| Peer-Reviewed

Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia

Received: 15 July 2021     Accepted: 28 July 2021     Published: 11 August 2021
Views:       Downloads:
Abstract

Introduction: Globally, more than half a million women die annually because of pregnancy and childbirth related complication. In Africa, the maternal mortality is still 540 per 100, 000 live births, it accounts for 64% of maternal deaths. Ethiopia has one of the highest maternal mortality ratios that are 412 maternal deaths per 100,000 live births. Mistreatment during childbirth eventually contributes toward maternal and neonatal morbidity and mortality. Objective: To assess the magnitude of mistreatment and associated factors among delivering mothers in Dodotadistrict public health facility, Oromiya region, Arsi zone, Southeast, Ethiopia, from January 1 uptoFebruary28, 2021. Methods: Institutional based cross-sectional study design was employed using quantitative data collection methods. Study participant were selected through systematic random sampling. Semi structure and pretested questioner was used to collect data from study participant. The collected data was entered into EpiInfo version7.2.1 and analyzed using SPSS version 23. Descriptive statistics were used. Initially, binary logistic regression was carried out to see the association, Thereafter, the multivariable logistic regression method was used-value<0.05 and 95%CI was used to declare statistical significance. Hosmer–Lemeshow test was used to test goodness of fit of a model. Adjusted Odds Ratio (AOR) and 95% CI were used to report the strength of association between outcome and independent variables. Results: In this study, (70.3%) (95%CI: 1.579, 2.843) of the interviewed mothers reported having experience at least one form of mistreatment. The types of mistreatment during childbirth included Ineffective communication (66.6%), Verbal abuse (64.5%), Non-consented care (60.3%), Physical abuse (35.1%), Non-confidential care (21.8%), Discrimination (20.5%) and Abandonment (2.5%). Sex of health care provider (AOR=4.434; 95%CI: (2.83, 41.85), Medical supply shortage [AOR 5.219; 95%CI: (2.525, 10.8)], Number of health professions [AOR=6.08; 95%CI: (2.32, 15.88)] were factors significantly associated with mistreatment during delivery service. Conclusion and recommendations: From this study, we can conclude that women receiving labor and delivery care at the study health facilities are exposed to mistreatment to a higher extent suggesting to a need to urgent intervention. Resource shortage, Number and sex of health professions are factors associated with mistreatment. Fulfilling resource shortage, giving birth preparedness education is mandatory in order to tackle this problems.

Published in American Journal of Nursing and Health Sciences (Volume 2, Issue 3)
DOI 10.11648/j.ajnhs.20210203.12
Page(s) 66-78
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), 2021. Published by Science Publishing Group

