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.
December 13, 2021; Published: April 14, 2022
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
- Central Statistical Agency (CSA) and ICF. “Ethiopia Demographic and Health Survey 2016”. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF (2017).
- Health Sector Transformation Plan. “The Federal Democratic Republic of Ethiopia Ministry of Health”. August (2015).
- Alliance WR. “Respectful maternity care: The universal rights of childbearing women”. Washington, DC: White Ribbon Alliance. (2013).
- World Health Organization. “The prevention and elimination of disrespect and abuse during facility-based childbirth: WHO statement”. World Health Organization (2014).
- Bowser D and Hill K. “Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis”. USAID/TRAction Project (2010).
- “Disrespect and abuse during facility-based childbirth in four PHCUs in two regions of Ethiopia - Baseline Study Findings”. The Last Ten Kilometers. (2014): 1-3.
- Molla M., et al. “Disrespect and abuse during pregnancy, labour and childbirth: A qualitative study from four primary healthcare centres of Amhara and Southern Nations Nationalities and People's Regional States, Ethiopia. Ethiopian Journal of Health Development3 (2017): 129-137.
- Bohren MA., et al. “By slapping their laps, the patient will know that you truly care for her”: a qualitative study on social norms and acceptability of the mistreatment of women during childbirth in Abuja, Nigeria”. SSM-population Health 2 (2016): 640-655.
- Marishet Agumasie ZY and TA. “Maternal Satisfaction and Associated Factors on Delivery Care Service in Hawassa City Public Hospitals, South Ethiopia”. Gynecology and Obstetics 5 (2018): 5-10.
- “Assessment of disrespect and abuse during childbirth in two regions of Ethiopia: A qualitative study in four PHCUs (Kebet, Lante, Deneba and Denbecha)”. The Last Ten Kilometers (2014): 1-4.
- Wassihun B. “Level of Disrespect and Abuse of Women and Associated Factors during Facility-Based Childbirth in Bahir Dar Town, Amhara Regional State, Ethiopia” (2017).
- Banks KP., et al. “Prevalence and risk factors for disrespect and abuse during facility-based childbirth in Ethiopia”. Health Policy Plan 33 (2018): 317-327.
- Bobo FT., et al. “Disrespect and abuse during childbirth in Western Ethiopia: Should women continue to tolerate?”. PloS One6 (2019): e0217126.
- Ukke GG., et al. “Disrespect and abuse of women during childbirth in public health facilities in Arba Minch town, South Ethiopia-a cross-sectional study”. PloS One4 (2019): e0205545.
- , et al. “Prevalence of disrespect and abuse during facility based child birth and associated factors, Jimma University Medical Center, Southwest Ethiopia”. BMC Pregnancy and Childbirth 19 (2019): 18.
- Hurissa BF., et al. “Assessment of Provision of Women Friendly Care and Associated Factors among Postnatal Mothers at Three Public Hospitals of Jimma Zone, Oromia Region”. Journal of Biomedical Sciences 26 (2016): 1-7.
- Azhar Z., et al. “Disrespect and abuse during childbirth in district Gujrat, Pakistan: a quest for respectful maternity care”. PloS One7 (2018): e0200318.
- Gebremichael MW., et al. “Women suffer more from disrespectful and abusive care than from the labour pain itself: a qualitative study from Women’s perspective”. BMC Pregnancy and Childbirth1 (2018): 392.
- Sando D., et al. “The prevalence of disrespect and abuse during facility-based childbirth in urban Tanzania”. BMC pregnancy and childbirth1 (2016): 236.
- Sethi R., et al. “The prevalence of disrespect and abuse during facility-based maternity care in Malawi: evidence from direct observations of labor and delivery”. Reproductive health1 (2017): 111.
- Okafor II., et al. “Disrespect and abuse during facility‐based childbirth in a low‐income country”. International Journal of Gynecology and Obstetrics2 (2015): 110-113.
- Asefa A and Bekele D. “Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia”. Reproductive Health1 (2015): 33.
- Wassihun B and Zeleke S. “Compassionate and respectful maternity care during facility based child birth and women’s intent to use maternity service in Bahir Dar, Ethiopia”. BMC Pregnancy and Childbirth1 (2018): 294.
- Bohren MA., et al. “SSM -Population Health “By slapping their laps , the patient will know that you truly care for her ” : A qualitative study on social norms and acceptability of the mistreatment of women during childbirth in Abuja, Nigeria”. SSM - Population Health Elsevier; 2 (2016): 640-655.
- Mehretie Adinew Y., et al. “Experience of facility based childbirth in rural Ethiopia: An exploratory study of women’s perspective”. Journal of Pregnancy 2017 (2017).
- Sando D., et al. “The prevalence of disrespect and abuse during facility-based childbirth in urban Tanzania”. BMC Pregnancy Childbirth (2016): 1-10.
- Abuya T., et al. “Exploring the prevalence of disrespect and abuse during childbirth in Kenya”. PloS One4 (2015): e0123606.
- Sharma G., et al. “An investigation into mistreatment of women during labour and childbirth in maternity care facilities in Uttar Pradesh, India: a mixed methods study”. Reproductive Health1 (2019): 7.
- Sheferaw ED., et al. “Respectful maternity care in Ethiopian public health facilities”. Reproductive Health1 (2017): 60.