TY - JOUR T1 - Self-reported provision of person-centred maternity care among providers in Kenya and Ghana: scale validation and examination of associated factors JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-007415 VL - 6 IS - 12 SP - e007415 AU - Patience A Afulani AU - Raymond A Aborigo AU - Jerry John Nutor AU - Jaffer Okiring AU - Irene Kuwolamo AU - Beryl A Ogolla AU - Edwina N Oboke AU - John Baptist K Dorzie AU - Osamuedeme J Odiase AU - Jody Steinauer AU - Dilys Walker Y1 - 2021/11/01 UR - http://gh.bmj.com/content/6/12/e007415.abstract N2 - Introduction Person-centred maternity care (PCMC), which refers to care that is respectful and responsive to women’s preferences needs, and values, is core to high-quality maternal and child health. Provider-reported PCMC provision is a potentially valid means of assessing the extent of PCMC and contributing factors. Our objectives are to assess the psychometric properties of a provider-reported PCMC scale, and to examine levels and factors associated with PCMC provision.Methods We used data from two cross-sectional surveys with 236 maternity care providers from Ghana (n=150) and Kenya (n=86). Analysis included factor analysis to assess construct validity and Cronbach’s alpha to assess internal consistency of the scale; descriptive analysis to assess extent of PCMC and bivariate and multivariable linear regression to examine factors associated with PCMC.Findings The 9-item provider-reported PCMC scale has high construct validity and reliability representing a unidimensional scale with a Cronbach’s alpha of 0.72. The average standardised PCMC score for the combined sample was 66.8 (SD: 14.7). PCMC decreased with increasing report of stress and burnout. Compared with providers with no burnout, providers with burnout had lower average PCMC scores (β: −7.30, 95% CI:−11.19 to –3.40 for low burnout and β: −10.86, 95% CI: −17.21 to –4.51 for high burnout). Burnout accounted for over half of the effect of perceived stress on PCMC.Conclusion The provider PCMC scale is a valid and reliable measure of provider self-reported PCMC and highlights inadequate provision of PCMC in Kenya and Ghana. Provider burnout is a key driver of poor PCMC that needs to be addressed to improve PCMC.Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. All data reported in the manuscript are included in the article or as supplemental information. Raw data files are available from the first author on reasonable request. ER -