Assessment of Mothers ‘Experience of Mistreatment during facility based child birth and its predictors in Hosanna Town, South Ethiopia, 2019.

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Addis Abeba University


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.



Disrespect and abuse, child birth, Ethiopia, mortality, Quality of care, mistreatment.