BACKGROUND: The differences in cancer survival across countries and over time are well recognised, with progress varying even among high-income countries with comparable health systems. Previous research has examined several possible explanations, but the role of leadership in systems providing cancer care has attracted little attention. As part of the International Cancer Benchmarking Partnership (ICBP), this study looked at diverse aspects of leadership to identify drivers of change and opportunities for improvement across seven high-income countries. METHODS: Key informants in 13 jurisdictions were interviewed: Australia (2 states), Canada (3 provinces), Denmark, Ireland, New Zealand, Norway and United Kingdom (4 countries). Participants represented a range of stakeholders at different tiers of the system. They were recruited through a combination of purposive and 'snowball' strategies and participated in semi-structured telephone interviews. Interview transcripts were analysed thematically drawing on the World Health Organization (WHO) health systems framework and previous work analysing national cancer control programmes (NCCPs). RESULTS: Several facets of leadership were perceived as important for improving outcomes. These included political leadership to initiate and maintain progress, intellectual leadership to support those engaged in local implementation of national policies and drive change, and a coherent vision from leaders at different levels of the system. Clinical leadership was also viewed as vital for translating policy into action. CONCLUSION: Certain aspects of cancer care leadership emerged as underpinning and sustaining improvements, such as appointing a central agency, involving clinicians at every stage, ensuring strong leadership of cancer care with a consistent political mandate. Improving cancer outcomes is challenging and complex, but it is unlikely to be achieved without effective leadership, both political and clinical.
BACKGROUND: Inflammatory arthritis (IA) patients have been identified as at greater risk of severe illness from COVID-19. It is likely that lockdown restrictions (enforced by the UK government in response to the COVID-19 pandemic) and subsequent changes made to healthcare provision could impact patients' abilities to effectively manage their condition. The aim of this study was to qualitatively explore the impact of COVID-19 on self-management behaviours and healthcare access for people with IA. METHODS: Semi-structured interviews were conducted with 21 IA patients in June-July 2020, with nine follow-up interviews in November 2020. Interview schedules were developed with a Patient Research Partner and explored participants' experiences of the COVID-19 pandemic. Interviews were conducted via telephone and analysed using inductive thematic analysis. RESULTS: Participants were aged between 24 and 79 years (mean = 50.1, SD = 15.8), largely female (71%) and White British (86%). Four initial themes were identified: (1) Impact of COVID-19 on medication adherence, (2) Impact of COVID-19 on physical activity, (3) Impact of COVID-19 on diet, and (4) Impact of COVID-19 on healthcare access and delivery. Subthemes focused on positive and negative changes made to these areas, as well as behaviours which remained consistent. Follow-up interviews highlighted differences in participants' experiences during the two lockdown periods. CONCLUSION: COVID-19 has affected patients' abilities to manage their IA. Healthcare professionals need to recognise the ongoing impact of COVID-19 on patient self-management and healthcare access to ensure that adequate understanding and support is available to patients who may have inadequate disease control as a result. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41927-021-00231-1.
BACKGROUND: Aboriginal Community Controlled Health Services (ACCHSs) play a critical role in providing culturally appropriate, accessible primary healthcare (PHC) for Aboriginal and Torres Strait Islander peoples in Australia. The success of many ACCHSs has led to increased policy support for their growth and development, including the transition of state government administered PHC services to Aboriginal community control in select communities. However, there is minimal published literature available which evaluates such transitions. This paper reports on an evaluation of one ACCHS (Gurriny Yealamucka Health Service)'s experience of transitioning local PHC services to community control in Yarrabah, Queensland, with a focus on the processes and strategies which were implemented to achieve successful transition. METHODS: Data was collected from interviews with key personnel involved in the transition and organisational documents from the evaluation period. Face-to-face or telephone interviews were conducted with 14 key stakeholders, audio-recorded and transcribed with written consent. Historical organisational documents were provided by Gurriny. All interview transcripts and documents were imported into NVIVO, coded and analysed using grounded theory methods. RESULTS: Gurriny's journey of achieving community control of PHC in Yarrabah entailed an almost 30 year process of building and demonstrating organisational capacity. The first stage (1986 to 2004) was focused on establishing and developing a community-controlled health service and the second stage (2005–14) on preparing for the transition. Formal handover occurred in June 2014. Stage one strategies included: addressing community social and emotional wellbeing; consulting the community; collaborating with researchers; and, strategically building services, organisation capacity and stakeholder trust. Stage two strategies were: communicating and engaging with stakeholders; ensuring strong governance; planning and developing the services and workforce; assuring ...
