- Title
- Disrespect and abuse during childbirth in Western Ethiopia: should women continue to tolerate?
- Creator
- Bobo, Firew Tekle; Kasaye, Habtamu Kebebe; Etana, Belachew; Woldie, Mirkuzie; Feyissa, Tesfaye Regassa
- Relation
- Plos One Vol. 14, Issue 6, no. e0217126
- Publisher Link
- http://dx.doi.org/10.1371/journal.pone.0217126
- Publisher
- Public Library of Science (PLoS)
- Resource Type
- journal article
- Date
- 2019
- Description
- Background: Healthcare coverage in Ethiopia has improved dramatically in recent decades. However, facility-based delivery remains persistently low, while maternal mortality remains high. This paper presents the prevalence and associated factors of disrespect and abuse (D&A) during childbirth in public health facilities of western Oromia, Ethiopia. Method: A facility-based cross-sectional study was conducted among 612 women from February 2017 to May 2017. Exit interview with the mothers were conducted upon discharge from the maternity ward. We measured D&A during childbirth using seven dimensions. Multivariable logistic regression model was used to assess the association between experience of D&A and client characteristics and institutional factors. Result: Three quarters (74.8%) of women reported experiencing at least one form of D&A during their facility childbirth. The types of D&A experienced by the women were; physical abuse (37.1%), non-dignified care (34.6%), non-consented care (54.1%), non-confidential care (40.4%), neglect (25.2%), detention (2.9%), and discrimination (13.2%). Experiences of D&A were 1.6 times more likely to be reported by women delivering at hospitals than health centers (OR: 1.64, 95% CI: 1.01, 2.66). Women without a companion throughout their delivery were almost 10 times more likely than women who had a companion to encounter D&A (OR: 9.94, 95% CI: 5.72, 17.28). On the other hand, women with more than 1,368-birr (USD 57) monthly income were less likely to experience any type of D&A (OR: 0.36, 95% CI: .21, .65). Conclusion: Three in four women reported experiencing at least one form of D&A during labor and delivery. This demonstrates a real disconnect between what the health system intends to achieve and what is practiced and calls for fundamental solutions in terms of both improving quality of facility-based delivery and ensuring women’s right to receive health care with dignity.
- Subject
- healthcare; Ethiopia; childbirth; disrespect and abuse (D&A); SDG 3; SDG 5; SDG 16; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1454856
- Identifier
- uon:45008
- Identifier
- ISSN:1932-6203
- Rights
- © 2019 Tekle Bobo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- Language
- eng
- Full Text
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Collections
Goal 16: Peace, Justice and Strong Institutions
Goal 5: Gender Equality
Goal 3: Good Health and Well-Being
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