Compassionate and respectful maternity care during facility based child birth and women’s intent to use maternity service in Bahir Dar, Ethiopia

Abstract

BackgroundCompassionate and respectful maternity care is one of the most important facilitating factors to increase access to skilled maternity care. Disrespect and abuse is a violation of human rights and is the main hindering factor preventing skilled birth utilization versus other more commonly recognized deterrents such as financial and geographical obstacles.MethodsInstitution based cross-sectional study design was conducted. A structured and pre-tested interviewer administered questionnaire was used to collect the data from 284 study participants. Study participant were selected using a systematic random sampling technique by allocating a proportion to each health facility. The data were entered with Epi data version 3.1statistical software and exported to Statistical Package for Social Sciences version 22.0 for further analysis. Both bivariate and multivariate logistic regression analysis were performed to identify associated factors. P values < 0.05 with 95% confidence level were used to declare statistical significance.ResultA total of 284 respondents participated in the study with a response rate of 100%.The overall prevalence of respectful maternity care experienced was 57%.The multivariable analysis indicated that respondents who live in a rural area [AOR = 6.49(95%CI; 2.59, 16.21)], experience a caesarian birth [AOR = 4.52(95%CI; 1.64, 12.42)], have complications during delivery [AOR = 2.38(95%CI; 1.28, 4.45)] and future intention to use health facility [AOR = 3.57(95%CI; 1.81, 7.07)] were some of the factors associated with experiencing disrespect and abuse.ConclusionThis study showed a high prevalence of disrespect and abuse during facility child birth in Bahir Dar town, Ethiopia as compared to previous literature. Being from rural area, having complications during delivery and mothers who gave birth through caesarian section were more likely to be exposed to disrespect and abuse than other women. Mistreatment of mothers during facility child birth is a health facility failure, a violation of women’s rights and a notable barrier for institutional delivery.

Respectful maternity care and associated factors among women who delivered at Harar hospitals, eastern Ethiopia: a cross-sectional study

“…The odds of RMC were two-fold higher among women whose childbirth process ends up without complications as compared to their counterparts. This is aligned with the studies conducted in Ethiopia [24,36]. This could be due to the fact that those women who faced difficulties during labor are highly risky to develop post-partum blues and depression.…”

“…In this study, merely 38.4% of women received RMC. This finding is higher than the study conducted in Addis Ababa (21%) [7] and lower than the studies conducted in public hospitals of Ethiopia (66%), Bahir Dar, Ethiopia (57%), Uttar Pradesh, India (43%), Tanzania (85%), and Kenya (80%) [22,24,25,33,34]. This incongruity may be due to study period variation, participant's level of understanding about the service, educational and socio-economic status of the participants, service quality, and the ability of participants to report D&A.…”

“…Evidence from India, Tanzania, Kenya, and Ethiopia showed that the status of RMC ranges from 21 to 80%. Delivering at night time, private health facilities, cesarean delivery, continuous emotional support during labor, intention to use the facility, assurance of privacy and high economic status were some of the factors associated with RMC [7,[22][23][24][25].…”

The Proportion and Nature of Disrespect and Abuse during facility-based care in a rural and an urban setting in Kano, northwest Nigeria; A mixed-method study

“…Report of D&A may be low in environment where women normalize them [1]. On the contrary, one non-comparative cross-sectional study has reported that respondents from a rural setting are more likely to complain of D&A [26]. It is also important to note that studies document a wide range of estimates due to different methodological approaches, including varying operational definitions of the construct of interest [23].…”

An Innovative Intervention to Improve Respectful Maternity Care in Three Districts in Ethiopia

“…Mistreatment ranges from subtle negligence and abandonment to overt verbal or physical abuse. The Bowser and Hill framework is commonly cited to describe aspects of mistreatment during childbirth (4,6,(8)(9)(10)(11)(12). These categories include physical abuse, non-consented care (including denial of birth companionship), non-con dential care, non-digni ed care (including verbal abuse), discrimination based on speci c attributes, abandonment or denial of care and detention in facilities.…”