Assessment of Mothers ‘Experience of Mistreatment during facility based child birth and its predictors in Hosanna Town, South Ethiopia, 2019.
No Thumbnail Available
Date
2019-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Provision of quality maternal health services has a paramount contribution for
improving service uptake and reduction of maternal death. Mistreatment during child birth
that affects women‘s interest towards health service utilisation . Yet, there is paucity of
evidence about the magnitude of various forms of mistreatments mother‘s experience during
facility based childbirth.
Objectives: This study aims to assess women‘s experience of mistreatment during facility
based child birth and its associated factor in Hosanna town and its surrounding kebeles, south
Ethiopia, 2019.
Method:-Community based cross sectional study was employed from March to April 2019 in
Hosanna town, South Ethiopia .Mothers who gave birth two week prior to the study period
were selected through systematic random sampling technique from the recorded contact
address of the delivered mothers. Binary and multivariate logistic regression model was used
to assess mother‘s experiences of mistreatment using certain predictors. Crude and adjusted
Odds ratio (OR) was calculated with95% CI at p-value <0.05.
Result –From a total of 596 mothers, 577 of them participated in the study. 487 (84.4%) of
the study participants were experienced at least one form of mistreatment during facility child
birth. The most commonly reported category of mistreatment were poor rapport between
provider and women462 (80.1%), health system failure and constraints 453(78.5%)followed
by failure to meet professional standard of care433(75%). Mothers with no formal education
less likely [AOR=0.25 (95%CI; 0.10-0.64), mothers who gave birth at hospital [AOR=2.53
(95%CI 1.56-4.09)], and mother‘s being dissatisfied [AOR=3.39(1.58-7.28)] were more
likely reported experience of any form of mistreatment.
Conclusion and recommendation
In this study the prevalence of mistreatment during facility based child birth was found to be
very high. Identified determinants were mother‘s educational status, mothers who gave birth
at hospital and who reported being dissatisfied were reported more experience of
mistreatment during facility delivery.
Policy makers and program manager‘s needs to design strategies to promote effective client
provider communication, encourage health providers adherence to the standard of care and
building national awareness to addresses the right of all clients/mothers.
Description
Keywords
Disrespect and abuse, child birth, Ethiopia, mortality, Quality of care, mistreatment.