Keywords

Disrespect, Abuse, Maternity, Child Birth, Women, Prevalence, Ethiopia

References
[1] Yared Mekonen Tefera, Sileshi Garoma Abeya. Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia. International Journal of Neurologic Physical Therapy. 2019, 5, (1-6).
[2] Tekle Bobo F, Kebebe Kasaye H, Etana B, Woldie M, Feyissa TR. Disrespect and abuse during childbirth in Western Ethiopia: Should women continueto tolerate? PLoSONE (2019) 14 (6), 4-8.
[3] Ephrem D. Sheferaw, Eva Bazant, Hannah Gibson, Hone B. Fenta3, Firew Ayalew, al. TBBe. Respectful maternity care in Ethiopian public health facilities. Reproductive Health. (2017) (14: 60).
[4] Halil HM, Tesfaye Zeleke Y, Ahmed Abdo R, Taye Benti A. Mistreatment and Its Associated Factors among Women during Labor and Delivery in Hospitals of Silte Town, Southern Ethiopia. Journal of Midwifery and Reproductive Health. 2020; 8 (3): 1-8.
[5] Freedman LP, Kruk ME. Disrespect and abuse of women in childbirth: challenging the global quality and accountability agendas. The Lancet, 2014.384 (9948): p. 42-44.
[6] David S, Tamil K, Good luck 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.
[7] Bowser D, Hill K, Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis, in USAID-TRA ction Project, Washington, DC. 2010.45 (3).
[8] Parimal Patel KM GK. Study to assess the extent of disrespect and abuse in facility based child birth among women residing in urban slum area of Ahmedabad. International Journal of Multidisciplinary Research and Development. Aug 2015; 27 (2): (8, 25-7).
[9] 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 saudepublica. 2013; 29 (11), 87–96.
[10] Sando D, Ratcliffe H, McDonald K, Spiegelman D, Lyatuu G, Mwanyika-Sando M, et al. The prevalence of disrespect and abuse during facility-based childbirth in urban Tanzania. BMC Pregnancy Childbirth. 2016 Dec; 16 (1).
[11] Liambila WN, Kuria SN. Birth attendance and magnitude of obstetric complications in Western Kenya: a retrospective case–control study. BMC Pregnancy Childbirth. 2014 Dec; 14 (1).
[12] Central Statistics Agency: Ethiopian Mini Demographic and Health Survey 2019. Addis Ababa, Ethiopia, and Rockville, Maryland, USA Central Statistics Agency of Ethiopia; 2019.
[13] Sudhinaraset M, Treleaven E, Melo J, Singh K, DiamondSmith N. Women’s status and experiences of mistreatment during childbirth in Uttar Pradesh: a mixed methods study using cultural health capital t heory. BMC Pregnancy Childbirth. 2016 28; 16 (1): 332.
[14] Anteneh Asefa, Delayehu Bekele. Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia. Reproductive Health 2015; 12: 33: 1-9.
[15] Ayele, S., level of disrespect and abuse in maternity care among facility based maternity care users, debremarkose, east gojjam, ethiopia. Nov 2016.
[16] Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Boston: USAID-TRAction Project, Harvard School of Public Health. 2015.
[17] Biresaw Wassihun, Shegaw Zeleke. 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 Childbirth. 2018 18: 294: 2-9.
[18] Sando D, Abuya T, Asefa A, Banks KP, Freedman LP, Kujawski S, et al. Methods used in prevalence studies of disrespect and abuse during facility based childbirth: lessons learned. Reprod Health [Internet]. 2017 Oct 11; 14 (1): 127.
[19] Asefa A, Bekele D, Morgan A, Kermode M. Service providers’ experiences of disrespectful and abusive behavior towards women during facility based childbirth in Addis Ababa, Ethiopia. Reprod Health. 2018 Dec; 15 (1).
[20] Bowser D, Hill A. Exploring evidence for disrespect and abuse in facility-based childbirth: report of a landscape analysis. 2010. Harvard School of Public Health and University Research Corporation.
[21] Meghan A. Bohren, Joshua P. Vogel, Erin C. Hunter, Olha Lutsiv, Suprita K. Makh, João Paulo Souza, et al. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med. 2015; 12 (6): 1-32.
