Disrespect and Abuse During Child Birth Among Mothers who gave Birth in Public Health Facilities, Ebantu District, East Wollega Zone, Oromia, Ethiopia
Mesgana Ado Bidu1, Wondimu Mitiku Geleta2*, Zalalem Kaba Babure3, Firew Tekle Bobo4 and Worku Dechassa Heyi4
1Gida Ayyana District Health Office, East Wollega Zone, Oromia Regional State, Ethiopia
2Department of Environmental Health and Technology, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia
3East Wollega Zonal Health Office, Nekemte town, Oromia Regional State, Western Ethiopia, Ethiopia
4Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia
*Corresponding Author: Wondimu Mitiku Geleta, Department of Environmental Health and Technology, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.
Received:
December 13, 2021; Published: April 14, 2022
Abstract
Background: Many women across the globe experience disrespect, abusive or neglect treatment during childbirth in facilities. Women’s experience of any form of disrespect and abuse can influence their decision to seek care from health facilities negatively in the subsequent pregnancies.
Objective: The main objective of the study was to assess disrespect and abuse during childbirth among mothers who gave birth in public health facilities.
Methods: A community-based cross-sectional study triangulated with in-depth interview was conducted from May 1- 30, 2021 in Ebantu district. 415 participants selected through systematic random sampling techniques and purposively selected key-informants were participated. Six dimensions adapted from Bowser and Hills framework were used to measure disrespect and abuse.
Result: Four hundred fifteen mothers with 100% response rate were participated. Out of total respondents, 284 (68.4%, 95% CI: 63.7, 72.8) of them reported as they were experienced any form of disrespect and abuse. In-depth interview also shows the presence disrespect and abuse including physical abuse, non-confidential care, non-consented care, non-dignified care, and neglected care. Occupational status of husband (AOR = 3.92, 95%CI: 1.04, 14.85; p = 0.04), history of ANC for the recent pregnancy (AOR = 2.36, 95% CI: 1.07, 5.21; P = 0.03, place of delivery (AOR = 3.74, 95% CI: 1.00, 14.00; P = 0.05), delivery attendants (AOR = 3.20, 95% CI: 1.64, 6.23; P = 0.001) and presence of labour companion (AOR = 4.64, 95% CI: 1.99, 10.82; P = 0.000) were significantly associated with disrespect and abuse at p-value of <0.05.
Conclusion: Two-third of respondents had experienced any form of disrespect and abuse during childbirth at public health facilities which is against compassionate and respectful maternity care and can be a barrier to the utilization of facility for childbirth.
Keywords: Disrespect and Abuse; Public Health Facilities; Childbirth
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