Disrespect and abuse during facility-based child birth in Yeka Sub-City health centers Addis Abeba, Ethiopia.
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Date
2019-11
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Addis Ababa University
Abstract
Background: In Ethiopia, only 48% of all births occur at health facilities. Disrespect and abuse of women by health providers during child birth is one of the main reasons that affect health care seeking from health facilities. Providing compassionate and respectful maternity care services to laboring and delivering women is one of the most important interventions to ensure positive newborn and maternal outcome. However, compassionate and respectful maternity care has received less attention both in practice and research.
Objective: To assess the magnitude of disrespect and abuse faced by women during facility based child birth in Yeka Sub- City selected health centers, Addis Ababa, Ethiopia.
Method: Institution based cross-sectional study design was employed among five health centers in Yeka Sub-City health centers, Addis Ababa, Ethiopia. Systematic sampling method was used to include 333 women who had given birth at health centers between February 14 and April 9, 2019. Data were collected using a structured face-to-face interview questionnaire. The data were analyzed by Statistical Package for Social Science (SPSS) Versions 22. Descriptive statistics like frequency, percentage, means and standard deviation were used to summarize the data. Bi-variable and multivariable analysis was performed using logistic regression model to identify factors for disrespect and abuse during childbirth.
Result: A total of 319 women participated in the study; with a response rate of 95.8%. From the total respondents, 85.3% of women experienced at least one category of disrespect and abuse. The most prevalent forms of disrespect and abuse were ineffective communication 235 (73.7%) and unacceptable companionship 220 (69%) during labor and delivery. Disrespect and abuse were more prevalent during night shifts deliveries (adjusted odds ratio [AOR] = 4.42; 95% CI, 1.91 to10.23), on women who normalized disrespect and abuse (AOR = 2.20; 95% CI, 1.10 to 4.56) and on mothers who delivered by female attendants (AOR = 3.95; 95% CI, 1.10 to 14.64).
Disrespect & Abuse during childbirth in Yeka Sub- City, Ethiopia
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Conclusion and recommendation: The occurrence of disrespect and abuse was high in this study setting. To decrease the existence of this phenomenon, appropriate interventions should be designed, focusing on supervision during night shifts, empowering women of childbearing age about their rights at health facilities and providing training for health care providers about respectful maternity care. Further community based research incorporated with qualitative method will be needed to explore the possible reasons for disrespect and abuse during facility-based childbirth.
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Keywords
Disrespect, Abuse, Maternity, Child birth, Women, Prevalence, Ethiopia