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Table 1 Shows the eight domains and items for the antenatal phase

From: Validity of a questionnaire measuring the world health organization concept of health system responsiveness with respect to perinatal services in the dutch obstetric care system

Dignity Were physical examinations and treatments done in a way that respected your privacy?
  Did the examination rooms ensure your privacy?
  Were you treated with respect by your health care provider?
Autonomy How well were you involved in making decisions regarding your examinations or treatments?
  Were you able to refuse examinations or treatments?
  Were you asked permission before testing or starting treatment?
Confidentiality of Information Were consultations carried out in a manner that protected your confidentiality?
  Was confidentiality kept on the information provided by you?
  Was your medical record kept confidential?
Communication How well were things explained by your health care provider in a way you could understand?
  Was written information provided in such a way you could understand?
  Were you encouraged to ask questions about your health problems, treatment and care?
  Were you given time to ask questions about your health problem or treatment?
  Was information on the health service’s contact, location and parking information clear to you?
Prompt Attention How well did you receive prompt attention at your health service?
  How did you experience the waiting time after you asked for help?
  How well was the accessibility by phone?
  How do you rate the travel time to your health service?
Social Consideration Did the health care provider facilitate the support of your relatives and friends?
  Was the home situation taken into consideration when planning an appointment?
Quality of basic amenities How do you rate the quality of the hygiene of the toilets?
  How do you rate the overall quality of the surroundings, for example, space, seating, fresh air and cleanness?
Choice and continuity of health care provider Were you able to choose your own health care provider?
  Were you able to use other health care services other than the one you usually went to?
  How well was the continuity of care by one health care provider?
  Were you able to choose your own place of delivery?