International Journal of Neurologic Physical Therapy

| Peer-Reviewed |

Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia

Received: 7 May 2019    Accepted: 10 June 2019    Published: 25 June 2019
Views:       Downloads:

Share This Article

Abstract

The recent evidence has demonstrated that globally, many women experience mistreatment during labor and delivery in health facilities. This can pose a significant barrier to women attending facilities for delivery and can contribute to poor birth experience and adverse outcome for the woman and newborn. The objective of this study was to assess the magnitude of mistreatment among delivering mothers and associated factors in Bishoftu general hospital from June – December, 2018. An institutional based cross-sectional study design was conducted. A Single population proportion formula was used to select a total of 377 participants. The convenience sampling method was employed to select the study participants and Focused Group Discussion was conducted for qualitative data collection. The collected Data was coded, cleaned, by using Epi. Info and analyzed by SPSS 20. Principally, binary logistic regression model was used to indicate the association between the study variables. The Association between independent and dependent variable were considered significant when the p-value is less than 0.05 in the final model. Qualitative data from the Focus Group Discussions were analyzed and presented thematically. In this study, 55.8% (95%CI: 51.2, 61.9) of the interviewed mothers reported having perceived at least one form of mistreatment. The types of mistreatment during childbirth included physical abuse (21.1%), non-consented care (27.4%), non-confidential care (11.7%), non-dignified care (9.7%), abandonment (24.8%), and discrimination (11.4%). Parity (AOR=1.85, 95% CI= 1.05, 3.24) and mode of delivery (AOR=1.75, 95% CI=1.09, 2.81) were factors significantly associated with mistreatment. This study has shown that the proportion of mistreatment during health facility childbirth in Bishoftu General Hospital was high. Parity and modes of delivery were significantly associated with mistreatment. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients.

DOI 10.11648/j.ijnpt.20190501.13
Published in International Journal of Neurologic Physical Therapy (Volume 5, Issue 1, June 2019)
Page(s) 13-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mistreatment, Disrespect and Abuse, Childbirth, Respectful Maternity Care

