Patience Afulani

IGHS Grand Rounds with Patience Afulani, MBChB, MPH, PhD

Date: November 8, 2023
Time: 12 p.m. to 12:50 p.m. PST (UTC-8)

UCSF Mission Bay Campus
Mission Hall 1401/1402

Virtual: Register in advance for Zoom link

The Caring for Providers to Improve Patient Experience (CPIPE) intervention

The “Caring for Providers to Improve Patient Experience (CPIPE)” intervention was developed to improve person-centered maternal care (PCMC) by addressing two intermediate factors, provider stress and unconscious bias, which contribute to poor and inequitable PCMC. CPIPE, which has five key strategies—provider training, peer support, mentorship, embedded champions, and leadership engagement—was successfully piloted over 1 year in two intervention and four control health facilities in Migori County, Kenya. In this presentation, we will describe the process toward the development of the intervention, present the preliminary effectiveness results based on a mixed methods evaluation of the pilot study, and introduce the CPIPE cluster-randomized control trial in Kenya and Ghana

Patience A. Afulani, MBChB, MPH, PhD

Dr. Afulani is an Assistant professor at UCSF in the departments of Epidemiology & Biostatistics and Obstetrics, Gynecology, & Reproductive Sciences; and is affiliated with the UCSF Institute for Global Health Sciences and the Bixby Center for Global Reproductive Health. Her research focuses on social and health system factors underpinning inequities in reproductive, maternal, neonatal, and child health (RMNCH). She has a particular interest in person-centered care and health workforce well-being and motivation. Her research has extended the evidence on how RMNCH outcomes are shaped by quality of care and social determinants and contributed to interventions to improve RMNCH and reduce inequities. Dr. Afulani led the development of the person-centered maternity care (PCMC) scale that is widely used across the globe. Her work on this scale and others for prenatal care, family planning, and abortion have contributed to improved measurement of person-centered reproductive health care. Dr. Afulani is the Principal Investigator of the Person-Centered Equity Lab at UCSF where leads several projects, including the “Caring for Provider’s to Improve Patient Experience (CPIPE)” trial—a NIH R01 award that addresses provider stress and implicit bias to improve PCMC in Kenya and Ghana.

She co-leads the quality-of-care workgroup to revise the Global Emergency Obstetric and Newborn Care framework and the Patient-Centered care task team of WHO Life Course Quality of Care Metrics working group; serves as an external expert on the WHO Mother and Newborn Information for Tracking Outcomes and Results technical advisory group; and is a member of the Merck for Mothers Global Advisory Board. She obtained her medical degree (MBChB) from the University of Ghana and postgraduate degrees (MPH and PhD) in Public Health from the University of California, Los Angeles.