New study reveals how respectful maternity care can save lives in South Africa

A groundbreaking study published in *The Lancet Regional Health – Africa* reveals that enhancing teamwork, communication, and organizational culture in maternity wards can significantly improve women’s childbirth experiences in South Africa, even within under-resourced public health facilities. The research, conducted by the South African Medical Research Council (SAMRC) and the University of KwaZulu-Natal, evaluated the *Strengthening Teamwork and Respect (STAR)* intervention across nine districts in KwaZulu-Natal. Findings indicate that when healthcare workers reflected on patient experiences and implemented practical changes using existing resources, women reported better communication, respect, autonomy, and support during childbirth. The study highlights that disrespect and abuse during labor remain widespread in South African maternity wards, contributing to preventable deaths and complications. A 2020 study in Tshwane further underscored these issues, raising concerns about maternal care quality in public facilities. The STAR intervention addressed these challenges by bringing together maternity teams for facilitated learning sessions focused on workplace culture, teamwork, and patient interactions. These sessions allowed staff to identify and implement tailored solutions, improving both patient experiences and organizational learning. Surveys conducted before and after the intervention showed measurable improvements in women’s experiences and staff morale. The greatest benefits were observed among women from poorer households and those with fewer antenatal visits, groups particularly vulnerable to poor maternal outcomes. Researchers emphasized that the intervention strengthened teamwork, encouraged reflection, and improved accountability systems within maternity units. Dr. Neil Moran, head of obstetrics and gynecology for KwaZulu-Natal’s health department, called respectful maternity care a top priority for the province. He noted that collaborative support among healthcare workers of all levels is essential for delivering positive patient experiences. Moran described the STAR project as innovative, placing decision-making in the hands of frontline staff while securing buy-in from facility, district, and provincial management to reinforce successful implementation. The study provides evidence that managerial support and stronger teamwork can positively influence women’s childbirth experiences and boost healthcare worker morale. Moran concluded that these improvements create a more supportive organizational culture in maternity units, ultimately benefiting both patients and staff.