References
[1] Mehretie Y. Experience of Facility Based Childbirth in Rural Ethiopia An Exploratory Study of Women’s Perspective. journal of pregnancy, November, 2017.
[2] Asefa A, Bekele D. Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia. Reprod Health. 2015 16;12:33. doi: 10.1186/s12978-015-0024-9
[3] Ratcliffe HL, Sando D, Lyatuu GW, Emil F, Mwanyika-Sando M, Chalamilla G, Langer A, McDonald KP. Mitigating disrespect and abuse during childbirth in Tanzania an exploratory study of the effects of two facility-based interventions in a large public hospital. Reprod Health. 2016, 18;13 (1):79. doi: 10.1186/s12978-016-0187-z
[4] Freedman LP, Kruk ME. Disrespect and abuse of women in childbirth: challenging the global quality and accountability agendas. The Lancet, 2014. 384 (9948): p. e42-e44.
[5] David S, Tamil K, Goodluck L, Hannah R, Kathleen MD, Mary MS, Faida E, Guerino Chalamilla, M, Ana L. Disrespect and Abuse During Childbirth in Tanzania: Are Women Living With HIV More Vulnerable? December 1, 2014.
[6] Bowser D, Hill K, Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis, in USAID-TRAction Project, Washington, DC. 2010.
[7] Rima J. Respectful Maternity Care: The Universal Rights of Childbearing Women (Poster), 2011. Available at http/ http://www.healthpolicyproject.com/index.cfm?ID=publications&get=pubID&pubID=44.
[8] Lukasse M, SchrollA-M, Karro H, Schei B, Steingrimsdottir T, VanParys A-S, Elsa LR, Ann T. Prevalence ofexperienced abuse in healthcare andassociated obstetric characteristics in sixEuropean countries. Acta Obstet GynecolScand 2015; 94: 508–517
[9] Mesenburg MA. Disrespect and abuse of women during the process of childbirth in the 2015 Pelotas birth cohort. 2015.
[10] Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Trends in maternal mortality: 1990 to 2015. Available at http/ https://www.afro.who.int/sites/default/files/2017-05/trends-in-maternal-mortality-1990-to-2015.pdf
[11] Aguiar JM, d'Oliveira AF, Schraiber LB. Institutional violence, medical authority, and power relations in maternity hospitals from the perspective of health workers. Cadernos de saude publica. 2013;29 (11):2287–96.
[12] Mary F, Brigid Mc. Respectful Maternity Care and the Media: A Guide for NGOs and Advocates was copyedited by John Engels and designed by Gwendolyn Stinger, 2019. Available a: https://www.whiteribbonalliance.org/wp-content/uploads/2019/02/RMC_Media_Guide.pdf
[13] Sudhinaraset M, Treleaven E, Melo J, Singh K, Diamond-Smith N. Women’s status and experiences of mistreatment during childbirth in Uttar Pradesh: a mixed methods study using cultural health capital theory. BMC Pregnancy Childbirth. 2016 28;16 (1):332
[14] Hameed W,. Avan BI. Women's experiences of mistreatment during childbirth: A comparative view of home- and facility-based births in Pakistan. PLoS One, 2018. 13 (3): p. e0194601.
[15] Ayele, S., level of disrespect and abuse in maternity care among facility based maternity care users, debre markose, east gojjam, ethiopia. Nov 2016. Available at: http://etd.aau.edu.et/browse?type=advisor&sort_by=1&order=ASC&rpp=20&etal=-1&value=ABIY+SEIFU+%28MPH%29&starts_with=0
[16] Bohren MA, Vogel JP, Tunçalp Ö, Fawole B, Titiloye MA, Olutayo AO, Ogunlade M, Oyeniran AA, Osunsan OR, Metiboba L, Idris HA, Alu FE, Oladapo OT, Gülmezoglu AM, Hindin MJ. Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers. Reprod Health. 2017 Jan 17;14 (1):9. doi: 10.1186/s12978-016-0265-2.
[17] Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, Carolina A, Fernando S, Alex L, Özge T, Dena J, Olufemi T, Rajat K, Michelle J, Metin G. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med 12 (6): e10018
[18] Turan JM, Bukusi EA, Cohen CR, Sande J, Miller S. Effects of HIV/AIDS on maternity care providers in Kenya. J Obstet Gynecol Neonatal Nurs. 2008 Sep-Oct;37 (5):588-95. doi: 10.1111/j.1552-6909.2008.00281. x.
[19] Annual Plan and Achievment of the Year 2015/16. 2016. East Shoa Zone health department, Oromia, Ethiopia, 2017.
[20] Biresaw Wasihun1, L. D., Nadia Worede2, Teklemariam Gultie1,, Prevalence of Disrespect and abuse of women during child birth and associated factors in Bahir Dar town, Ethiopia 2017.
[21] Wassihun B, Deribe L, Worede N, Gultie T. Prevalence of Disrespect and abuse of women during child birth and associated factors in Bahir Dar town, Ethiopia. Epidemiol Health. 2018 1;40:e2018029. doi: 10.4178/epih.e2018029. eCollection 2018.
[22] Organization WH, U., Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division:. executive summary., 2014.
[23] Mengistu WG, Araya AM, Yemane B. Mothers’ experience of disrespect and abuse during maternity care in northern Ethiopia. Global Health Action, 2018 (11), 1465215.
[24] Abuya T, Warren CE, Miller N, Njuki R, Ndwiga C, Maranga A, Faith M, Anne N, Ben B. Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya. PLoS ONE 10 (4): e0123606. doi:10.1371/ journal. pone.0123606.
[25] Ephrem DS, Eva B, Hannah G, Hone BF, Firew A, Tsigereda BB, Maria MW, Aelaf EK, Sintayehu AW, Young-MK, Akker T, Jelle S. Respectful maternity care in Ethiopian public health facilities. 2017.
[26] Wendy H, Maya G. “Being treated like a human being”: Attitudes and behaviours of reproductive and maternal health care providers August 2012. Available at: https://www.burnet.edu.au/system/asset/file/1408/Holmes_et_al_attitudes_review_sept2_final.pdf
Cite This Article
  • APA Style

    Yared Mekonen Tefera, Sileshi Garoma Abeya, Sultan Kalu Beggi. (2019). Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia. International Journal of Neurologic Physical Therapy, 5(1), 13-20. https://doi.org/10.11648/j.ijnpt.20190501.13

    Copy | Download

    ACS Style

    Yared Mekonen Tefera; Sileshi Garoma Abeya; Sultan Kalu Beggi. Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia. Int. J. Neurol. Phys. Ther. 2019, 5(1), 13-20. doi: 10.11648/j.ijnpt.20190501.13

