Table 2.
Items for person-centered maternity care scale
| Original Domain | Question | Referred to in text as | Comment |
|---|---|---|---|
| Dignity/Respect | 1. How did you feel about the amount of time you waited? Would you say it was very short, just a little long, somewhat long, or very long? | Time to care | Retained but loads at less than 0.3 |
| Dignity/Respect | 2. During your time in the health facility did the doctors, nurses, or other health care providers introduce themselves to you when they first came to see you? | Introduce self | Retained but loads at less than 0.3 |
| Dignity/Respect | 3. Did the doctors, nurses, or other health care providers call you by your name? | Called by name | Retained |
| Dignity/Respect | 4. Did the doctors, nurses, or other staff at the facility treat you with respect? | Treated with respect | Retained |
| Dignity/Respect | 5. Did the doctors, nurses, and other staff at the facility treat you in a friendly manner? | Friendly | Retained |
| Dignity/Respect | 6. Did you feel the doctors, nurses, or other health providers shouted at you, scolded, insulted, threatened, or talked to you rudely? | Verbal abuse | Retained |
| Dignity/Respect | 7. Did you feel like you were treated roughly like pushed, beaten, slapped, pinched, physically restrained, or gagged? | Physical abuse | Retained but loads at less than 0.3 |
| Privacy/Confidentiality | 8. During examinations in the labor room, were you covered up with a cloth or blanket or screened with a curtain so that you did not feel exposed? | Visual privacy | Retained |
| Privacy/Confidentiality | 9. Do you feel like your health information was or will be kept confidential at this facility? | Record confidentiality | Retained |
| Autonomy | 10. Did you feel like the doctors, nurses or other staff at the facility involved you in decisions about your care? | Involvement in care | Retained |
| Autonomy | 11. Did the doctors, nurses or other staff at the facility ask your permission/consent before doing procedures and examinations on you? | Consent to procedures/exams | Retained |
| Autonomy | 12. During the delivery, do you feel like you were able to be in the position of your choice? | Delivery position choice | Retained |
| Communication | 13. Did the doctors, nurses or other staff at the facility speak to you in a language you could understand? | Language | Retained but loads at less than 0.3 |
| Communication | 14. Did the doctors and nurses explain to you why they were doing examinations or procedures on you? | Explain exams/procedures | Retained |
| Communication | 15. Did the doctors and nurses explain to you why they were giving you any medicine? | Explain medicines | Retained |
| Communication | 16. Did you feel you could ask the doctors, nurses or other staff at the facility any questions you had? | Able to ask questions | Retained but loads at less than 0.3 |
| Social Support | 17. Were you allowed to have someone you wanted (outside of staff at the facility, such as family or friends) to stay with you during labor? | Labor support | Retained |
| Social Support | 18. Were you allowed to have someone you wanted to stay with you during delivery? | Delivery support | Retained |
| Supportive Care | 19. Did the doctors and nurses at the facility talk to you about how you were feeling? | Talk about feeling | Retained |
| Supportive Care | 20. Did the doctors, nurses or other staff at the facility support your anxieties and fears? | Support anxiety | Deleted based on wording of question |
| Supportive Care | 21. Do you feel the doctors or nurses did everything they could to help control your pain? | Control pain | Retained |
| Supportive Care | 22. When you needed help, did you feel the doctors, nurses or other staff at the facility paid attention? | Attention when need help | Retained |
| Trust | 23. Did you feel the doctors, nurses or other staff at the facility took the best care of you? | Took best care | Retained |
| Trust | 24. Did you feel you could completely trust the doctors, nurses or other staff at the facility with regards to your care? | Trust | Retained |
| Facility environment | 25. Do you think there was enough health staff in the facility to care for you? | Enough staff | Retained |
| Facility environment | 26. Thinking about the labor and postnatal wards, did you feel the health facility was crowded? | Crowded | Deleted: low loading |
| Facility environment | 27. Thinking about the wards, washrooms and the general environment of the health facility, will you say the facility was very clean, clean, dirty, or very dirty? | Clean | Retained but loads at less than 0.3 |
| Facility environment | 28. Was there clean drinking water available in the facility?a | Water | Deleted: low loading |
| Facility environment | 29. Was there electricity in the facility? | Electricity | Deleted: low loading |
| Facility environment | 30. In general, did you feel safe in the health facility? | Safe | Retained but loads at less than 0.3 |
| Predictability & transparency of payments | 31. Did the doctors, nurses or other staff at the facility ask you or your family for money other than the official cost?b | Bribe | Retained but loads at less than 0.3 |
| Predictability & transparency of payments | 32. Were you or your family asked to buy anything from outside the health facility for your care?b | buy supplies | Deleted: low loading |
Notes: All items retained loaded at > 0.1 on the final main scale
aQuestion asked as was there water in Kenya version (drinking water added by India survey team)
bAll items in scale validated from Kenya data except these two questions