Purpose: This article discusses the possibilities and consequences of the Polish Armed Forces (which is a type of public organization) utilizing the concept of New Public Management (NPM). The key element of NPM focuses on the citizen – the customer of public services who assesses the quality of service and effects. The research aimed to evaluate the service understood as activities and the value that a citizen receives from the military units from the perspective of the need to ensure security in the time of peace. Approach/Methodology/Design: Scientific literature and results from the research among 600 inhabitants from the Polish cities and other reports were analyzed. The article contains the results of own analyses, which were carried out based on data obtained in the research conducted using a mix-mode research procedure CATI (Computer-Assisted Telephone Interviewing) and CAWI (Computer-Assisted Web Interview). Findings: To evaluate the service security offered by the armed forces, it is possible to use the Need-Feature-Benefit (NFB) principle, and its specification understood as a portfolio of implemented activities and values. The research results show that respondents who evaluated the values (like solidarity, justice, patriotism, love in human relations, conscientiousness, perseverance) higher also showed greater appreciation for the security service delivered by the armed forces. Practical Implications: The results are of significant importance to a public organization. The applied research allowed creating an approach to evaluating the armed forces' service applying the Need-Feature-Benefit (NFB) principle for practical implications that could help not only in Poland but also worldwide. Originality/Value: The research provides theoretical assumptions and practical answers to encourage further research globally. ; peer-reviewed
PurposeThe purpose of this paper is to stress the importance of effectively gaining access to organizations for fieldwork, an essential element of work for a qualitative researcher.Design/methodology/approachThe paper investigates the cold calling and networking involved when 29 prospective organizations were contacted to gain permission to undertake research involving fieldwork, including observation and interview. The approach taken is a quantitative analysis of communicative media involved; e‐mails; telephone calls; and face‐to‐face meetings.FindingsFour organizations granted permission to research, a 7:1 prospect to success ratio. It was found that a great deal of time was spent in attempting to contact and follow up with gatekeepers. Three important barriers to gaining access were found, and ways to "lift" those barriers were attempted. Detailed record keeping of communication was vital, and specific documentation, invitation; a proposal; a protocol, created to negotiate access.Research limitations/implicationsThere are limitations of sample size, a suggestion for future research is to expand on this sample.Practical implicationsThe practical implication is for qualitative research involving fieldwork. Three barriers to gaining access for fieldwork are cited, and methods to "raise" such barriers are considered. Changes to research practice are identified by following these insights into raising barriers to organizational access.Social implicationsThe research influences corporate social responsibility and informs industry policy through the idea of partnering with academic institutions for future research. The research findings can have practical value for the industries concerned.Originality/valueThrough analysis and evaluation of the access process, methods of contact can be adapted to smooth the research journey. The value of the findings and insight is to new researchers, and can be useful for existing researchers.
Evidence is presented to support a case against the total reliance on thank-you letters with return postcards for verifying personal interviews on surveys. A sample of people (N= 587) who had been interviewed on a survey conducted by the Survey Res Laboratory, U of Illinois, Urbana, were sent a thank-you letter & a return postcard. An identical letter & postcard were sent to a matching sample (N=580) that had not been interviewed on the survey. The exp'al design contained overlapping exp's of geographic area (metropolitan city, suburbs, other large cities, & small towns) & identified by subject matter & name of the study (both letter & postcard, letter only, postcard only, & neither letter nor postcard). Returned postcards were compared to response rate & content. It was found that people who have not been interviewed cannot be depended on to return the postcard providing this information. Approximately 10% of this group returned the postcards & of these 15% erroneously reported they had been interviewed. For the interviewed sample there were signif'ly fewer returns from the metropolitan area, although this diff was not detected in the not interviewed sample. Responses from the interviewed sample were not representative of the total/sum pop of the survey. They differed signif'ly in the following areas: older R's were more likely to return postcards than younger ones, the better educated were more likely to respond than those with less educ, & whites were more likely to return postcards than Negroes. The results indicate that the postcard method of verification should not be a primary form of quality control on surveys. Even though telephone & personal interview verification methods may be more expensive & time-consuming, the results should be more reliable than returned postcards. Modified AA.
