The perceived impact of a student-led domiciliary midwifery care on patient-centered care: A mixed methods inquiry into postnatal mothers’ experiences

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dc.contributor.authorAleni, Mary
dc.contributor.authorEpuitai, Joshua
dc.contributor.authorAkao, Mary Grace
dc.contributor.authorAyiasi, Richard Mangwi
dc.contributor.authorAssusi, Mildred Edna
dc.contributor.authorAndru, Monicah
dc.contributor.authorOtim, Douglas Tonny
dc.contributor.authorKakyo, Tracy Alexis
dc.date.accessioned2026-02-17T08:22:55Z
dc.date.available2026-02-17T08:22:55Z
dc.date.issued2026-02-09
dc.descriptionThis research explores how home-based midwifery services provided by students shape the experiences and satisfaction of new mothers, revealing that student-led care in the home setting leads to greater respect for mothers’ preferences and improves overall satisfaction with postnatal care. By emphasizing the voices and lived realities of mothers, the study highlights the value of compassionate, individualized support during a critical time. Beyond individual experiences, this work advances several Sustainable Development Goals: it promotes SDG 3 (Good Health and Well-Being) by enhancing the quality of maternal care, SDG 4 (Quality Education) by demonstrating the benefits of practical, community-based training for students, and SDG 5 (Gender Equality) by supporting women’s health and empowerment. These insights also align with Uganda’s National Development Plan IV, which prioritizes strengthening health services, improving maternal and child health, and investing in human capital as essential elements of national wellbeing and sustainable progress.
dc.description.abstractBackground Domiciliary midwifery care focuses on providing pregnancy, labor, and postpartum care in women’s homes rather than in health facilities, yet this model of care remains underexplored in Uganda. Purpose To examine the experiences of postnatal mothers with a student-led domiciliary midwifery care and its influence on patient-centered care. Materials and Methods We conducted a sequential explanatory mixed-methods design among postnatal mothers who had received student-led domiciliary midwifery care. Quantitative data were collected using a patient-centered care (PCC) scale, while qualitative data were collected using in-depth interview. Qualitative data were analyzed using content analysis based on the PCC constructs, while quantitative data were summarized using descriptive statistics. Results Mothers experienced moderate levels of PCC after completing the student-led domiciliary midwifery care (Mean 3.46 ± 0.704) and were satisfied with the care provided (Mean 4.19 ± 0.804). Respect for patients’ preferences, values, and needs scored highest among the PCC constructs (Mean 4.03 ± 0.94), whereas continuity and transition of care scored lowest (Mean 2.92 ± 1.06). Client’s experience of domiciliary care was shaped by skepticism toward new model of care, the familiarity of home setting versus hospital settings, and care provided by male students. Conclusion Student-led domiciliary midwifery care had a moderate effect on PCC, with most postnatal women satisfied with the care. The Findings highlight the need to raise community awareness about domiciliary midwifery and the importance of integrating mothers’ experiences into curriculum design.
dc.description.sponsorshipMuni University Research and Innovation Fund (MRIF02/13)
dc.identifier.citationAleni, M., Epuitai, J., Akao, M. G., Ayiasi, R. M., Assusi, M. E., Andru, M., ... & Kakyo, T. A. (2026). The perceived impact of a Student-Led domiciliary midwifery care on Patient-Centered Care: A mixed methods Inquiry into postnatal Mothers’ experiences. International Journal of Africa Nursing Sciences, 101022.
dc.identifier.issn2214-1391
dc.identifier.urihttps://dir.muni.ac.ug/handle/20.500.12260/918
dc.language.isoen
dc.publisherElsevier
dc.subjectDomiciliary midwifery care
dc.subjectContinuity of care
dc.subjectPatient-centered care
dc.subjectPerson-centered care
dc.titleThe perceived impact of a student-led domiciliary midwifery care on patient-centered care: A mixed methods inquiry into postnatal mothers’ experiences
dc.typeArticle

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