Browsing by Author "Wassihun, Biresaw"

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    Level of Disrespect and Abuse of Women and Associated Factors During Facility-Based Childbirth in Bahir Dar Town, Amhara Regional State, Ethiopia
    (Addis Ababa University, 2017-06) Wassihun, Biresaw; Derbie, Leul (PhD)
    Background: Globally, more than half million women die annually as a result of complications of pregnancy and childbirth. Disrespect and abuse is one of the unspoken causes of maternal mortality and morbidity globally. Providing compassionate and respectful maternity care services to laboring mothers is one of the most important interventions to ensure survival of women. However, compassionate and respectful maternity care has received less attention both in practice and research. Objective: To assess the level of disrespect and abuse of women and associated factors during facility-based childbirth in Bahir Dar town, Amhara Region, North West Ethiopia, 2017. Methods: A community based cross-sectional study design triangulated with in-depth interview was conducted to collect data from study participants in Bahir Dar town from March1-March 30/2017. Study subjects were selected through systematic random sampling based on their proportional distribution of sample size to each sub-city. Structured questionnaire was used to collect quantitative data and semi-structured guide for in-depth interview. The data was coded and entered into Epi data 3.1 version and the analysis was carried out in statistical package for social science 22 versions. Univariate, Bivariate and multivariate analysis with 95 % CI was carried out. Results: From the total of 422 mothers interviewed 410 responded for the question with a response rate of (97.2%).The overall prevalence of disrespect and abuse was 67.1 % with 95% CI (63-72) .Almost all of the mothers were experienced at list one form of disrespect and abuse. The most prevalent form of abuse and disrespect was physical abuse 236(57.6%) and non-consented care 236(57.6%). Disrespect and abuse is prevalent on low socio economic group, as length of stay in health facility increase disrespect and abuse increase and disrespect and abuse were significantly increase at governmental hospital than private at P- value of less than 0.05. Conclusion and recommendations: In this study the result showed that the prevalence of disrespect and abuse was common. Family monthly income, number of ANC visit, length of stay in health facility and type of health facility were some of the factors associated with disrespect and abuse. High prevalence of disrespect and abuse in maternity care at health facilities calls for strengthened action to provide quality of maternity care for all childbearing mothers. Further community based research in both urban and rural area will be needed. Key words: Disrespect, Abuse, Maternity, Child birth, Ethiopia.