Level of Disrespect and Abuse of Women and Associated Factors During Facility-Based Childbirth in Bahir Dar Town, Amhara Regional State, Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
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.
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Keywords
Disrespect, Abuse, Maternity, Child birth, Ethiopia