explain my actions and explain
to you what is happening
• I will adapt my approach to you,
taking into consideration, and
valuing, your requirements and
opinions
• I will be fair and honest in my
approach and my decisions
11/16/2017 Respectful Maternity Care

24. Vision & Values
Value
Human Rights
Standard
WE need to promise…..
Commitment
Throughout actions and commitment
we will strive to make positive
difference to peoples lives. We will
value our staff, the commitment and
contributions they make
Autonomy
• I will make a personal
commitment to provide you with
the best service that I can give
• I will maintain a positive
approach and go the extra mile
to ensure your experience is
positive
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25. Respectful Maternity Care ( RMC)
11/16/2017 Respectful Maternity Care

26. RMC– why does it matter? why does it matter?
• Reputation, Professionalism and Quality of Care,
• Patient Safety, Service Use and Health Outcomes,
• Provider's Safety, Satisfaction. and
• Client Retention,
• Enrichment of work culture.
11/16/2017 Respectful Maternity Care

27. A substantial barrier to progress in patient safety
is dysfunctional culture rooted in widespread disrespect.
• Disruptive behavior;
• Humiliating,
• Demeaning treatment of nurses, residents, and students;
• Passive-aggressive behavior;
• Passive disrespect;
• Dismissive treatment of patients; and systemic disrespect.
Six categories for classifying disrespectful behavior in the health care setting:
11/16/2017 Respectful Maternity Care

28. “Contrary” to “ Respectful Care”
CATEGORY OF DISRESPECT AND ABUSE CORRESPONDING RIGHT
1. Physical abuse Freedom from harm and ill treatment
2. Non‐consented care
Right to information, informed consent and refusal, and respect
for choices and preferences, including the right to companionship
of birth choice wherever possible.
3. Non‐confidential care Confidentiality, privacy
4. Non‐dignified care (including verbal abuse) Dignity, respect
5. Discrimination based on specific attributes Equality, freedom from discrimination, equitable care
6. Abandonment or denial of care
Right to timely health care and to the highest attainable level of
health
7. Detention in facilities Liberty, autonomy, self‐determination, and freedom from coercion
11/16/2017 Respectful Maternity Care

29. Respectful Care:
• Respect for beliefs, traditions and culture
• Empowerment of the woman and her family to become active
participants in health care
• Continuity of care
• The right to information and privacy
• Good communication between client and provider
• Use of evidence-based practices
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30. FIGO medical ethics guiding principle:
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31. Key Stakeholders in RMC
31
 Pregnant women
 Families
 Communities
Training Institutions
Healthcare Providers
 Individual providers
 Professional associations
Policy Makers
Donors
Women’s Advocates
Human Rights Activists
RESPECTFUL
MATERNITY
CARE
Source: USAID

32. Source: Hill K and Stanton ME, 2010
Contributors to and Impact of Disrespect and Abuse in
Childbirth on Skilled Care Utilization

33. Key Action Points
POLICY
LEGAL ACTION
EDUCATION
SERVICE DELIVERY
HEALTH SYSTEM
RESEARCH
ADVOCACY
33
COMMUNITY/
SOCIAL ACTIVISM
RMC
Source: USAID

34. Final words….
• Inherent imbalance in power and knowledge between Providers
and Clients results in.
• Increase in patients’ vulnerability.
• Also a concomitant dependency.
• It Obligatory on the part of Care providers to promote
• independent and
• informed decision-making by patients .
• Violation of human rights destroys the trust essential to the
health care and healing process.
• Adhere to Respectful Care.
11/16/2017 Respectful Maternity Care

35. RMC….
11/16/2017 Respectful Maternity Care
 An opportunity – to care for and care about our commitments.
A challenge - to meet and exceed Client expectations.
A chance – for everyone to create the right impression for both
clients and Providers.

36. 11/16/2017 Respectful Maternity Care