Sintayehu Gebregziabher1, Behailu Hawulte2, Legesse Abera3, Abel Tibebu Goshu4. 1. Dire Dawa Health Center, Dire Dawa Health Bureau, Dire Dawa City Administration, Ethipoia. 2. School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. 3. Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa City Administration, Ethipoia. 4. School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Abstract
OBJECTIVE: We assessed the magnitude of disrespect and abuse experienced by women giving birth at public health facilities in Dire Dawa, Eastern Ethiopia. METHODS: We conducted a facility-based quantitative cross-sectional study in Dire Dawa City Administration from 21 October to 8 December 2020. We used a pre-tested structured questionnaire to interview 555 randomly selected women who gave birth in public health facilities during the study period. Bivariate and multivariate logistic regression analysis was performed in statistical analysis. RESULTS: Among 555 women, 473 (85.2%) reported having experienced at least one form of disrespect and abuse. Giving birth at a hospital (adjusted odds ratio [AOR] = 4.15; 95% confidence interval [CI], 2.29-7.51) and being attended by male providers (AOR = 3.27; 95% CI, 1.57-6.81), as well as being attended by three or four providers (AOR = 0.44; 95% CI, 0.22-0.88) and delivering at night (AOR = 0.27; 95% CI, 0.15-0.48) were significantly associated with greater or less likelihood, respectively, of disrespect and abuse. CONCLUSION: We revealed an unacceptable level of disrespect and abuse toward women giving birth at public health facilities. Health care providers must understand the importance of respectful maternity care. The city's health bureau should conduct provider training and enforce adherence to respectful care.
OBJECTIVE: We assessed the magnitude of disrespect and abuse experienced by women giving birth at public health facilities in Dire Dawa, Eastern Ethiopia. METHODS: We conducted a facility-based quantitative cross-sectional study in Dire Dawa City Administration from 21 October to 8 December 2020. We used a pre-tested structured questionnaire to interview 555 randomly selected women who gave birth in public health facilities during the study period. Bivariate and multivariate logistic regression analysis was performed in statistical analysis. RESULTS: Among 555 women, 473 (85.2%) reported having experienced at least one form of disrespect and abuse. Giving birth at a hospital (adjusted odds ratio [AOR] = 4.15; 95% confidence interval [CI], 2.29-7.51) and being attended by male providers (AOR = 3.27; 95% CI, 1.57-6.81), as well as being attended by three or four providers (AOR = 0.44; 95% CI, 0.22-0.88) and delivering at night (AOR = 0.27; 95% CI, 0.15-0.48) were significantly associated with greater or less likelihood, respectively, of disrespect and abuse. CONCLUSION: We revealed an unacceptable level of disrespect and abuse toward women giving birth at public health facilities. Health care providers must understand the importance of respectful maternity care. The city's health bureau should conduct provider training and enforce adherence to respectful care.
Entities:
Keywords:
Dire Dawa; Disrespect; Eastern Ethiopia; abuse; public health facility; respectful maternity care
Authors: Timothy Abuya; Charlotte E Warren; Nora Miller; Rebecca Njuki; Charity Ndwiga; Alice Maranga; Faith Mbehero; Anne Njeru; Ben Bellows Journal: PLoS One Date: 2015-04-17 Impact factor: 3.240
Authors: Kathleen P Banks; Ali M Karim; Hannah L Ratcliffe; Wuleta Betemariam; Ana Langer Journal: Health Policy Plan Date: 2018-04-01 Impact factor: 3.344
Authors: Nega Assefa; Ali Sié; Dongqing Wang; Michelle L Korte; Elena C Hemler; Yasir Y Abdullahi; Bruno Lankoande; Ourohiré Millogo; Angela Chukwu; Firehiwot Workneh; Phyllis Kanki; Till Baernighausen; Yemane Berhane; Wafaie W Fawzi; Ayoade Oduola Journal: Am J Trop Med Hyg Date: 2021-06-23 Impact factor: 2.345