The Ramalingaswami Centre on Equity and Social Determinants of Health, PHFI, Bangalore’s Post

Effective communication is a key element of medical care; it can foster a warm interpersonal relationship, facilitate the exchange of information, and enable shared decision-making. In the context of obstetric care, it is associated with a range of positive clinical and social outcomes for mother and baby. But few studies have examined intrapartum communication in the Indian setting. Based on interviews with providers across different levels of public health facilities in two districts of Karnataka, we identified four types of communication: compassionate, factual, prescriptive, and defensive. Knowledge and power hierarchies operated differently in each type of communication, and did not necessarily serve the goals of communication in a medical interaction. Our findings point to the necessity of integrating an understanding of the ways in which social hierarchies operate in a clinical setting into respectful maternity care guidelines, medical curricula, training programmes, and interventions. #communicationhealth #communication #medicalcommunications #health #universalhealthcare #publichealth #India #rcesdh #phfi #healthequity #researchforchange #empoweringcommunities #healthforall

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