Level of Disrespect and Abuse in Maternity Care among Facility Based Maternity Care Users, Debre Markose, East Gojjam, Ethiopia

Ayele, Segedu (2016) Level of Disrespect and Abuse in Maternity Care among Facility Based Maternity Care Users, Debre Markose, East Gojjam, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Globally, there were 289,000 maternal deaths in 2013.Maternal deaths are concentrated in sub-Saharan Africa and Southern Asia, which together accounted for 86 % of all maternal deaths in 2013. In Ethiopia an estimated 13,000 mothers die annually due to complications related to pregnancy and childbirth. Providing respectful maternity care services to pregnant mothers is one of the most important interventions to ensure survival of women. However, respectful maternity care has received less attention both in practice and research. Objective: To assess the level of disrespect and abuse in maternity care and identify associated factors among women who gave birth in governmental health facilities. Methods: A facility based cross-sectional study that applied both quantitative and qualitative methods was conducted in Debre Markos referral hospital and 3 catchment health centers, from Feb–April 2016. All women who gave birth vaginally in the health facilities during the data collection period were included in the study. Structured questionnaire was used to collect quantitative data and for qualitative data a semi-structured guide was used for in-depth interview of health care providers, childbearing mothers, and their companions. Observation of labor and delivery care was also done. EPI info version 7; STATA and open code were used for data entry and analysis. Logistic regression was applied to identify correlates of disrespect and abuse and thematic analysis was done to analyze the qualitative data. Result: All childbearing mothers included in the study faced at least one form of disrespect and abuse; the most prevalent form of abuse and disrespect being denying the women’s right to information, informed consent, and choice/preferences (non consented care) which was experienced by 273(95.45%) of the participants. Physical harm or ill treatment was the second commonest form of disrespect and abuse with 259 (90.56%) of the respondents experiencing it. On the other hand, nearly all companions and maternity care users faced insult by guards at the gate of the institutions. Disrespect and abuse maternity care increase with age of mother decrease (p= 0.023), decision made on mother’s health jointly with their husband/partner experiencegreater disrespect and abuse than decision made by themselves (p= 0.00) and also disrespect and abuse were significantly increase at hospital than health centers (p= 0.029). Conclusion: The results show that disrespect and abuse in maternity care in public health facilities was common among studied health facilities. Age of mother, decision maker to mother’s health and type of health facilities were the important correlates of disrespect and abuse. Ethiopia aspires to provide compassionate and respectful care at health facilities, the high prevalence of disrespect and abuse in maternity care in public health facilities calls for strengthened action to improve quality of maternity care.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 20 Jul 2018 13:09
Last Modified: 20 Jul 2018 13:09
URI: http://thesisbank.jhia.ac.ke/id/eprint/7937

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