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The trend of recent elections does not support the widespread prediction of Donald Trump's victory in November. The bias in election forecasts may result from the over-polling of Trump's voters in electoral surveys.Let us look, first, at recent elections. The electoral cycle of special, state, and local elections from early 2023 has been seen as a success for the Democrats. Candidates from the Democratic party won in three of the four special elections for the federal House of Representatives. They also increased their representation in two state legislatures, made a net gain of four mayors, and improved positions in state supreme courts and other offices. If this is the current trend, the Democrats should be optimistic about the upcoming presidential and congressional elections.At the same time, the support for Donald Trump may be weaker than it may have appeared in the ongoing Republican party primaries. Let us focus on the fifteen states that held them on Super Tuesday. The total number of voters turning out was one-third of the votes for the Republican party in the general election four years before (9.1 million out of 27.2 million or 33.5%). Typically, the primary voters are more extreme in their preferences than their party's voters and even more than the whole electorate including independents. The Republican primary voters are older and much more conservative than the rest of the party voters. In eleven states with closed party primaries, nearly one-half of the participants were Evangelicals.Let us now turn to the inaccuracy or simply the failure of survey polls. The average of six well-reputed pollsters for Super Tuesday was that Trump would receive 79% of votes while Nikki Haley would get only 15%, so 64 points of advantage for the former president. The actual results were quite different: Trump got 71% and Haley 26%, "only" 45 points of advantage.The contrast between survey poll predictions and actual results cast serious doubts about the forecasts for the elections in November.One of the main suspects is the technique of running survey polls by cell phone. In the past, surveys were based on in-person interviews, in which the interviewers knocked on thousands of doors across the country. Starting in the 1980s, most interviews were developed over the phone. Currently, most surveys are run through cell phones.Historically, US telephones were "landline" devices and phone numbers were accessible from printed telephone directories, from which pollsters selected a sample assuming that it represented a large proportion of the population. Today, there are far fewer landline telephones, millions of cell phones, and scarce published directories.Many people with cell phones do not answer calls from unknown numbers, a precaution against telemarketing and scams. David Hill, president of a major research consultant, acknowledges that "whereas once I could extract one complete interview from five voters, it can now take calls to as many as 100 voters to complete a single interview." And "people who tend to pick up any and all phone calls tend to be older, conservative, less wealthy, and less educated", a profile that fits a typical Trump voter.As people with extreme political opinions tend to be more eager to participate in party primaries than most voters, they also tend to respond to more surveys on their cell phones. Some researchers hold that "there is currently no way to select survey samples in a way that covers the entire population." Many surveys are not based on random samples, but on "polls of the willing." A few hundred people who were willing to answer a random phone call make a survey that is misinterpreted as an expression of the national electorate.In 2016 it was said that there were "secret" or "hidden" Trump voters who did not respond to the polls, so the surprise of the election result. Now some analysts hypothesize, analogously, that there are "hidden" anti-Trump voters who elude to respond to the polls. But it may be more reasonable to suspect that today there are too many Trump voters who are over-polled on landline and cell phone surveys.The bias of survey polls in favor of Trump may be both good news and bad news. Good news because it may mean that Joe Biden is ahead in the voters' actual preferences. Bad news because if the survey polls bias continued and Biden won, Trump might launch an even stronger denial than in 2020. This time, however, the administration and the police would still be in the hands of the Democratic incumbent. COMMENTSI hope you are right.Rein TaageperaUniversity of California, Irvine, and University of Tartu, EstoniaI think you're onto something. I have a piece coming out in Sabato's Crystal Ball on Tuesday raising doubts about these polling numbers, especially among Black voters. Alan Abramowitz Emory University Excellent piece. Thank you.Gianfranco PasquinoUniversita di Bologna & Johns Hopkins UniversityEstoy muy de acuerdo -- llevo tiempo defendiendo esta idea en mis conversaciones y correos con amigos. Es muy difícil saber cual es exactamente la magnitud de este fenómeno pero parece quer sí que es muy real. Confio en que Biden va a ganar en noviembre. Probablemente por un margen mayor que en 2020.Una abraçada,Robert FishmanUniversity of Notre Dame