    Copy | Download

    AMA Style

    Yared Mekonen Tefera, Sileshi Garoma Abeya, Sultan Kalu Beggi. Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia. Int J Neurol Phys Ther. 2019;5(1):13-20. doi: 10.11648/j.ijnpt.20190501.13

    Copy | Download

  • @article{10.11648/j.ijnpt.20190501.13,
      author = {Yared Mekonen Tefera and Sileshi Garoma Abeya and Sultan Kalu Beggi},
      title = {Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia},
      journal = {International Journal of Neurologic Physical Therapy},
      volume = {5},
      number = {1},
      pages = {13-20},
      doi = {10.11648/j.ijnpt.20190501.13},
      url = {https://doi.org/10.11648/j.ijnpt.20190501.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20190501.13},
      abstract = {The recent evidence has demonstrated that globally, many women experience mistreatment during labor and delivery in health facilities. This can pose a significant barrier to women attending facilities for delivery and can contribute to poor birth experience and adverse outcome for the woman and newborn. The objective of this study was to assess the magnitude of mistreatment among delivering mothers and associated factors in Bishoftu general hospital from June – December, 2018. An institutional based cross-sectional study design was conducted. A Single population proportion formula was used to select a total of 377 participants. The convenience sampling method was employed to select the study participants and Focused Group Discussion was conducted for qualitative data collection. The collected Data was coded, cleaned, by using Epi. Info and analyzed by SPSS 20. Principally, binary logistic regression model was used to indicate the association between the study variables. The Association between independent and dependent variable were considered significant when the p-value is less than 0.05 in the final model. Qualitative data from the Focus Group Discussions were analyzed and presented thematically. In this study, 55.8% (95%CI: 51.2, 61.9) of the interviewed mothers reported having perceived at least one form of mistreatment. The types of mistreatment during childbirth included physical abuse (21.1%), non-consented care (27.4%), non-confidential care (11.7%), non-dignified care (9.7%), abandonment (24.8%), and discrimination (11.4%). Parity (AOR=1.85, 95% CI= 1.05, 3.24) and mode of delivery (AOR=1.75, 95% CI=1.09, 2.81) were factors significantly associated with mistreatment. This study has shown that the proportion of mistreatment during health facility childbirth in Bishoftu General Hospital was high. Parity and modes of delivery were significantly associated with mistreatment. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia
    AU  - Yared Mekonen Tefera
    AU  - Sileshi Garoma Abeya
    AU  - Sultan Kalu Beggi
    Y1  - 2019/06/25
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijnpt.20190501.13
    DO  - 10.11648/j.ijnpt.20190501.13
    T2  - International Journal of Neurologic Physical Therapy
    JF  - International Journal of Neurologic Physical Therapy
    JO  - International Journal of Neurologic Physical Therapy
    SP  - 13
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2575-1778
    UR  - https://doi.org/10.11648/j.ijnpt.20190501.13
    AB  - The recent evidence has demonstrated that globally, many women experience mistreatment during labor and delivery in health facilities. This can pose a significant barrier to women attending facilities for delivery and can contribute to poor birth experience and adverse outcome for the woman and newborn. The objective of this study was to assess the magnitude of mistreatment among delivering mothers and associated factors in Bishoftu general hospital from June – December, 2018. An institutional based cross-sectional study design was conducted. A Single population proportion formula was used to select a total of 377 participants. The convenience sampling method was employed to select the study participants and Focused Group Discussion was conducted for qualitative data collection. The collected Data was coded, cleaned, by using Epi. Info and analyzed by SPSS 20. Principally, binary logistic regression model was used to indicate the association between the study variables. The Association between independent and dependent variable were considered significant when the p-value is less than 0.05 in the final model. Qualitative data from the Focus Group Discussions were analyzed and presented thematically. In this study, 55.8% (95%CI: 51.2, 61.9) of the interviewed mothers reported having perceived at least one form of mistreatment. The types of mistreatment during childbirth included physical abuse (21.1%), non-consented care (27.4%), non-confidential care (11.7%), non-dignified care (9.7%), abandonment (24.8%), and discrimination (11.4%). Parity (AOR=1.85, 95% CI= 1.05, 3.24) and mode of delivery (AOR=1.75, 95% CI=1.09, 2.81) were factors significantly associated with mistreatment. This study has shown that the proportion of mistreatment during health facility childbirth in Bishoftu General Hospital was high. Parity and modes of delivery were significantly associated with mistreatment. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients.
    VL  - 5
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • Sections