1. Third Global Women Deliver Conference Kuala Lumpur - Malaysia, 28-30 May 2013 PROMOTING RESPECTFUL MATERNITY CARE: The LAC country experiences LAC Caucus - QUALITY OF CARE, Wednesday, 29 May, 7:00- 8:30 am Presenter: Dr. Veronica Reis, Jhpiego/MCHIP Senior RH/MNH Technical Advisor

2. General Session Objective  To share the results of a survey conducted by MCHIP about key countries experiences implementing interventions to prevent disrespect & abuse and to promote Respectful Maternity Care (RMC). 2 Key stakeholders at the 3 rd International Conference on the Humanization of Childbirth (Brazil – November 2010)

3. Respectful Maternity Care: General Concept “Respectful Maternity Care” (RMC) is an approach that:  Focuses on the interpersonal aspect of maternity care  Emphasizes the fundamental rights of the mother, newborn and families  Recognizes that all women need and deserve respectful care and protection of the women’s rights. 3

4. Respectful Maternity Care Include:  Respect for beliefs, traditions and culture  Continuous support and choice of companions during labor and birth  The right to information and privacy  Freedom of movement during labor  Choice of position during birth  Keep Mother and Baby Together  Good communication between client-provider  Appropriate use of practices and technology  Improvement of working conditions  Prevention of disrespect and abuse and institutional violence against woman 4

5. Respectful Maternity Care Chart

6. RMC country survey  Conducted in 2012 by MCHIP with USAID support  Based on the revision of key documents and application of questionnaires to 48 stakeholders from 19 countries (9 from LAC: Argentina, Brazil, Chile, Colombia, Mexico, Paraguay, Peru, Uruguay, Venezuela)  Main findings include: A brief on programs/projects promoting RMC, interventions, main results, resources used, challenges, lessons learned and recommendations.  RMC Toolkit - http://www.k4health.org/toolkits/rmc. 6

7. Survey Main Results  There is some interest in promoting RMC in LAC countries and various RMC interventions have been implemented.  There are interesting tools available and some consistent results have been produced.  Factors associated with disrespectful care are related to:  Policy and management;  Infrastructure, resources and work condition;  Knowledge, skills and heath worker motivation;  Ethical, gender, economic and socio-cultural aspects;  Interpersonal relations and community factors. 7

8. Key action points – focus of strategies or interventions to promote RMC COMMUNITY LEGAL APPROACHES EDUCATION and TRAINING PROGRAM SERVICE DELIVERY (Management, Infrastructure, Practices, and communications) RESEARCH and M&E ADVOCACY 8

9. Lessons Learned and Recommendations  Include advocacy at all levels to create functional networks among the wider body of stakeholders  Ensure political commitment at the national, district and local levels so that appropriate laws, policies and standards are in place.  Mobilize resources to support promotion of RMC  Professionals and communities should collaborate in planning, implementation, and evaluation of RMC.  Conduct studies on women’s preferences and choices related to RMC. 16

10. Lessons Learned and Recommendations (cont.)  Knowledge, skills and attitudes that support RMC must be promoted in all education and training programs for healthcare workers.  Committed teams need to be valued and continually supported. Make change require negotiation!  Exchange information and program successes with authorities, health workers and communities.  Begin as soon as possible and move a step at a time.  Have patience and creativity! 17

11. WE ALL HAVE A ROLE IN ASSURING THAT ALL WOMEN AND BABIES HAVE RMC! THANKS!