Stock theft strips the South African economy of a great deal of money. This scourge threatens both the commercial and emergent farming sectors. The goats, sheep and cattle losses amount to millions of rands in Eastern Cape (EC), Limpopo (LIM) and KwaZulu-Natal (KZN) Provinces, which in 2021 were touted as the top Ten (10) hot spot police stations. As a recourse, the Deoxyribonucleic Acid (DNA) samples are used as an important forensic evidential tool to resolve this crime and ensure accuracy and fairness in the Criminal Justice System (CJS). Equally, the Mobile Telephone Network (MTN) (The South African cellular service provider) and Huawei Technologies collaborated to launch the 'connected animal solution-Internet of Things (IoT),' a digitised innovation, which allows livestock farmers to improve their animal management and health screening through activity and movement-monitoring and related analysis. Therefore, the purpose of this study was to explore the combating of stock theft with DNA samples and innovative technology (IoT), in this regard, focusing on the selected areas of KZN Province. From a qualitative standpoint, empirical research, documentary studies, Focus Group Discussions (FGDs) and Key Informant Interview (KIIs) were adopted as data collection methods. The collected data was analysed employing the inductive Thematic Content Analysis (TCA). This paper found that the indicated nexus can adequately aid in evidence gathering relating to identification by DNA characteristics (I.e. Typing and sample usage), ownership (I.e. Kingship identification), paternity testing, management and monitoring of livestock movements, potential danger minimisation, tracking of straying livestock, improving efficiency and reduction of costs. It is recommended that livestock farmers should exercise their actionable educational insights regarding the effective use of the DNA samples and IoT by exercising physical matching of ear notches and brands, providing specific descriptions, and verifying their near real-time visibility in varying periods.
Background: Committed to implementing a person-centered, holistic (Whole Health) system of care, the Veterans Health Administration (VHA) developed a peer-led, group-based, multi-session "Taking Charge of My Life and Health" (TCMLH) program wherein Veterans reflect on values, set health and well-being-related goals, and provide mutual support. Prior work has demonstrated the positive impact of these groups. After face-to-face TCMLH groups were disrupted by the COVID-19 pandemic, VHA facilities rapidly implemented virtual (video-based) TCMLH groups. Objective: We sought to understand staff perspectives on the feasibility, challenges, and advantages of conducting TCMLH groups virtually. Methods: We completed semi-structured telephone interviews with 35 staff members involved in the implementation of virtual TCMLH groups across 12 VHA facilities and conducted rapid qualitative analysis of the interview transcripts. Results: Holding TCMLH groups virtually was viewed as feasible. Factors that promoted the implementation included use of standardized technology platforms amenable to delivery of group-based curriculum, availability of technical support, and adjustments in facilitator delivery style. The key drawbacks of the virtual format included difficulty maintaining engagement and barriers to relationship-building among participants. The perceived advantages of the virtual format included the positive influence of being in the home environment on Veterans' reflection, motivation, and self-disclosure, the greater convenience and accessibility of the virtual format, and the virtual group's role as an antidote to isolation during the COVID-19 pandemic. Conclusion: Faced with the disruption caused by the COVID-19 pandemic, VHA pivoted by rapidly implementing virtual TCMLH groups. Staff members involved in implementation noted that delivering TCMLH virtually was feasible and highlighted both challenges and advantages of the virtual format. A virtual group-based program in which participants set and pursue personally meaningful goals related to health and well-being in a supportive environment of their peers is a promising innovation that can be replicated in other health systems.
BACKGROUND: The COVID-19 pandemic has had clear and dramatic repercussions on health, the economy, and psychosocial well-being. Behavioral measures, such as wearing facemasks and maintaining distance from others, have proven crucial in fighting the contagion's spread. This study aimed to investigate Type A personality traits and sociodemographic predictors of adherence to governmental measures in a sample of frail individuals. METHODS: A sample of 105 Italians over age 60 (Mean age = 70 years; 60.6% male) affected by hypertension who participated in a previous longitudinal study were assessed through a telephone structured interview. Sociodemographic information and Type A personality traits were retrieved from the original longitudinal study. Adherence behaviors were investigated through several questions regarding the compliance with home confinement, the use of facemasks and the observance of social distancing. Repeated measures Analyses of Variance (RMANOVA), Reliable Change Index, and binomial logistic regression analysis were performed. RESULTS: Only 33.3% of the participants reported adherence to all the governmental COVID-19 measures. Being a woman (OR = 4.84; 95% CI = 1.58, 14.90; p < 0.01), being retired (OR = 4.89; 95% CI = 1.09, 21.86; p < 0.05), and suffering from hypertension for a relatively short time (OR = 4.20; 95% CI = 1.22, 14.44; p < 0.05) positively predicted adherence to the governmental measures. Impulsivity resulted in a stable personality characteristic over the last ten years (p = 0.30). Having high levels of impulsivity (OR = 2.28; 95% CI = 1.13, 4.59; p < 0.05) negatively predicted adherence. CONCLUSIONS: Our results demonstrate that impulsivity is a stable personality facet that can have a robust negative impact on adherence behaviors to health claims. Overall, results show the importance to tailor communication strategies that consider the role of sociodemographic indicators and impulsivity to achieve a high level of adherence.