[22] Sheferaw ED, Bazant E, Gibson H, Fenta HB, Ayalew F, Belay TB, et al. Respectful maternity care in Ethiopian public health facilities. Reprod Health. 2017 Dec; 14 (1).
[23] Abuya T, Warren CE, Miller N, Njuki R, Ndwiga C, Maranga A, et al. Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya. PLOS ONE [Internet].2015 [cited2018Oct19]; 10 (4).
[24] Kruk ME, Kujawski S, Mbaruku G, Ramsey K, Moyo W, Freedman LP. Disrespectful and abusive treatment during facility delivery in Tanzania: a facility and community survey. Health Policy and Planning. 2014: 2 (6), 5-8.
[25] 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) 6-9.
[26] Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet. 2010; 375 (9726): 9-23.
[27] Warren C, Njuki R, Abuya T, Ndwiga C, Maingi G, Serwanga J, et al. Study protocol for promoting respectful maternity care initiative to assess, measure and design interventions to reduce disrespect and abuse during childbirth in Kenya. BMC pregnancy and childbirth. 2013; 13 (1): 1.
[28] Teklemariam G, Biresaw W. Prevalence of disrespect and abuse of women during child birth and associated factors in Bahir Dar town, Ethiopia. 2018.
[29] WHO. Ethiopia Demographic and Health Survey. The DHS ProgramI CFRockville, Maryland, USA. October 2016.
[30] Gebremichael MW, Worku A, Medhanyie AA, Berhane Y. Mothers’ experience of disrespect and abuse during maternity care in northern Ethiopia. Glob Health Action. 2018 Jan; 11 (1): 1465215.
[31] Organization WH, UNICEF. Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division: executive summary. 2014.
[32] Vogel JP, Bohren MA, Tuncalp, Oladapo OT, Gulmezoglu AM. Promoting respect and preventing mistreatment during childbirth. BJOG. 2015.7 (4).
[33] Okafor II, Ugwu EO, Obi SN. Disrespect and abuse during facility-based childbirth in a low-income country. International Journal of Gynecology & Obstetrics. 2015; 128 (2): 110-3.
[34] Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gülmezoglu AM. Facilitators and barriers to facility-based delivery in low-and middle-income countries: a qualitative evidence synthesis. Reproductive health. 2014; 11 (1): 1.
[35] Hameed W,. AvanBI. Women's experiences of mistreatment during childbirth: A comparative view of home- and facility based births in Pakistan. PLoS One, 2018.13 (3).
[36] Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Boston: USAID-TRAction Project, Harvard School of Public Health. 2010.
[37] Sando D KT, Lyatuu G, et al. Disrespect and abuse during childbirth in Tanzania: are women living with HIV more vulnerable? J Acquired Immune Deficiency Syndrome. 2014; 67: S228–S34.
[38] Moyer CA, Adongo PB, Aborigo RA, Hodgson A, Engmann CM. „They treat you like you are not a human being‟: maltreatment during labour and delivery in rural northern Ghana. Midwifery. 2014; 30 (2): 262-8.
[39] Orpin J, Puthussery S, Davidson R, Burden B. Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria. BMC Pregnancy Childbirth. 2018 Jun 7; 18.
[40] Bohren MA, et al. Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers. Reprod Health. 2017; 14 (9): 1–13.
[41] Abuya T, Ndwiga C, Ritter J, Kanya L, Bellows B, Binkin N, et al. The effect of a multicomponent intervention on disrespect and abuse during childbirth in Kenya. BMC Pregnancy Childbirth. 2015 Dec; 15 (1).
[42] World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. 2018.
[43] McMahon SA, George AS, Chebet JJ, Mosha IH, Mpembeni RN, Winch PJ. Experiences of and responses to disrespectful maternity care and abuse during childbirth; a qualitative study with women and men in Morogoro Region, Tanzania. BMC Pregnancy Childbirth. 2014 Dec; 14 (1).
Cite This Article
  • APA Style