BACKGROUND: Scaling up population health interventions is a context-orientated, dynamic and multi-stakeholder process; understanding its influences is essential to enhance future scaling efforts. Using physical activity and nutrition interventions in Australia as case examples, the aim of this paper is to identify core influences involved in scaling up physical activity and nutrition interventions, and how these may differ by context and stakeholder. METHODS: A qualitative study involving semi-structured telephone interviews with individuals representing academic, government and non-government organizations with involvement in scaling up state and national physical activity and nutrition interventions. Interview questions were derived from the WHO report "20 Questions for Developing a Scaling up Case Study", and mapped against four key principles and five core areas in the WHO ExpandNet framework for scaling up: (1) The innovation; (2) User organization; (3) Environment; (4) Resource team and; (5) Scale up strategy. Data were analyzed thematically. RESULTS: Nineteen interviews were conducted (government = 3; non-government = 5; and academic = 11 sectors) involving eight scaled up interventions, targeting nutrition (n = 2), physical activity (n = 1) or a combination (n = 5). Most themes aligned to the "Environment", including: (i) political (e.g., personal agendas); (ii) social (e.g., lack of urgency); and (iii) sector/workforce (e.g., scale up accountability) factors. Themes relating to "Scale up strategy" (e.g., flexibility and evaluation transparency) were next most commonly occurring. Whilst themes were broadly consistent across participants, government participants had a more policy-oriented perspective on the scale up process. Academics discussed a tension between the generation and use of evidence, and the influence of political climates/interest on scale up decisions. CONCLUSION: Attributes of the "Environment" and "Scale up strategy" consistently featured as major influences on successful outcomes, while ...
Objectives To report frontline healthcare workers' (HCWs) experiences with personal protective equipment (PPE) during the COVID-19 pandemic in the UK. To understand HCWs' fears and concerns surrounding PPE, their experiences following its guidance and how these affected their perceived ability to deliver care during the COVID-19 pandemic. Design A rapid qualitative appraisal study combining three sources of data: semistructured in-depth telephone interviews with frontline HCWs (n=46), media reports (n=39 newspaper articles and 145 000 social media posts) and government PPE policies (n=25). Participants Interview participants were HCWs purposively sampled from critical care, emergency and respiratory departments as well as redeployed HCWs from primary, secondary and tertiary care centres across the UK. Results A major concern was running out of PPE, putting HCWs and patients at risk of infection. Following national level guidance was often not feasible when there were shortages, leading to reuse and improvisation of PPE. Frequently changing guidelines generated confusion and distrust. PPE was reserved for high-risk secondary care settings and this translated into HCWs outside these settings feeling inadequately protected. Participants were concerned about differential access to adequate PPE, particularly for women and Black, Asian and Minority Ethnic HCWs. Participants continued delivering care despite the physical discomfort, practical problems and communication barriers associated with PPE use. Conclusion This study found that frontline HCWs persisted in caring for their patients despite multiple challenges including inappropriate provision of PPE, inadequate training and inconsistent guidance. In order to effectively care for patients during the COVID-19 pandemic, frontline HCWs need appropriate provision of PPE, training in its use as well as comprehensive and consistent guidance. These needs must be addressed in order to protect the health and well-being of the most valuable healthcare resource in the ...
Purpose: The aim of the research was to analyze the implementation of the sustainable development policy, including green economy in rural areas of the Greater Poland province in the context of planning and strategic documents of Poland and the European Union. Design/Methodology/Approach: The analytical material consisted of the results of the survey interviews and the analysis of their content. In the survey, a standardized interview questionnaire was used, on the basis of which 668 computer-assisted telephone interviews (CATI) were conducted with representatives of the green economy sector in rural areas in the Greater Poland Voivodeship and 21 interviews with representatives of local government units at the level of rural and urban-rural communes. Findings: The results of the research show the mechanisms to reduce the barriers to the development of green sector in the rural areas of the Greater Poland by organising social campaigns to change the awareness and educate the public on green economy, green jobs, sustainable development and social responsibility, improving the training portfolio to focus on the green skills through practical training,vproviding incentives for the enterprises and the residents to use the eco-friendly solutions in their businesses and households, preferential treatment of the projects and investments contributing to green economy, creating green jobs and supporting the development of green sector in the Greater Poland, as part of the selection process for the projects co-financed by the European Union. Practical Implications: Recommendations resulting from the conducted research and analyzes may be used by institutions responsible for creating local and regional policies. Originality/Value: The results of the comparative analysis and the theoretical discussion in this article supplement previous research on the analysis of the major barriers to the development of green economy sector in rural areas of the Greater Poland province. ; peer-reviewed
Background The onset of the COVID-19 pandemic has sparked heated debate among scholars on the relevance of lockdowns. There are those in favor of the lockdown and others who are critical of it. However, despite the increased interest in understanding the relevance of lockdowns, there still has not been much focus on its relevance in countries like Zambia. Thus, with the help of the Social Representation Theory (SRT), we set out to explore and document the local characterization of the lockdown by residents of Lusaka, Zambia. Methods We recruited our participants through convenient and purposive sampling techniques. This was done through the use of the ZAMTEL public phone records. Initial contact was made to potential participants, and they were asked of their availability and willingness to participate in the interview. Upon agreeing to participate, they were included in the sample. A total of 68 people were selected to take part in this study. Their age ranged from 20 to 76 years old. 33 of them were male and 35 females. After this, we conducted interviews with the 68 participants. Due to COVID-19 restrictions, our interviews were conducted via telephone in conformity with the recommendations from the IRB in Lusaka and the advice of the ministry of health. We anonymized the demographic characteristics and responses from our participants. Later, thematic analysis was used to analyze the data. Results The lockdown was on one hand lauded for slowing down the incidence rates, preventing fatalities, and protecting the healthcare system from collapse. On the other hand, it was criticized for exacerbating poverty levels, unemployment rates, increasing the rate of mental health problems, aiding gender-based violence, and intensifying political repression and corruption. The results speak to the complexity in the characterization of the lockdown as a response to COVID-19 in Lusaka, Zambia. This observation demonstrates the folly of viewing, applying and characterizing the COVID-19 lockdown as a 'one-size-fits-all' ...
Pregnancy in women with motor disabilities is increasingly recognized by society and by the government. In December 2019, the government announced the opening of a resource centre on "Intimate life, sexuality and support for parenthood" for these women, their families and professionals in all French regions.Objectives: To understand the maternity experience of women with motor disabilities and to determine the expectations of these women concerning their care. Methods: This qualitative, descriptive and interpretative study is based on the thematic analysis of telephone testimonies. An interview grid was established beforehand to guide the women in their accounts. Results: Nine women were recruited. The women in wheelchairs said they felt identical to the able-bodied women, with the same moments of joy, the same questions, the same fears and anxieties. On the other hand, the couple may encounter a lack of accessibility and knowledge of the pathology by the health care team.Conclusion: Motherhood is a source of fulfillment for all women, including women with motor disabilities. Despite a lack of knowledge on the part of health professionals, the midwife remains a referent in the overall care of the patient. ; La grossesse chez la femme en situation de handicap moteur est de plus en plus reconnue par la société et le gouvernement. Ce dernier a annoncé, en décembre 2019, l'ouverture d'un centre de ressources « Vie intime, sexuelle et accompagnement à la parentalité » pour ces femmes, leurs proches et les professionnels dans toutes les régions françaises.Objectifs : Les objectifs de cette étude étaient de connaître le vécu de la maternité chez la femme présentant un handicap moteur et déterminer les attentes de ces femmes concernant leur prise en charge. Méthodes : Cette étude qualitative de type descriptive et interprétative était basée sur l'analyse thématique des témoignages téléphoniques. Une grille d'entretien avait été préalablement établie afin de guider les femmes dans leur récit. Résultats: Neuf femmes ont ...