    Eshetu Girma Waktola, Sileshi Garoma Abeya, Sultan Kalu Beggi. (2021). Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia. American Journal of Nursing and Health Sciences, 2(3), 66-78. https://doi.org/10.11648/j.ajnhs.20210203.12

    Copy | Download

    ACS Style

    Eshetu Girma Waktola; Sileshi Garoma Abeya; Sultan Kalu Beggi. Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia. Am. J. Nurs. Health Sci. 2021, 2(3), 66-78. doi: 10.11648/j.ajnhs.20210203.12

    Copy | Download

    AMA Style

    Eshetu Girma Waktola, Sileshi Garoma Abeya, Sultan Kalu Beggi. Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia. Am J Nurs Health Sci. 2021;2(3):66-78. doi: 10.11648/j.ajnhs.20210203.12

    Copy | Download

  • @article{10.11648/j.ajnhs.20210203.12,
      author = {Eshetu Girma Waktola and Sileshi Garoma Abeya and Sultan Kalu Beggi},
      title = {Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {2},
      number = {3},
      pages = {66-78},
      doi = {10.11648/j.ajnhs.20210203.12},
      url = {https://doi.org/10.11648/j.ajnhs.20210203.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20210203.12},
      abstract = {Introduction: Globally, more than half a million women die annually because of pregnancy and childbirth related complication. In Africa, the maternal mortality is still 540 per 100, 000 live births, it accounts for 64% of maternal deaths. Ethiopia has one of the highest maternal mortality ratios that are 412 maternal deaths per 100,000 live births. Mistreatment during childbirth eventually contributes toward maternal and neonatal morbidity and mortality. Objective: To assess the magnitude of mistreatment and associated factors among delivering mothers in Dodotadistrict public health facility, Oromiya region, Arsi zone, Southeast, Ethiopia, from January 1 uptoFebruary28, 2021. Methods: Institutional based cross-sectional study design was employed using quantitative data collection methods. Study participant were selected through systematic random sampling. Semi structure and pretested questioner was used to collect data from study participant. The collected data was entered into EpiInfo version7.2.1 and analyzed using SPSS version 23. Descriptive statistics were used. Initially, binary logistic regression was carried out to see the association, Thereafter, the multivariable logistic regression method was used-value<0.05 and 95%CI was used to declare statistical significance. Hosmer–Lemeshow test was used to test goodness of fit of a model. Adjusted Odds Ratio (AOR) and 95% CI were used to report the strength of association between outcome and independent variables. Results: In this study, (70.3%) (95%CI: 1.579, 2.843) of the interviewed mothers reported having experience at least one form of mistreatment. The types of mistreatment during childbirth included Ineffective communication (66.6%), Verbal abuse (64.5%), Non-consented care (60.3%), Physical abuse (35.1%), Non-confidential care (21.8%), Discrimination (20.5%) and Abandonment (2.5%). Sex of health care provider (AOR=4.434; 95%CI: (2.83, 41.85), Medical supply shortage [AOR 5.219; 95%CI: (2.525, 10.8)], Number of health professions [AOR=6.08; 95%CI: (2.32, 15.88)] were factors significantly associated with mistreatment during delivery service. Conclusion and recommendations: From this study, we can conclude that women receiving labor and delivery care at the study health facilities are exposed to mistreatment to a higher extent suggesting to a need to urgent intervention. Resource shortage, Number and sex of health professions are factors associated with mistreatment. Fulfilling resource shortage, giving birth preparedness education is mandatory in order to tackle this problems.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia
    AU  - Eshetu Girma Waktola
    AU  - Sileshi Garoma Abeya
    AU  - Sultan Kalu Beggi
    Y1  - 2021/08/11
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajnhs.20210203.12
    DO  - 10.11648/j.ajnhs.20210203.12
    T2  - American Journal of Nursing and Health Sciences
    JF  - American Journal of Nursing and Health Sciences
    JO  - American Journal of Nursing and Health Sciences
    SP  - 66
    EP  - 78
    PB  - Science Publishing Group
    SN  - 2994-7227
    UR  - https://doi.org/10.11648/j.ajnhs.20210203.12
    AB  - Introduction: Globally, more than half a million women die annually because of pregnancy and childbirth related complication. In Africa, the maternal mortality is still 540 per 100, 000 live births, it accounts for 64% of maternal deaths. Ethiopia has one of the highest maternal mortality ratios that are 412 maternal deaths per 100,000 live births. Mistreatment during childbirth eventually contributes toward maternal and neonatal morbidity and mortality. Objective: To assess the magnitude of mistreatment and associated factors among delivering mothers in Dodotadistrict public health facility, Oromiya region, Arsi zone, Southeast, Ethiopia, from January 1 uptoFebruary28, 2021. Methods: Institutional based cross-sectional study design was employed using quantitative data collection methods. Study participant were selected through systematic random sampling. Semi structure and pretested questioner was used to collect data from study participant. The collected data was entered into EpiInfo version7.2.1 and analyzed using SPSS version 23. Descriptive statistics were used. Initially, binary logistic regression was carried out to see the association, Thereafter, the multivariable logistic regression method was used-value<0.05 and 95%CI was used to declare statistical significance. Hosmer–Lemeshow test was used to test goodness of fit of a model. Adjusted Odds Ratio (AOR) and 95% CI were used to report the strength of association between outcome and independent variables. Results: In this study, (70.3%) (95%CI: 1.579, 2.843) of the interviewed mothers reported having experience at least one form of mistreatment. The types of mistreatment during childbirth included Ineffective communication (66.6%), Verbal abuse (64.5%), Non-consented care (60.3%), Physical abuse (35.1%), Non-confidential care (21.8%), Discrimination (20.5%) and Abandonment (2.5%). Sex of health care provider (AOR=4.434; 95%CI: (2.83, 41.85), Medical supply shortage [AOR 5.219; 95%CI: (2.525, 10.8)], Number of health professions [AOR=6.08; 95%CI: (2.32, 15.88)] were factors significantly associated with mistreatment during delivery service. Conclusion and recommendations: From this study, we can conclude that women receiving labor and delivery care at the study health facilities are exposed to mistreatment to a higher extent suggesting to a need to urgent intervention. Resource shortage, Number and sex of health professions are factors associated with mistreatment. Fulfilling resource shortage, giving birth preparedness education is mandatory in order to tackle this problems.
    VL  - 2
    IS  - 3
    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